Clinical randomized controlled study of Class II restorations of a highly filled nanohybrid resin composite (4U)

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Clinical randomized controlled study of Class II restorations of a highly filled nanohybrid resin composite (4U)"

Transcription

1 Clinical randomized controlled study of Class II restorations of a highly filled nanohybrid resin composite () One year report JWV van Dijken, Professor Director Clinical Research Biomaterial Research Group Umeå Sweden

2 2 I. AIM Two year clinical evaluation of a highly filled nanohybrid resin composite (Nordenta, Sweden) in posterior cavities. II. INVESTIGATORS Investigation of the Class II restorations is done by the investigators Professor JWV van Dijken, Biomaterial Research Group Umeå and Associate Professor Ulla Pallesen, Copenhagen, Denmark. Professor van Dijken having in addition the function and responsibility of the principal investigator. III. BACKGROUND Resin composites have replaced amalgam almost totally during the last years as restorative in posterior teeth. Adhesive bonding and aesthetics made the material popular despite its main remaining disadvantage, polymerization shrinkage. During curing of the monomers, a network of polymers is formed which becomes rigid due to increasing cross-linking of the polymer chains. Due to decreasing mobility, further shrinkage results in a strain on the composite and cavity margins. This stress may results in marginal deficiencies, enamel fractures, cuspal movements and cracked cusps. Resulting gap formation can result in post-operative sensitivity, microleakage and secondary caries. Increasing C-factor may result in greater stresses due to larger number of bounded surfaces. Posterior Class I and Class II cavities will therefore show the highest stress formation. Highly filled resin composites do have a decreased volume of methacrylate monomers which will influence the polymerization shrinkage and probably reduce the polymerization stress. Recently, such a highly filled resin composite was marketed (Nordenta, Sweden). Since the introduction of the enamel etch technique by Buonocore (1955), adhesive techniques have been developed to such an extent that they are now involved in most of the clinical procedures. The heterogenuos composition of the dentin tissue with organic and inorganic material, its hydrophilicity and the presence of a smear layer after cutting made it more difficult substrate to bond to than the enamel tissue. Bonding to dentin has now become a more reliable clinical procedure since the introduction of more hydrophylic monomers, which can infiltrate the moist dentin surface. Most of the last generation

3 3 adhesive systems including an etchant are very technique sensitive, time consuming and the multi-bottle systems increase the risk for allergic reactions. In the self-etching primer approach, the etchant, primer and sometimes also adhesive are combined, and are directly applied on the smear layer. These systems are based on infiltration and modification of the smear layer by acidic monomers or by dissolving of the smear layer and demineralizing of the underlying outer layer of the dentin. IV. REASONS FOR THE INVESTIGATION IN HUMAN SUBJECTS At present, only laboratory data are available of the properties of the highly filled resin composite. Concerning the clinical behaviour, no evaluations of its durability have been performed. V. MATERIALS AND METHODS During october december 213, adult patients attending the Biomaterial Clinical Research clinic at the PDHS, Dental School Umeå, who did need at least two similar Class II or two similar Class I restorations, were asked to participate in the follow up. Female patients, who were pregnant were excluded. All patients were informed on the background of the study and the follow up evaluations according to the rules at the Dental School Umeå. Concomitant treatment is given to the patients in conformity with normal clinical routines at the Dental School Umeå, which was approved by the ethics committee of the University of Umeå (Dnr 7-152M). Reasons for placement of the resin composite restorations were primary or secondary carious lesions, fracture of old amalgam fillings or replacement because of aesthetic or other reasons. In total, 11 restorations (55 pairs) were placed, distributed as shown in Table 1. The restorations were placed in 42 patients, 23 men and 19 women, mean age 56.4 yr (31-85). Table 1. Distribution and size of the experimental restorations. Surfaces Mandibula Maxilla Total Premolars Molars Premolars Molars 2 surfaces surfaces Total After removal of the amalgam restoration and/or caries excavation according to the principles of

