My very first filling!
I finally filled my first tooth today! It was #19 BO amalgam with slight cuspal coverage on the MB. I was able to take out the amalgam without much of a problem… and I found a lot of weird blackness underneath. Dr. Weinberg was the faculty who oversaw the whole thing and he was just a great asset during the entire procedure. I didn’t know what the dark staining were… at first I thought it was all decay, but upon poking it with probe, it was hard and not soft at all. Dr. W explained that it was just amalgam leaching out and staining the underlying structure.
In any case, I was able to do the IAN block without a problem (I did forget to leave a quarter of the carpule for the long buccal block though…). I was also able to sculpt out the buccal groove and a bit of a cusp without too much problem. Dr. W gave me some protip with using the prime&seal stick to manipulate the composite though, and that really helped. Did 3 layers with A3D initially, then finished with A3E and AE2 superficially. Though I thought the composite shade was off… the tooth might just be really dessicated. The biggest problem though, was getting the rubber dam in initially. That was really troublesome. I went with an alternative technique, and thought it went well!
All in all, it was a very exciting day of “1st” times – and I’m pretty happy with the outcome.
August 28th, 2010 at 12:58 pm
Dude! Has it really been this long since you updated? You must have another site, and didn’t share it with me so I can see what you’re doing every day!