Pablo Santoro

Community - Indirect posteriors

Absolute isolation is without a doubt a basic and advised operation for bonding procedures especially in indirect adhesive restorations, especially when it comes to multiple restorations. This way is possible to guarantee the best conditions of adhesion in order for restorations to last in time.
The origin of the absolute isolation dates back to the year 1864 when the american dentist Standford Barmun had difficulties in patients with much salivary flow. Then he decided to cut a piece of rubber and make a perforation to pass the tooth by and fix it with a clamp.
Many years have passed since the first isolation, and many things have changed as well, form the materials to the techniques. In this case the author presents a technical solution with orthodontic separating elastomers.
I want to thank Jordi Manauta for being a great motivation in this beautiful profession, and to the CEDgroup Team (Andres Roman, Nicolas Caviglia, Santiago Romero, Gisela González, Juliana Durando and Elvio Durando) as “none of us” knows more than all together.

Fig. 1

Photo 1: Preoperative picture. Infiltrated composite resin with lack of anatomy.

Fig. 2

Photo 2: Geller model, the three plaster dies and the composite restorations.

Fig. 3

Photo 3: Orthodontic separation elastomers rings

Fig. 4

photo 4: Technique to insert the elstomers with dental floss

Fig. 5

picture 5: The rings keeping the rubber dam in cervical (occlusal view)

Fig. 6

photo 6: The rings keeping the rubber dam in cervical (buccal view)

Fig. 7

photo 7: Acid etching with orthophosphoric acid.

Fig. 8

photo 8: Adhesive technique

Fig. 9

photo 9: Premolar inlay carried to the cavity for cementation.

Fig. 10

photo 10: Premolar inlay cemented.

Fig. 11

Photo 11: Molar inlay carried to the cavity for cementation.

Fig. 12

photo 12: final cementation of the restorations under the rubber dam

Fig. 13

photo 13: immediate postoperative view