4 4 adhesive dentistry, the operative field was carefully isolated with cotton rolls and suction device. No bevel was placed. For all Class II cavities a thin metallic matrix was used and carefully wedging was performed with wooden wedges (Kerr/Hawe Neos, Switzerland). The cavities were cleaned by a thoroughfull rinsing with water or cleaning agents if necessary. No Ca(OH)2 or base of other materials was used. The cavities in each individual pair of cavities were randomly distributed to be restored with either the experimental resin composite (Nordenta, Sweden) or the control resin composite Filtek Supreme XTE (3M ESPE, Germany). The Scotchbond Universal bonding system (3M ESPE) was used for both restorations in order to have the restorative material as only variable. After rinsing of the cavities with water, application of this adhesive in both cavities was performed according to the manufacturer s instructions. After dispension into a CliXdish, the adhesive was applied twice in the cavity wetting all cavity surfaces uniformly. After a 2s gently agitating, the solvent was evaporated thoroughly during at least 5s. Curing was then performed with a well controlled light curing unit for at least 1s. The resin composites were applied with a 2-3mm layering technique using selected resin composite instruments (Hu Friedy). Every increment was light cured for at least 2s. The restorations were placed by one experienced operator (JvD). After checking the occlusion/articulation and contouring with finishing diamond burrs, the final polishing were performed with the Shofu polishing system (brownie). Evaluation The restorations were evaluated at baseline (after performance of the restorations, within 2 weeks after placement) and at one year by assessing the following parameters: secondary caries, anatomic form, marginal adaptation, marginal discoloration, surface roughness and color match assessed by using the earlier mentioned slightly modified US Public Health Service criteria (Cvar & Ryge; 1971; van Dijken, 1986). These criteria can easily be transferred to the original USPHS criteria. Postoperative sensitivity was reported by the participants. Follow-up registrations will be performed at 1, and 2 years. Participants were instructed to contact the clinic immediately should any discomfort occur. Statistical analysis: The characteristics of the restorations are described by descriptive statistics using cumulative frequency distributions of the scores. The relative frequencies of

5 5 the adhesive restorations can also be compared with earlier reported studies performed and evaluated under similar clinical conditions. The experimental and control restorative techniques were compared intra-individually with the non parametric Friedman two-way analysis of variance test. VII. RESULTS At one year all 11 posterior restorations were evaluated. 42 patients received one or two pairs of restorations, 55 pairs in total. No drop outs were registered. At baseline the handling characteristics of both materials were satisfactory and without clinical problems. No postoperative sensitivity was reported by the participants at baseline or at the one year recalls. 96.4% of the restorations were registered as acceptable. Four failed restorations were observed during the first year, two (2 molar teeth) and 2 (1 premolar and 1 molar) teeth. The reasons for failure are shown in Table 3. Two defects, small chip fractures, were observed in two other restorations (2 molar restorations, ) which were recontoured and polished. The annual failure rate of both resin composites for the investigated Class II restorations was 3.6%. The baseline and one year modified USPHS scores for the evaluated clinical variables of the and restorations are given as relative frequencies (%) in Table 4. The differences seen between the two experimental restorations for the evaluated variables in the posterior cavities were not significant.

6 6 VIII. CONCLUSIONS Good handling characteristics were observed for both resin-based composite systems. Both materials showed an overall clinical success rate of 96.4% after the first year giving an annual failure rate of 3.6%. No significant differences were observed between the two materials. Umeå, JWV van Dijken Professor

