Jazz Supreme Polisher Technique Tips

Polishing Direct Composite Restorations With SS White Jazz Supreme Polishers
Dental adhesive and composite resin materials have evolved in both formulation and application over the past few decades. Today’s composite resin particle sizing is much smaller and harder than the composite resins material of the previous decade. The advent of self-etch adhesives has greatly reduced the time and inconsistency while raising the quality of the bonding process. This has lead to unique challenges in how newer generations of composite resins are placed, finished and polished.   

The rise in the number of newer generations of dental composites reaching the marketplace each year coupled with rise in the total number of direct anterior and posterior composite restorations placed has created a need for a simplified systematic approach to efficiently finish and polish direct composite restorations to achieve esthetic excellence.
  
There are four pertinent reasons for polishing direct composite resins intra-orally:

1. Proper oral health can be maintained:  biofilm and plaque retention is prevented with a highly (smooth) polished tooth surface
2. Esthetic appearance:  Proper finishing and polishing gives the restored tooth asymmetry with adjacent teeth
3. Occlusal relations:  Proper finishing and polishing allows for occlusal relations to remain compatible with opposing dentition, creating ideal physiological standards for supporting tissues
4. Strength:  Intra-oral polishing of composites eliminates any inconsistencies that may lead to composite failure

Jazz Supreme Polishers (Figure 1, 2) by SS White offer clinicians a simplified systematic approach to polishing all direct composite restorations. Jazz Supreme Polishers are a one step, universal diamond impregnated polishing system.

Jazz Supreme has been developed for use with today’s smaller particle size composite resins, but remains the polisher of choice for larger particle size composite resins as well. This is made possible because Jazz Supreme polishers contain diamond particles infused into a proprietary flexible matrix system. This state of the art blending of imperative components is what makes Jazz Supreme most efficient, while delivering the highest quality shine on all types of composite resins.     

Significant timesaving’s can be realized by using Jazz Supreme Polisher. Careful and complete composite trimming and shaping is completed with either a fine and extra fine finishing diamond or a 10 and 20 blade Safe End finishing bur. It is recommended that clinicians use the rotary instrument of choice that they feel most comfortable with as both diamonds and carbides have advantages as well as disadvantages when compared to each other. Once the composite has been shaped into its natural anatomical shape and the occlusion has been checked, the final step to completing the composite restoration is the placement of the high gloss surface. This step is completed most efficiently with the Jazz Supreme Polishers. Choose the polisher shape that best fits the restored tooth surface features, and then simply run the polisher over the restored surface beginning with a moderate amount of speed (5,000 to 10,000 RPM) and pressure. Gradually decrease the pressure and speed of the polisher to a light touch and lower speed. Jazz Supreme delivers a consistent natural gloss shine with very smooth refined surface texturing. To complete this polishing stage, most traditional composite polishing systems require the use of two or three polishers used in a step down method from coarse to medium to fine grit to accomplish this same task.

Jazz Supreme Polishers allows clinicians the ability to reduce office overhead by simplifying the polishing process. Jazz Supreme is a universal polishing system that creates esthetic excellence on all types of composite materials. Gone are the days when clinicians needed separate polishing systems for the many different types of composite they placed.

Clinical Finishing and Polishing Case:

Figure 3:  The first step after light-curing composite resins is the anatomical shaping. Carbide Finishing Carvers are one option to facilitate easy contouring of composite restorations once light-curing is complete, but a more popular method is the use of medium and fine grit finishing diamonds. SS White Diamond #862-012F offers ideal length and shape to trim both anterior as well as posterior composite restorations.

Figure 4:  SS White Diamond #862-012VF is used as a pre-polisher to remove all remaining surface striations and will render a very fine surface that can then be polished.

Figure 5 & 5A:  Medium points can be used to access most pits and fissures of posterior teeth and can also be used on the facial surface of anterior teeth while smaller points are ideal for polishing the grooves and fossae in occlusal surfaces that are difficult to access with other types of polishers.

Figure 6 & 6A:  Cups are used for finishing the gingival margins on a wide variety of dental restorations including Class V composites and all types of veneers. Cups can also be used on cuspal inclines and embrasures in posterior regions.

Figure 7 & 7A:  Knife-edge polishers are thin and flexible and can be used for a wide variety of tasks such as smoothing embrasures and the lingual surface of anterior teeth as well as being used for interproximal polishing in all regions of the mouth.

Figure 8:  The final esthetic result using Jazz Supreme on a posterior restored tooth. The restoration of choice was an optimized particle nanohybrid composite resin (Point 4, Kerr). Due to the ability of Jazz Supreme polishers to be used with light pressure and at a reduced speed, the white line margins that are often created by disc finishing are not seen on restorations finished with Jazz Supreme.