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Isolation technique

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From: Ken Serota To: ROOTS Sent: Thursday, March 17, 2005 7:20 AM Subject: [roots] Calling Stephane Browet SB: Would you please comment on the isolation technique used here?? - kendo

I zoom in on the pictures sent to me and let my mind absorb everything that is to be noticed : - It is difficult to judge the depth of the final clean cavity contour without a radiograph, probably crown lengthening was not necessary - Isolation was adequate and apparently served its purpose - The interdental dam septum was torn by accident or on purpose, I can not judge. Maybe this could have been avoided by separating the two teeth a bit more with a fine diamond prior to installing the dam. If it was by accident it could happen by passing the dam interdentally with floss, then ripping it with the sharp edge of the distal cavity border. Maybe it was cut on purpose because the dam could not be held low enough below the final cavity contour . Things that could help there without cutting the dam and creating a split dam : teflon tape and/or retraction chord. - I guess that the blue stuff is block out resin. It is a wonderful idea to use it as an aid in achieving final isolation on the critical margin AND to use it as a matrix for the build-up once the endo is finished. I think i do not need to stress the advantages of combining endo and build-up procedure, especially if isolation is tricky or time consuming. To many times the beautiful work of the endodontist is screwed up by lousy isolation during the build-up procedure or even worse : someone taking an impression of the canal to make a post.... - congratulations ! - Stephane Browet

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