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COMMON PROBLEMS,CAUSES &POTENTIAL SOLUTIONS IN COMPOSITE Click to edit Master subtitle style RESTORATIONS

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poor isolation of operating area

No rubber dam or leaking rubber dam Inadequate cotton roll isolation Careless technique Preparation so deep gingivally it cannot be isolated

Solution:
Better technique Use of matrix to help isolation Repeat bonding procedure(if area is

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White line or halo line around enamel margin

Traumatic contouring or finishing Inadequate etching or bonding High-intensity light curing,resulting in excessive polymerization stresses

solution
Re-etch,prime and bond the area Consevatively remove the fault and rerestore Atraumatic finishing(light pressure)

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voids
Mixing of self cured composites Spaces between increments during insertion Tacky composite pulling away from preparation during insertion.

Solution
Repair by preparing the area and rerestoring

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Weak or missing proximal contact(cl ll,lll,lV)

Inadequate contoured matrix band Inadequate wedging Matrix band is not in contact proximaly during insertion Matrix band too thick

Solution
Properly contour the matrix band Have matrix in contact with adjacent tooth Use of matrix system that places matrix

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Incorrect shade
Inappropriate operator lighting while selecting shade Selecting shade after tooth is dried Shade tab not matching the actual composite shade Wrong shade selected

solution:
Use of natural light the shade before isolating the tooth

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Poor retention
Inadequate preparation form Contamination of operating area Poor bonding technique Intermingling of bonding materials from different system

Solution:
Appropriate bevel or flares Keep the area isolated Follow the manufacture direction

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Contouring and finishing problem

Injuring adjacent unprepared tooth Overcontouring the restoration Undercontouring therestoration Ditching the cementum Dealing with difficult to see the margins

Solution
Be careful with rotary instruments not

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THANK YOU

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Refrences
1. sturdevants Art and science of operative dentisry
By theodore M.robertson edition 5th

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Prepared by:

1.dr abdolreza mesbahi 2. dr amirreza rahmanifar 3. dr ameneh namvary shad 4.dr fatemeh haji akbari 5. dr omid deljoo 6. dr shaparak
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