7 7 Table 2. Criteria for direct clinical evaluation; Modified Ryge criteria (van Dijken 1986) Category Score (acceptable/unacceptable Criteria Anatomical form The restoration is contiguous with tooth anatomy 1 Slightly under- or over-contoured restoration; marginal ridges slightly undercontoured; contact slightly open (may be self-correcting); occlusal height reduced locally 2 Restoration is undercontoured, dentin or base exposed; contact is faulty, not self-correcting; occlusal height reduced; occlusion affected 3 Restoration is missing partially or totally; fracture of tooth structure; shows traumatic occlusion; restoration causes pain in tooth or adjacent tissue Marginal adaptation Restoration is contiguous with existing anatomic form, explorer does not catch 1 Explorer catches, no crevice is visible into which explorer will penetrate 2 Crevice at margin, enamel exposed 3 Obvious crevice at margin, dentin or base exposed 4 restoration mobile, fractured or missing Color match Very good color match 1 Good color match 2 Slight mismatch in color, shade or translucency 3 Obvious mismatch, outside the normal range 4 Gross mismatch Marginal discoloration No discoloration evident 1 Slight staining, can be polished away 2 Obvious staining can not be polished away 3 Gross staining Surface roughness Smooth surface 1 Slightly rough or pitted 2 Rough, cannot be refinished 3 Surface deeply pitted, irregular grooves Caries No evidence of caries contiguous with the margin of the restoration 1 Caries is evident contiguous with the margin of the restoration

8 8 Table 3. Failed restorations during the one year evaluation, tooth type, year and reason of failure Tooth Year of Reason of failure type failure / M 1 Composite fracture Scotchbond Universal M 1 Composite fracture Filtek Supreme XTE/ P 1 Composite fracture Scotchbond Universal M 1 Tooth fracture

9 9 Table 4. Scores at baseline and one year for the evaluated (Scotchbond Universal/) (55) and (Scotchbond Universal/ )(55) Class II restorations, given as relative frequencies (%) Anatomical form Marginal 1 adaptation Color match Marginal 1 discoloration Surface roughness Caries

CLASSIFICATION OF CARIOUS LESIONS AND TOOTH PREPARATION.

CLASSIFICATION OF CARIOUS LESIONS AND TOOTH PREPARATION. CLASSIFICATION OF CARIOUS LESIONS AND TOOTH PREPARATION. ١ G.V. BLACK who is known as the father of operative dentistry,he classified carious lesions into groups according to their locations in permanent

More information

Recipes for Creating Beautiful Smiles

Recipes for Creating Beautiful Smiles Recipes for Creating Beautiful Smiles The Recipes The Perfect Collaboration 3M ESPE is a leader in groundbreaking restorative technologies. 3M ESPE s constant dialogue with dental professionals and the

More information

Cementation Solutions. RelyX U200 Self-Adhesive Resin Cement. The strong bond. you can rely on

Cementation Solutions. RelyX U200 Self-Adhesive Resin Cement. The strong bond. you can rely on Cementation Solutions Self-Adhesive Resin Cement The strong bond you can rely on R elyx U200 Strength we put trust in Increased product performance, easier mixing: Self-adhesive Resin Cement in the Clicker

More information

Direct Fillings: Amalgam

Direct Fillings: Amalgam Direct Fillings: Amalgam Dental amalgam is a stable alloy made by combining mercury, silver, tin, copper and sometimes other metallic elements. Amalgam fillings can be placed in one appointment. Why you

More information

Our Mission: Protecting partially. erupted teeth. With Fuji TriageTM from GC. One of many GC solutions for caring for youngsters.

Our Mission: Protecting partially. erupted teeth. With Fuji TriageTM from GC. One of many GC solutions for caring for youngsters. Our Mission: Protecting partially erupted teeth. With Fuji TriageTM from GC. One of many GC solutions for caring for youngsters. Did you know: first and second permanent molars take about 1.5 years to

More information

The future of composite technology.

The future of composite technology. The future of composite technology. Available now! The fast posterior composite Tetric EvoCeram The sculptable bulk-fill composite Tetric EvoCeram The new direct restorative procedure In the past, placing

More information

Jacket crown. Advantage : Crown and Bridge

Jacket crown. Advantage : Crown and Bridge Crown and Bridge Lecture 1 Dr.Nibras AL-Kuraine Jacket crown It is a type of crown that is formed by a tooth colored material. It is mainly used as a single unit in the anterior quadrant of the mouth.

