RESTORASI RESIN

KOMPOSIT

Resin Komposit
Bahan yang tepat.
Cukup kuat.
Estetika memadai.

Resin Komposit

Resin Komposit

Bonding

Which bottles did you remember to shake today

Adhesive Review
Slow

4th Generation
A

5th Generation

6th Generation
A

Etch Prime Bond

Hig
h

Fast

Faster, Easier Procedure

Etch

Prime
+
Bond

Etch
+
Prime

7th Generation

B
Bond

Etch
+
Prime
+
Bond

Post-op Sensitivity

Separate Etch
Required

No Etch
Required

Low

Adhesive Review

th

Total All indications

Etch
Clinical history
OL Support

th

SelfEtch

Low post-op sensitivity

Two Component

Proven bond strength Growing clinical history

Less technique sensitive
Adper Single Bond Plus

Moisture tolerant

Prime & Bond NT

Adper Prompt L-Pop

Optibond Solo Plus

Clearfil SE Bond
Brush & Bond
Adper Scotchbond SE

th

SelfEtch
Low post-op sensitivity
One Component

Good bond strengths

Less steps
Moisture Tolerant
Xeno IV
iBond
Clearfil S3
Adper Easy Bond

Surface Demineralization
Etched Enamel

Etched Ename
-Straight forward bonding
-Strong acids etch very well
-Surface can be dry
-Resin flows in spaces
-Polymerizes forming strong bond

CONFUSION
Right Surface
Moisture

WET

DRY
MOIST

The tooth surface needs to be

moist!

Expanded collagen is porous and

will absorb adhesive: minimizes
post-op sensitivity.

Acid Conditioning Stage

Moist Surface Dynamics

Dr C Co

Why need to gently agitate during appli

J Perdigao, Univ. of Minnesota

Adhesive
Hybrid
Layer
Intact Dentin

Gentle agitation of adhesive maximizes penetration into etched

dentin and enhances integrity of hybrid layer leading to better
bonds and less sensitivity.

Retensi Resin Komposit

Email diperluas.
Menambah retensi.
Tindakan EFE (Extension for Esthetic).
Pasak intrakanal.

Retensi Resin Komposit

Retensi Resin Komposit

Pertimbangan Lain
Relasi gigi-geligi RA dan RB :
- Overjet
- Overbite
- Gerak protrusif
- Tekanan kunyah

Tahapan

Preparasi email (perluasan).

Etsa.
Peletakan bahan bonding.
Peletakan resin bagian palatinal.
Pembentukan bagian labial.
Finishing (bentuk, oklusi, artikulasi).
Poles (24 jam).

Preparasi Email

Etsa

Bonding & Peletakan Palatinal

Pembentukan Labial

Finishing

Polishing

Contoh Kasus

Contoh Kasus

Forbidden

Distance
object
Influen
max 5mm

Under Cure

Body Shade

Poor Proximal Contours

Proper matrix selection & application
Proper wedge placement

Wedge should not interfere with proper

contours
Wedge must be firmly placed to separate the
teeth

Proper burnishing of the matrix band

Proper contouring of embrasures with
#12 blade

Kontak proksimal tidak

baik

Kontak terlalu
lebar
Tidak ada
marginal ridge

Perbandingan Kontak
dengan Kontak Bida
Embrasur dan kontak
marginal

Food impaction

Fraktur Tumpatan

Dinding
proksimal
kurang
cembung
Resistensi
tumpatan
Tidak ada dinding
gingiva
proksimal
Tumpatan
menurunProksimal
akan
meluncur.

Sectional Matrices

1. BiTine Ring

2. Matrix
3. Wedge

Placement gingival cord before matric

Contouring and matrices placement

Proportion of
gingival, facial and
lingual extension of
an interproximal
tooth preparation
defines how much
guidance is

Regang cincin dengan tang khusus

atau tang rubber dam

Jepitkan cincin pada band di

embrasure

- Dorong band dengan burnisher ke gigi tetangga

- Pada embrasur yang besar,

jepitkan cincin di seberang wedge

- Pada kavitas MOD, letakkan cincin

kedua di atas cincin pertama

Fiksasi matriks dan peregang gigi dengan Sistem Matriks Sebagian

Bonding