46 GIC finger pressed 

Looked alright was a little overfilled in the middle try to remove with spoon excavator but flicked the whole thing off 

47 GIC 

Stick to the tooth well deficient in lingual excessive in the middle 

12 P N/A

I’m really happy with how this turned out a depth of 2mm complete caries removal smoothed the floor with size 4 ssrb.

I used a cotton roll for moisture control, it retracts the upper lip for me and it also absorbs moisture. 

Needs to improve : speed this can be improved with practice. I used more than an hour for this resto 

Initially there was under filled but the demo showed how to check where defect is with hand mirror and added composite on to it.

Used dark orange and yellow disc to smoothen the surface and give a shine to it.

Complete caries removal 

smooth floor and wall

Needs to improve: overhang, underfill again 

Should run probe across the surface and noticing any catch or bumpy surface. Can use flat plastic to run the surface vertically and when it produce sounds that could mean it has a big deficiency or big overhang.

As you can see the gum has been destroyed so the retraction cord choice could be better, i chose size 000 should go with 00 or 0 next time.

Needs to improve : speed this can be improved with practice.

Initially there was an a under fill but the demo showed how to check where defect is with hand mirror and added composite on to it.

The desk could be a little more organised.

Used dark orange and yellow disc to smoothen the surface and give a shine to it.

Complete caries removal 

Needs to improve: overhang, underfill again 

Should run probe across the surface and noticing any catch or bumpy surface.

Retraction cord choice could be better

My head was on the wrong instruction with this one and opened a cavity inter-proximally

However Niamh saved me by showing me how to expand the cavity to the cervical.

I'm sad, the caries got completely removed as I was expanding the mesial wall

I used a round head to access both caries and it gave a faster and better result than the fissure bur I used last week

contact opened

floor and wall are both smooth.

11D as this is a composite it has fall off in chunk as I drilled in. So this was quickly removed 

contact opened

floor and wall are both smooth.

But my time management went AMAZING for this operation, I only spent abt 15 minutes drilling birthday luck I guess.

-a little deficiency at the contact area, but over all no excess and smooth finishing surface, I don't really like the matrix I still prefer mila strip.

-after polish it looks smooth and beautiful

should be more patient and do repeated flattening technique with the flat plastic

after first polish there were still some excess, used yellow football bur  to adjust

Rounded internal line angles. 
- Minor correctable damage to adjacent tooth / teeth (eg. minor scratch that can be resolved with enamoplasty and remineralisation).
-  Axial depth based on extent and location of caries.

- No bevel or bevel only in aesthetic regions. 

The flexible nature of the spiral adapts to all tooth surfaces—anterior and posterior, convex and concave and can be used from any angle.

good colour matching, fairly good interproximal wall and contact area.

After polishing 

Need to spend more time on quality placement over fixing finishing and polishing, ensure get demo check points so can correct errors before progressing to end of restoration. Work on posture and indirect vision. 

fix: polish multiple times just to create morphology and revove excess

To improve for next time: press on the surface with your thumb on a mila strip

-good morphology

-using the 2nd roughest disc helps control how much composite your are removing

Using the mylar strip and your thumb to create smoothness on the labial surface is a great idea, also not starting with the coarse disc as it may remove a bit more than needed. Great job with your morphology and layers. 

I was confused with the task and rather than looking at the radiograph i thought there were DO caries on the tooth.

My access point was once again pretty good however i expanding to mesially for the 64 as i was trying to find shadowing on the tooth.

then i just expanded my cavity vertically becoz according to the X-ray there were caries on the more cervical area. AND I FOUND THE CARIES!

this step took me quite a while so next time I will

- Understand the task before proceeding too fast

- remember to not go too occlusally and follow the caries, remove any unsupported enamel.

I was slightly over prepared however i still got access to the pulp chamber and removed all the coronal pulp.

The pulp chamber was intact and the radicular pulp was left behind

I did poorly with the preparation with the tooth i reduced all over the tooth and left some interproximal enamel which can potentially cause food packing and interproximal caries.

I used this session as a learning experience of how to properly prepare a ssc oath and i think i learnt many things in the end.

Next time I will adjust my bur angulation to correct my contact point removal mistake and check with my perio probe as to which cusp I need to remove more. Definitely trying on the crown before the procedure, you do not need the spring back technique for traditional crown.

Next time i will maintain the same speed but make sure i dont make this careless mistake. However the radicular could b removed just a little bit if the bleeding wont stop , after the little bit of radicular pulp is removed if the bleeding would not stop refer for pulpectomy or extraction.

My restoration had a fairly smooth finish, the set material is free of voids. However. Think it interferes with the original occlusion and the morphology definitely needs some wOrk on.

No damages to adjacent surface 

No unsupported enamel

Rounded internal line angles

- No damage to adjacent tooth, contact area correctly positioned,

I have not

- got a smooth finishing surface

- set material was not free of voids

How I can improve

- I can alway overfill and reduce using polishing discs

- pack in The strip crown really well, push the composite down firm and hard so no voids (air bubbles) can be achieved,

Things I've learned

- to remove the strip crown rather than going subgingivally with a sickle probe and try to flick it off I could use a high speed cut out the strip crown then use flat plastic to flick the rest off.

 

I used a tweezer to bond the fragment but what i could have done was get a microbrush with a little bit of uncured composite on the tip of the brush.

I should

- make sure tooth fragment is placed correctly(parallel to the incisal edge)

In this caries removal i have 
- done no damage to the adjacent tooth 
-selective caries removal from the dej
- no unsupported enamel
- no bevel

However
- my gingival floor have extend beyond the caries
- my ouline has gone beyond the caries location (there was unsatisfactory composite that has made the cavity outline. Bit large)

- no damage to adjustment tooth

- contact area correctly positioned

- surface smooth and no voids

-

However there was 

- excess on the email and distal which can compromise occlusion

- morphology could be better with adjusting it wile building up.

What i can do is

- polish those bits down 

- Patients with a communicable infection.

- Patients with history of allergies may be predisposed to an allergic reaction to the powder. If an allergic reaction is observed, stop the procedure.

- Patients who have Addison disease, Cushing disease, or metabolic alkalosis.

- Patients taking medications such as potassium supplements, antidiuretics, or corticoid steroids—all of which can disrupt the body’s acid–base balance.

- Patients with certain restorative materials and luting agents: hybrid, microhybrid, microfilled composites, and glass ionomer restorations. In addition, the margins of amalgam, gold, or porcelain restorations must be avoided due to luting agents (cements)

Glycine based powder 
Much finner powder and much less abrasive. 
Contraindication
- Respiratory problems such as asthma, bronchitis, COPD, or any condition that interferes with breathing or swallowing.

- Patients who are undergoing certain medical treatments (radiotherapy, chemotherapy).

- Patients with a communicable infection.

- Patients with history of allergies may be predisposed to an allergic reaction to the powder. If an allergic reaction is observed, stop the procedure.

Glycine-based powders are safe for use on all types of restorative materials, including the titanium components of dental implants.

I practice with my elevator skills , I am still a bit awkward with the way I hold the elevators, I could improve on that.

Idid not drop the teeth inside the mouth