More information

Right now Opal Med is promoting its own two brands of products:

Right now Opal Med is promoting its own two brands of products: We are dedicated to providing high quality products with reliable service. Our market position is constantly being strengthened as both our supplier and customer networks are increasing. OPAL MED is an

More information

CLASS II AMALGAM. Design Principles

CLASS II AMALGAM. Design Principles CLASS II AMALGAM Design Principles CLASS II Class II cavitated caries lesions Class II cavitated caries lesions opaque white haloes identify areas of enamel undermining and decalcification from within

More information

TECHNIQUE GUIDE ALL-BOND 2 UNIVERSAL ADHESIVE SYSTEM. BPDM Patent # 5,348,988 Uni-Etch w/ BAC Patent # 5,385,728 9/98

TECHNIQUE GUIDE ALL-BOND 2 UNIVERSAL ADHESIVE SYSTEM. BPDM Patent # 5,348,988 Uni-Etch w/ BAC Patent # 5,385,728 9/98 TECHNIQUE GUIDE ALL-BOND 2 UNIVERSAL ADHESIVE SYSTEM BPDM Patent # 5,348,988 Uni-Etch w/ BAC Patent # 5,385,728 ALL-BOND 2 Technique Guide ALL-BOND 2 Technique Cards are provided as a concise chairside

More information

Adhesive Solutions. Scotchbond Universal Adhesive. SEM pictures of Scotchbond Universal Adhesive. One bottle for all cases! Total-Etch and Self-Etch

Adhesive Solutions. Scotchbond Universal Adhesive. SEM pictures of Scotchbond Universal Adhesive. One bottle for all cases! Total-Etch and Self-Etch Adhesive Solutions Adhesive SEM pictures of. One bottle for all cases! Total-Etch and Self-Etch One adhesive for Total-Etch and Self-Etch Discover the Universal Bonding Solution. Unleash the power of the

More information

Class I and II Indirect Tooth-Colored Restorations

Class I and II Indirect Tooth-Colored Restorations Class I and II Indirect Tooth-Colored Restorations Most indirect restorations are made on a replica of the prepared tooth in a dental laboratory by a trained technician. Tooth-colored indirect systems

More information

Treatment Planning in Pediatric Dentistry CONTENT. Children as individuals. Ⅰ.. Quality Care for Children

Treatment Planning in Pediatric Dentistry CONTENT. Children as individuals. Ⅰ.. Quality Care for Children Treatment Planning in Pediatric Dentistry 許修銘 93/04/20 2004/5/4 2 CONTENT Ⅰ. Quality care for children Ⅱ. Philosophy of treatment planning Ⅲ. Diagnosis Ⅳ. Dental caries assessment Ⅴ. Dental charting Ⅵ.

More information

Shailaja Singh, D.D.S. The Facts About Dental Materials DENTAL BOARD OF CALIFORNIA 1432 Howe Avenue Sacramento, California

Shailaja Singh, D.D.S. The Facts About Dental Materials DENTAL BOARD OF CALIFORNIA 1432 Howe Avenue Sacramento, California Shailaja Singh, D.D.S. The Facts About Dental Materials DENTAL BOARD OF CALIFORNIA 1432 Howe Avenue Sacramento, California 95825 www.dbc.ca.gov Dental Materials Fact Sheet What About The Safety of Filling

More information

Anterior crowns used in children

Anterior crowns used in children Anterior crowns used in children Objectives of this session Discuss strip crowns, temporary crown use and acrylic jacket crowns. Discuss the possible use of porcelain jacket crowns in paediatric dental

More information

Secondary Caries or Not? And Does it Matter? David C. Sarrett, D.M.D., M.S. April 3, 2009

Secondary Caries or Not? And Does it Matter? David C. Sarrett, D.M.D., M.S. April 3, 2009 Secondary Caries or Not? And Does it Matter? David C. Sarrett, D.M.D., M.S. April 3, 2009 Goal of this presentation Describe the etiology, diagnosis, and treatment of secondary caries Emphasis on the diagnostic

More information

A New Design for Anterior Laminate Fixed-Partial dentures; PTU Type I

A New Design for Anterior Laminate Fixed-Partial dentures; PTU Type I Technical Article A New Design for Anterior Laminate Fixed-Partial dentures; PTU Type I A. 1 1 Associate Professor, Department of Operative Dentistry, Faculty of Dentistry, Tehran University of Medical

More information

CHAPTER 10 RESTS AND PREPARATIONS. 4. Serve as a reference point for evaluating the fit of the framework to the teeth.

