P.O INSTRUCTIONS FOR COMPOSITE OF POSTERIOR TOOTH:
DON'T BITE LIP, CHEEK, TONGUE, FILLING IS ALREADY SET BUT IF YOU BITE YOUR TONGUE USE WARM SALT WATER TO HELP THE HEALING AND KEEP IT CLEAN, ALSO SINCE THE FILLING WAS DEEP IT COULD BE SENSITIVE TO HOT AND COLD AT FIRST BUT SHOULD FADE AFTER SOME TIME. IF YOU USED A LINER TO HELP WITH SENSITIVITY THEN MAKE SURE YOU LET THEM KNOW TO HELP REASSURE THEM YOUR TEAM DID ALL THAT THEY COULD TO KEEP THEM COMFORTABLE , DON'T ASSUME THEY KNOW THIS.
IF NOT NUMB PRIOR THEN NO P.O ABOUT IT BUT LET THEM KNOW TO USE THEIR SIX FRONT TEETH FOR SMILING ONLY, NO MORE OPENING UP KETCHUP PACKAGES,BEER BOTTLES AND FINGER NAIL BITING, BECAUSE IT WILL FRACTURE IT OFF AND WILL HAVE TO REPLACE BECAUSE INSURANCE WILL ONLY COVER SO MUCH. NOW THIS IS YOUR CHANCE TO UPSELL IF YOUR PATIENT IS THINKING ABOUT WHITENING NOW IS THE TIME TO OFFER IT BECAUSE THEY CAN NOT CHANGE THE SHADE UNLESS YOU REDO THE FILLING AND THE MORE YOU REDO IT THE MORE NATURAL TOOTH STRUCTURE AWAY WHICH IN RETURNS ONLY MAKES IT WEAKER. ALSO CHOOSE YOUR SHADE PRIOR TO THE PREP TO SAVE TIME SO WHILE DOCTOR IS WAITING FOR PATIENT TO GET NUMB THEIR YOU GO. IF YOUR PATIENT HAS BAD ORAL HYGIENE PRIOR TO STARTING AND GUMS ARE INFLAMED MIGHT LET THE DOCTOR KNOW BECAUSE IT MAKES IT HARDER TO KEEP DRY AND FILLING WILL LOOK PINK ONCE CURE. ESPECIALLY A CLASS V WHICH IS A CERVICAL FILLING RIGHT BY THE GUM LINE AND WHERE THE CLINICAL CROWN PORTION MEETS TISSUE.
After bonding is place dentist will blow air to spread it inside tooth structure to adhere better.
CHARTING SYMBOL FOR COMPOSITE FILLING LEAVE OPEN OR PLACE DOTS IN CENTER
composite placement instrument if it walks like a duck and talks like a duck it must be a duck right..well composite instruments are all the same just look different in colors. when i started out we used the black teflon ones now they make the amalgam setup as composites ones but they are a dead give away by the color! silver for amalgam and any other for composite when it comes to ones that look like a diamond burnisher or discoid cleoid carver.
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