Struggling with elevated margins

By JK

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Hi Gary,

What you want to do is flush-up first, then do the DME.
Here…it looks like there is a distal concavity that isn't flushed up.
Then, you put in the finish line, but the finish line is relative to the "not-flushed-up" direct margin.
You don't need the teflon tape…although that's fine…the objective is not contour/contact…but hemostasis.
I find wedges work better for that.
Here are a handful of "flush-ups" from the past few months, with a variety of image-processing settings.
A chairside with an air-water Stropko really helps here…tissue grows back…😀

On Wed, May 2, 2018 at 2:22 PM, Gary B. Carr, D.D.S. <office@garycarrdds.com> wrote:

Not very happy with my distal margin….don't think I have the right kind of burs for this. This is hard….at least for me…..The decay was sub-osseous on both sides. The temp was a 3/4 onlay where the B cusps were preserved. gbc

JK

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