CHAPTER 10 RESTS AND PREPARATIONS. 4. Serve as a reference point for evaluating the fit of the framework to the teeth. CHAPTER 10 RESTS AND DEFINITIONS A REST is any rigid part of an RPD framework which contacts a properly prepared surface of a tooth. A REST PREPARATION or REST SEAT is any portion of a tooth or restoration

More information

USING ART IN MISSION DENTISTRY

USING ART IN MISSION DENTISTRY Chapter 17 USING ART IN MISSION DENTISTRY ART Atraumatic Restorative Treatment ART does not require sophisticated equipment or even electricity. This makes the ART technique ideal for remote or isolated

More information

Er:YAG (2940nm) laser cavity preparation and semidirect composite resin restorations. A microleakage study

Er:YAG (2940nm) laser cavity preparation and semidirect composite resin restorations. A microleakage study UNIVERSITE DE NICE SOPHIA-ANTIPOLIS U.F.R. ODONTOLOGIE Pôle Universitaire Saint Jean d Angely 24, Avenue des Diables Bleus 06357 NICE CEDEX 04 Mémoire de Recherches Diplòme d Université Oral Laser Applications

More information

CHAPTER 8 PROSTHETIC TEETH

CHAPTER 8 PROSTHETIC TEETH CHAPTER 8 PROSTHETIC TEETH DEFINITION PROSTHETIC TEETH are the artificial substitutes for the missing natural teeth. FUNCTIONS to: The functions of prosthetic teeth are 1. Restore the esthetic, phonetic

More information

portion of the tooth such as 3/4 Crown, 7/8Crown.

portion of the tooth such as 3/4 Crown, 7/8Crown. Lecture.1 Dr.Adel F.Ibraheem Crown and Bridge: It s a branch of dental science that deals with restoration of damaged teeth with artificial crown replacing the missing natural teeth by a cast prosthesis

More information

porcelain fused to metal crown

porcelain fused to metal crown Lectur.5 Dr.Adel F.Ibraheem porcelain fused to metal crown the most widely used fixed restoration,it is full metal crown having facial surface (or all surfaces) covered by ceramic material. It consist

More information

PRINCIPLES OF ADHESION

PRINCIPLES OF ADHESION PRINCIPLES OF ADHESION DR ZURYATI AB GHANI BDS (WALES), Grad Dip Clin Dent (Adelaide), Doctor in Clinical Dentistry (Prosthodontics), Adelaide, FRACDS (Australia). 22.10.07 Lecture Content PRINCIPLES OF

More information

Clinical Tips & Tricks Anterior Restorations. FiltekTM. Supreme Plus. Universal Restorative

Clinical Tips & Tricks Anterior Restorations. FiltekTM. Supreme Plus. Universal Restorative Clinical Tips & Tricks Anterior Restorations FiltekTM Universal Restorative FiltekTM Page 2 Introduction Introduction 3M TM ESPE TM Filtek TM Supreme Universal Restorative was developed as an esthetic

More information

20TDNH 214. Course Description:

20TDNH 214. Course Description: Revised: Fall 2015 20TDNH 214 20TPractical Materials for Dental Hygiene Course Description: 37TStudies the current technologic advances, expanded functions, and clinical/laboratory materials used in dental

More information

DENT 5351 Final Examination 2007 NAME

DENT 5351 Final Examination 2007 NAME NAME DENT 5351 Spring Semester 2007 INTRDUCTIN T BIMATERIALS FINAL EXAMINATIN (40 questions) February 16, 2007 8:00 a.m. 9:00 a.m. This final examination consists of 7 pages and 40 questions. Mark all

