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Injection Moulding Technique

This document provides guidance on various tools and techniques for dental diagnosis and restoration. It discusses the importance of quality mouth mirrors, probes, x-rays, microscopes and loupes for accurate diagnosis. It also outlines factors to consider when deciding on restorative materials and techniques, including the substrate, bonding strategy and preparation design. Specific steps for using flowable composite injection molding techniques are described, including case selection, impressions, mockups, bonding protocols and finishing/polishing.

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drpooja.kaloniya
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270 views14 pages

Injection Moulding Technique

This document provides guidance on various tools and techniques for dental diagnosis and restoration. It discusses the importance of quality mouth mirrors, probes, x-rays, microscopes and loupes for accurate diagnosis. It also outlines factors to consider when deciding on restorative materials and techniques, including the substrate, bonding strategy and preparation design. Specific steps for using flowable composite injection molding techniques are described, including case selection, impressions, mockups, bonding protocols and finishing/polishing.

Uploaded by

drpooja.kaloniya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Thats about me ladies and gentlemen.

If you already know

me i am blessed, if you dont then i need to work harder 🙂

Let us divide our learning today into 3 parts diagnosing a


case deciding on what material you are going to use and
finally delivering the best possible result for your patient
First things first, diagnosis is a very important tool in what
we do

To diagnose we have a set of tools available at our


disposal let as look at these in a very brief manner

I am sure all of you can related to the image of the chair


light coming in and that giving you vision to see in the
mouth but what is more important than the chair light is
the use of a high quality mouth mirror this helps you in
directing the light and focusing it at the exact place

Please start using a front surface mouth mirror because


that's the first tool that goes into the mouth and frankly
that has to be the best
I have given a few names on the slide relax FS and zirc
both these mirrors are good and get the job done very very
nicely. Today you have others available in the market also
which are also equally good so you have a wide range of
choices now

far as the next most important tool is concerned it is our


probe. Please buy a good probe which can help you in
detecting caries and also help you in checking for
periodontal pockets.

The next most important tool that you will be using


everyday in your practice is your x-ray or RVG.

Unfortunately not many people in India use the bitewing


holder.

Frankly without a biting you cannot do bonded dentistry


In the posterior to detect class II and in the anteriors to
understand the position of your bone in relation to the
crest of the papilla

As you can see in the slide there it is very important for


you to understand where the crest of bone lies and where
should your contact point be made

Because if you want to close a diastema and not land up


with a dark triangle then you need to communicate well
with your technician to give you the apt mock up and also
understand this if you are going to do a direct restoration

The distance from the crest of the ridge to the contact


should be at Max 5 mm only then 100% of the times the
papilla will close and you will not have a dark triangle

So please buy a bite wing holder because this will help you
in a long long way
Sometimes the patient might have cracks in the teeth and
you will not be able to see this on an x-ray or even
clinically also the patient will never complaint of any
symptom so it is mandatory in our practice today to check
for crack or craze lines and for this I just love the microlux
2.

believe this is a tool that you should all have in your


practice because it just makes my life very easy.

It also help me in detecting early caries lesions, as you


can see in the slide there it helps me in checking for white
spots, checking for residual caries and also cracks it's it's
a one tool that I would recommend everyone to purchase

You could contact mm dental for further information on the


microlux

from these handheld tools what is most important is your


vision and a magnified vision at that

Trust me my life changed 10 years back when I bought my


first microscope it is a different world under those two
lens.

I cannot stress the importance of magnification in


everyday dentistry we will have an entire lecture on the
details of magnification and how you can encorporated in
your practice by Dr Sahil and I am sure we all admins and
moderators will always be there to help you out in
choosing the right magnification for you

Frankly there is no dentistry without magnification today at


tattoo artist uses loupes at least to do his work shouldnt
we be doing this atleast then.

If there is one thing that you can take back from my lecture
today please order a pair of loupes at least

of the above mention tools help you in diagnosing a case


correctly and then you move on to decide what will be the
best for your patient

When you are deciding on a treatment plan the most


important part of it is understanding what is left behind in
a tooth. What is the substrate you are working with?
Whether it is enamel whether it is dentin or whether it is
cementum.

Once you have that in mind you then choose the correct
material that perfectly suits the patient at that given time.
It's very important for you to also take into consideration
the age of the patient and the habits that he has. Because
you will be eventually looking at longetivity and strength.
After you decided on your material you will then decide on
the bonding strategy now this is in coordination with the
substrate and the material.

