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Redefining Pediatric Preps: Minimally Invasive Class I & II with Novel Bur Design
Educational Objectives
After completing this webinar, participants will be able to:
- Recognize and Classify Occlusal Groove Pathology in children using a three-tier stain–decay continuum, selecting the appropriate Calla Lilly Fissurotomy bur and conservative preparation for each category.
- Design Preparations that Respect Pediatric Tooth Histology — reducing C-Factor stress, preserving critical enamel and dentin, and minimizing risk to the pulp in small teeth.
- Apply a Step-by-Step Calla Lilly Preparation Protocol with resin composite selection tailored for pediatric patients, ensuring optimal seal and wear resistance.
- Implement a Modern, Child-Friendly Sealant Approach that includes thorough but gentle cleaning, careful exploration, and conservative intervention to detect and treat early caries without unnecessary removal of healthy tooth structure.
Abstract
Modern dental materials require updated preparation designs that differ from the standardized G.V. Black principles of cavity preparation taught in many dental schools, originally designed for amalgam in 1896. In pediatric dentistry, where developing teeth have thinner enamel and larger pulp chambers, traditional sealant placement and older preparation designs can lead to premature failure, staining, leakage, and even tooth fracture.
The Clark Class I and II preparation designs emphasize gentle, caries-specific removal, selective retention, and beveling to maximize enamel rod engagement while preserving healthy structure. For Class II restorations, utilizing anatomic Bioclear matrices and wedges ensures proper contour, contact, and adaptation with minimal stress on young teeth.
In this case-based webinar, Dr. Joshua Solomon will present a minimally invasive approach to Class I and II pediatric preparations. Participants will learn how to adapt preparation shapes, instrumentation, and materials to the unique needs of children, while exploring an entirely novel set of burs designed to revolutionize fissurotomy and pediatric cavity preparation.
Additional Information
Author Bio
Dr. Joshua Solomon
Dr. Joshua Solomon is a second-generation pediatric dentist and has been in practice in Livermore, California for 20 years. He is a graduate of the University of the Pacific with a B.S. in Biological Sciences and a D.D.S. Following dental school, Dr. Solomon completed an additional 2-year specialty residency at the University of Texas Dental Branch - Houston and a Master's program in conjunction with the Department of Oral-Biomaterials. He is a Diplomate of the American Board of Pediatric Dentistry and a Fellow of the American College of Pediatric Dentistry.
When not treating patients in his office, Dr. Josh is an internationally recognized speaker and clinical instructor. Dr. Solomon is the owner/director of the Bioclear Pediatric Learning Center and the Dental Specialty Training Center. He serves as full faculty at the Bioclear Learning Center in Tacoma, Washington. The Bioclear Pediatric Learning Center was designed to provide small-group, hands-on courses in advanced restorative techniques for pediatric dentists. He serves as a product evaluator and key opinion leader for many dental companies.
Disclosures
Commercial Disclosure
This free Dental Learning presentation is made possible through the continued support of SS White. Dr. Joshua Solomon is a consultant and/or speaker for the following companies and/or organizations: Dental Learning, SS White. Dr. Joshua Solomon may receive an honorarium as compensation from the CE Supporter of this presentation and/or from Dental Learning for the time involved in preparing and delivering this online presentation.
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