More information

Clinical Evaluation of Fixed Partial Dentures with Cast Joined Pontics

Clinical Evaluation of Fixed Partial Dentures with Cast Joined Pontics Clinical Research Interdisciplinary Clinical Evaluation of Fixed Partial Dentures with Cast Joined Pontics Dr Dipak Thapa Department of Prosthodontics, Kantipur Dental College Kathmandu, Nepal Correspondence:

More information

***Handout*** Adhesive Dentistry Harald O. Heymann, DDS MEd Dentin Bonding Rewetting/Desensitization

***Handout*** Adhesive Dentistry Harald O. Heymann, DDS MEd Dentin Bonding Rewetting/Desensitization ***Handout*** Adhesive Dentistry By Harald O., DDS MEd Dentin Bonding * Regardless of the type dentinal adhesive used, the primary mechanism for adhesion is still establishment of the hybrid layer. As

More information

Composite artistry- speedy mock up

Composite artistry- speedy mock up Case Report: Composite artistry- speedy mock up Dr.Shikha Kanodia*, Dr.Manjit Kaur**, Dr.Girish J. Parmar*** * Asst. Professor, **Post Graduate Part 3, ***Head and Dean, Department of Conservative Dentistry

More information

PREFABRICATED PROVISIONAL RESTORATIONS. DR. MOHAMMAD AL AMRI Pages:

PREFABRICATED PROVISIONAL RESTORATIONS. DR. MOHAMMAD AL AMRI Pages: DR. MOHAMMAD AL AMRI Pages: 247-255 PROVISIONAL RESTORATION DEFINITION: A FIXED PROSTHESIS DESIGNED TO ENHANCE ESTHETICS, STABILIZATION AND/ OR FUNCTION FOR A LIMITED PERIOD OF TIME, AFTER WHICH IT IS

More information

priti crown Your patients deserve you

priti crown Your patients deserve you priti crown Your patients deserve you 3 and you deserve the priti crown So close to nature priti crown is a high-tech solution for making perfect crown and bridge restorations using state-of-the-art CAD/CAM

More information

EXAM RECORDS DENTAL IMAGES

EXAM RECORDS DENTAL IMAGES EXAM Description: It is a review of the medical history, diet, homecare, chief complaints, clinical extraoral and intraoral evaluation of the patient. Advantages: Obtain a diagnosis and develop a treatment

More information

dental fillings facts About the brochure:

dental fillings facts About the brochure: dental fillings facts About the brochure: Your dentist is dedicated to protecting and improving oral health while providing safe dental treatment. This fact sheet provides information you need to discuss

More information

8 TREATMENTS. How you clean teeth and gums should be based upon the findings in the examination.

8 TREATMENTS. How you clean teeth and gums should be based upon the findings in the examination. Cleaning teeth and gums 8 TREATMENTS How you clean teeth and gums should be based upon the findings in the examination. Gingivitis If there is only plaque, the gums are red and inflamed, and there is no

More information

The pros and cons. A smile make-over without any tooth preparation

The pros and cons. A smile make-over without any tooth preparation Clinical The pros and cons. A smile make-over without any tooth preparation Eduardo Mahn, 1 Volker Brosch 2 How can a major improvement of the shade and shape of teeth be achieved? Is there only one appropriate

More information

Universal Crown and Bridge Preparation

Universal Crown and Bridge Preparation Universal Crown and Bridge Preparation The All-Ceramic Crown Preparation Technique for Predictable Success According to Dr. Ronald E. Goldstein Expect the Best. Buy Direct. The Universal * Crown and Bridge

More information

Types Of Tooth Decay

Types Of Tooth Decay Types Of Tooth Decay Occlusal decay: Decay that develops on the biting or chewing surface in the pits and fissures of the back teeth. Pits and fissures are tiny grooves and channels on the biting surface

More information

UNIVERSITY OF GENOA - ITALY

UNIVERSITY OF GENOA - ITALY UNIVERSITY OF GENOA - ITALY FELLOWSHIP IN ADVANCED ESTHETIC & RESTORATIVE DENTISTRY International Postgraduate Diploma Objective The Fellowship Diploma of the University of Genoa, Italy is a one-year international

More information

Advanced Anterior Esthetics

Advanced Anterior Esthetics Advanced Anterior Esthetics Stephen D. Poss DDS Michigan Dental The following pages contain a summary of information designed to assist you with the armamentarium, preparation, and cementation of anterior

More information

Smiling Patients, Smiling Dentists.