For example if you are in enamel completely then resin or


composite is the material of choice

If you get into dentin and deeper layers then you will have
to do immediate dentin sealing and then use and apt
material for enamel replacement

After you have decided on the material and your bonding


strategy you will then decide the prep design whether in a
particular case you will be doing up prep based Restoration
or a non prep

When you will be doing any amount of preparation it is


mandatory for you to create bevels and polish those bevels.

Injection moulding versus over molding these two terms


are used very commonly and interchangeable but there is a
slight difference between the two
As you can see about injection over molding is building
around the tooth over moulding the tooth and then cutting
it back to give it the proper shape for this you will be using
oversized matrices and filling them up with heated
composite

Injection moulding however or flowable injection utilises a


precise matrix made from clear silicone which will allow
you to restore a tooth to its precise point.

[1
0:52 AM, 3/6/2024] +91 98661 02747: The above are
indications of where you would think of doing the injection
technique.

[10:53 AM, 3/6/2024] +91 98661 02747: This list is of


patients which are ideal or what you should be looking at
when you are looking to do the injectible technique

[10:53 AM, 3/6/2024] +91 98661 02747: However there are a


lot of non ideal patients present and you should be very
careful when you are dealing with such patients for them
probably orthodontics or restorative dentistry in a different
way is the correct option
Now what are the different steps that you will follow when
you are doing the flowable injection

You will select the appropriate case after the case is


selected after you have explained all the details to the
patient taken the consent you will go ahead and take a
impression

If you have taken a analogue impression that means a


regular alginate or PVS then you can send it to the lab to
give you a wax up.

However if you take in a digital impression then you can


design the smile if you have the design software all the lab
can help

Next you will make a clear silicon index and onto that
index you will give injection access openings so that it
allows the tip of the flowable composite syringe to go
inside

We will discuss in detail all the steps now


Like I said above you can choose any of the digital or the
analogue way. Studies today suggest that it doesn't make a
huge difference if you are doing it the digital way or The
analogue way in terms of the fit and in terms of the result

Just that when you are doing the digital way you have a
huge library that you can play with also you are shapes can
be modified better because if you deal with the particular
technician he will only have a particular number of shapes
that he can give that's human memory beyond that you will
either have to change the technician or move digital

Once you have the mockup back from the lab you will then
make a clear index from the mock up.

clear silicon index will allow you to inject over the tooth

Onto these index you will make guide holes to allow the
placement of the flowable syringe tip

We will do this guide hole creation during the hands-on.


So ideally you are doing this technique to be minimally
invasive and thus you will generally not do any prep

But in certain cases where you have some teeth chipped


off or partial fractures you will have to bevel the enamel
and polish the bevel well

What is mandatory however is the removal of the attached


pellicle or the biofilm

This can be removed by using a micro etcher or blaster


with Al trihydrate.

I personally use Esthetrix microetcher

And the most important fact is the last line stay in enamel.
As far as the bonding protocols are concerned you will
generally be doing a total etch technique using universal
bond

As far as possible use a bond which is colorless and does


not have a very yellow colour to it

Some examples of this bond are the bond from fgm which
is absolutely colourless and the bond from dentsply which
has a very little yellow color.

Also please protect the adjacent to when you are bonding


to one teeth especially when you etch.

Use either retraction cord or Teflon in the sulcus this will


prevent any excess going into the sulcus

The slide clearly explain the use of filled flowables or


injectibles for this technique

have also mentioned the names of the composite that you


can use
Always injection mould 1 tooth after the other and after
you have done your injection please finish the tooth before
you move to the next

Finishing and polishing as you can see above can be


divided into three parts finishing pre polish and final polish

For finishing you can use the safe ended carbide burs from
SS white and also so flex XT disc from 3M

The Safe ended carbides are called NE 10 OR NE 20

10 indicates 10 flutes and 20 means 20 flutes. So 10 would


be for finishing and 20 would start to polish

You can also use at 12 number blade to remove the excess


from the gingival area and the adjacent tooth but be very
careful when you do that

After finishing you move to the pre polish in this I love to


use the if twist spirals from EVE.

Use them in the proper sequence and and the correct RPM
Final polish can be with either diamond or Aluminium oxide
based paste

I will explain all these in the hands-on in detail.

my time ladies and gentleman thank you all for being here
and being the patient listener I know you did not have an

option because I had the admin only mode on 😁😁

This was in a gist of what we are going to cover and


explaining the technique all the other details and the way
of doing will be explained in person life on 30th of March
where I would begin the hands on like I have begun the
lectures

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