Wednesday, November 3, 2010

Strip Crown Tips

Resident: Swan
Article Title: Bonded Resin composite Strip Crowns for Primary Incisors: Clinical Tips for a Successful outcome
Author: Kupietzky, Ari
Journal: Pediatric Dentistry 24:2 (2002)
Main Purpose: Present some simple clinical tips to assist the clinician in an esthetic and superior outcome

Tips:
1. obtain ideal oral hygiene prior to commencement of treatment; inflamed gingiva may result in bleeding during curing and affect the bond/discolor the restoration.
2. pierce the strip crown with a sharp explorer at mesial or distal incisal angle to create a vent for the escape of air bubbles.
3. Use the slit-dam method: punch two large holes 1 cm apart and connect them with scissors-remove RD during crown placement
4. fill and cure each crown individually with unfilled crown forms in place to ensure proper spacing between restorations.
5. Remove any excess collar of cured bonding agent, which will interfere with proper seating of the crown form.
6. Minimally fill the crown form
7. Use a cleoid/discoid carver to remove the crown form
8. In cases of black-colored arrested caries, a masking agent may be used.

Assessment: Good tips. Strip crowns are good.

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