Smiling Patients, Smiling Dentists. Smiling Patients, Smiling Dentists. COSMEDENT COMPLETE INSTRUCTIONS FOR USE Direct Composite 1. Etch tooth structure for 20 seconds with 37% phosphoric acid (Etching Gel) followed by 2. Place 2 drops of

More information

American Academy of Cosmetic Dentistry. Laboratory Technician Clinical Case Type II. One or Two Indirect Restorations

American Academy of Cosmetic Dentistry. Laboratory Technician Clinical Case Type II. One or Two Indirect Restorations American Academy of Cosmetic Dentistry Laboratory Technician Clinical Case Type II One or Two Indirect Restorations AACD Member ID # 00000 EXAMPLE REPORT Treatment List #8, #9 All Ceramic Crowns Restorative

More information

Resilon Obturation Material - The new standard of care?

Resilon Obturation Material - The new standard of care? Resilon Obturation Material - The new standard of care? Gutta-percha is the weak link of endodontic treatment. While the requirements for optimal instrumentation of the root canal are well known and achievable,

More information

Article Title (continued)

Article Title (continued) www.jird.com CLINICAL PERSPECTIVES Inside this issue: Using digital technologies to address aesthetic challenges in the anterior maxillae A Publication 2011 No. 1 3 JIRD Article Title (continued) aesthetic

More information

Terms and conditions for teeth whitening offers

Terms and conditions for teeth whitening offers Terms and conditions for teeth whitening offers 1. You can only make an informed decision once you have read and understood all the information provided by us in the following documents: a. Terms and conditions

More information

stone model bonding tray improve the accuracy

stone model bonding tray improve the accuracy indirectbonding Bonding brackets to the patient s stone model and transferring the bonding tray to the patient s mouth Developed to improve the accuracy of bracket placement (especially premolars) advantagesdisadvantages

More information

402 South Rd, Moorabbin, VICTORIA, 3189 Phone: (03) 9555 7441 E mail: info@brightstardental.com.au ABN: 92 124 730 874

402 South Rd, Moorabbin, VICTORIA, 3189 Phone: (03) 9555 7441 E mail: info@brightstardental.com.au ABN: 92 124 730 874 Brig ht St ar Dent al Cent re Dent al Corporat ion Pt y L t d 402 South Rd, Moorabbin, VICTORIA, 3189 Phone: (03) 9555 7441 E mail: info@brightstardental.com.au ABN: 92 124 730 874 Cosmetic Den tistry

More information

Full Crown Module: Learner Level 1

Full Crown Module: Learner Level 1 Full Crown Module Restoration / Tooth # Full Gold Crown (FGC) / 30 Extensions: Porcelain Fused to Metal (PFM) / 12 All Ceramic / 8 Learner Level 1 Mastery of Tooth Preparation Estimated Set Up Time: 30

More information

Adhesive Bonding of Natural Stone

Adhesive Bonding of Natural Stone Adhesive Bonding of Natural Stone Section I: Basics of Stone Adhesion Adhesive Theory There are many theories concerning the forces that are at work in forming an adhesive bond between two (2) different

More information

Flexible dentures an alternate for rigid dentures? Volume 1 Issue 1

Flexible dentures an alternate for rigid dentures? Volume 1 Issue 1 Flexible dentures an alternate for rigid dentures? Dr. Sunitha N Shamnur 1, Dr. Jagadeesh KN 1, Dr. Kalavathi SD 1, Dr. Kashinath KR 2 1 Senior Lecturer, 2 Professor & Head, Department of Prosthodontics,

More information

everstick everstick fibre reinforcements in orthodontics Clinical Guide Reliable anchorage Aesthetic retention www.sticktech.com everstick ORTHO

everstick everstick fibre reinforcements in orthodontics Clinical Guide Reliable anchorage Aesthetic retention www.sticktech.com everstick ORTHO everstick Clinical Guide www.sticktech.com everstick A&O everstick ORTHO everstick fibre reinforcements in orthodontics Reliable anchorage Aesthetic retention everstick A&O everstick ORTHO everstick A&O

