Page 25 - GP Fall Final 2017

al impression or 4. https://www.youtube.com/ Conclusion
digital scan can watch?v=3O922AmAasE A definitive margin eliminates fabrication
be taken (Figure guess work. Figure 9 demonstrates the
5). It is also im- A 38-year-old female patient with a smooth, easily read definitive margins that
portant to note non-contributory medical history presented can be obtained with this technique. The
that this tech- with large failing and/or fractured compos- atraumatic oscillation refines the margin,
ite restorations on teeth #7-10, including eliminating any sharp edges while avoiding
nique can also some that were subgingival (Figure 6). gingival trauma and snagging of gingival
be employed Indirect restorations were decided upon af-
Figure 5. Preparation after using only a retraction cord, therefore, ensuring the op-
ter discussing risks, benefits and treatment erator a clear field of vision, easier fabrica-
placement of second cord. single cord, as plan alternatives. The teeth were prepared tion of restorations, and less remakes.
the non-rotary for either full or partial restorations, de- References: Please see the online version at
motion of the instrument will not cause pending on the extent of caries removal and www.nysagd.org.
gingival trauma. However, care must be remaining tooth structure.
taken when removing the cord, so as not to Disclosure: The authors report no disclosures and received
no financial remuneration for the writing of the article.
cause hemorrhage. Margin refinement was accomplished using
sonic instrumentation (Kavo SONICflex Dr. Volker graduat-
Case Presentation 2003, Charlotte, NC) with a diamond-coat- ed from the Columbia
A demonstration of the margin refinement ed cylinder insert and an enamel hatchet. A University School of
technique for the case presented here is double-cord impression technique was em- Dental and Oral Sur-
available online using the following links: ployed. Figure 7 demonstrates the prepara- gery. He served as a
tions following removal of both cords. The clinical attending at
1. https://www.youtube.com/ restorations (e.Max Press, Ivoclar Viva- the Coler-Goldwater
watch?v=AaLeJDDfvwQ dent, Amherst, NY) were cemented via an Specialty Hospital and
2. https://www.youtube.com/watch?v=nN- adhesive protocol and resin cement. The Nursing Facility on Roosevelt Island, and
LoYoVoDYk immediate post-operative condition can be is in private practice in New York, with
3. https://www.youtube.com/watch?v=n- seen in Figure 8. an emphasis on cosmetic and minimally
0MzA3V4ng4 invasive dentistry. Dr. Volker has pub-
lished articles and lectures on such topics
as cosmetic dentistry, minimally invasive
dentistry, dental materials and dental im-
plants. Dr. Volker holds Diplomate status
with the World Congress of Minimally In-
vasive Dentistry as well as Fellowships in
the American College of Dentists and the
Academy of General Dentistry.

Figure 6. Initial presentation. Figure 8. Immediate post-operative result Dr. Flores received
following cementation. her degree from Stony
Brook School of
Dental Medicine. She
completed a General
Practice Residency at
New York Presbyterian
Queens (formerly New
York Hospital Queens). There she
continued on as a Clinical Attending
and later served as Director of Geriatric
Figure 7. Final preparations. Figure 9. Smooth, easily-read margins Dentistry. Dr. Flores currently works in
that are typical with this technique. private practice in Queens, NY.
From the Regional Director In my last article, I attempted to goad all experience is that the more you put into
continued from page 4 of you into action. However, I did not the organization, the more you get back.
receive a single comment. What does
I thought that they needed to be done. I that mean? Did anybody read the article? I don’t know if I could voluntarily take
a step back. This organization and what
have learned from my experiences and the Does anybody read our journal? Or maybe it stands for mean too much to me. What
challenges I overcame. Even so, I found it nobody cares? I must say I was quite does it mean to you? Do you wish to make
rewarding to be recognized by my peers. disappointed. a mark in your community? Do you wish
I am proud and honored to say that this Maybe you are thinking, “What does the to make a difference in your profession?
year, the NYSAGD selected me to be the AGD do for me?” I am not going to go How will you be remembered?
recipient of the Meritorious Service Award into a long discussion of the merits of
and that the AGD gave me an Award for belonging to the AGD. That answer can “Change is the law of life. And those who
Exemplary Service. I am also proud to say be easily found online or by asking any look only to the past or present are certain
that I will be receiving my MAGD this leader in the AGD. The better question is, to miss the future.”
year in Las Vegas.
“What are YOU doing for the AGD?” My John F. Kennedy

www.nysagd.org l Fall 2017 l GP 22