More information

by Michael J. Morgan, DDS

by Michael J. Morgan, DDS Ex t r e m e Class IV Co m p o s i t e s: Th e Ne x t Best Thing to Cloning Restorative Dentistry by Michael J. Morgan, DDS Hinsdale, IL www.smilesbymorgan.com Ab s t r ac t The restoration of a large

More information

EXPANDED FUNCTION DENTAL AUXILIARY EXAMINATION CANDIDATE INFORMATION BULLETIN

EXPANDED FUNCTION DENTAL AUXILIARY EXAMINATION CANDIDATE INFORMATION BULLETIN PSI licensure: certification 3210 E Tropicana Las Vegas, NV 89121 www.psiexams.com EXPANDED FUNCTION DENTAL AUXILIARY EXAMINATION CANDIDATE INFORMATION BULLETIN CONTENT OUTLINE Examinations by PSI licensure:

More information

Smile Awards case study

Smile Awards case study Smile Awards case study Winner of the Aesthetic Technician at this year s prestigious Smile Awards, Simon Caxton of Simplee Dental Ceramics presents his case using Emax press bridges Treatment list Two

More information

Advances in All Ceramic Restorations. Alaa AlQutub Umm AlQura University, Faculty of Dentistry

Advances in All Ceramic Restorations. Alaa AlQutub Umm AlQura University, Faculty of Dentistry Advances in All Ceramic Restorations Alaa AlQutub Umm AlQura University, Faculty of Dentistry Types of materials used in esthetic zone I. Metal ceramic restoration: Metal ceramic alloy features : Produce

More information

Tooth preparation J. C. Davenport, 1 R. M. Basker, 2 J. R. Heath, 3 J. P. Ralph, 4 P-O. Glantz, 5 and P. Hammond, 6

Tooth preparation J. C. Davenport, 1 R. M. Basker, 2 J. R. Heath, 3 J. P. Ralph, 4 P-O. Glantz, 5 and P. Hammond, 6 12 5 Tooth preparation J. C. Davenport, 1 R. M. Basker, 2 J. R. Heath, 3 J. P. Ralph, 4 P-O. Glantz, 5 and P. Hammond, 6 This final article in the series describes the modification of teeth to improve

More information

STEPS IN CARVING AMALGAM class 2 cavity 2004-2005

STEPS IN CARVING AMALGAM class 2 cavity 2004-2005 1 STEPS IN CARVING AMALGAM class 2 cavity 2004-2005 Word to the wise: Study of the occlusion, together with the remaining tooth contour and position of the adjacent tooth, before starting a cavity preparation,

More information

The search for the best veneer system. Dr. Harvey Silverman discusses Silmet's ProVeneer system

The search for the best veneer system. Dr. Harvey Silverman discusses Silmet's ProVeneer system Article featured on Resin Based Foundation Material for Creating Veneers.com November 09, 2015 By Dr. Harvey Silverman, Founder of the Silverman Institute of Cosmetic Dentistry ttp://www.dentalproductsreport.com/dental/article/search-best-veneer-system

More information

IPS. Special Edition. Press-on-Metal Ceramic. Harald Gritsch Max Wörishofer Christoph Zobler

IPS. Special Edition. Press-on-Metal Ceramic. Harald Gritsch Max Wörishofer Christoph Zobler InLine PoM Press-on-Metal Ceramic IPS Special Edition Harald Gritsch Max Wörishofer Christoph Zobler Press-on technique on metal frameworks Combining the widely known casting technique and press technique

More information

RESTORATIVES. Simply beautiful. GRADIA DIRECT Composite Restoratives

RESTORATIVES. Simply beautiful. GRADIA DIRECT Composite Restoratives RESTORATIVES Simply beautiful GRADIA DIRECT Composite Restoratives ONE From simple imperfections to complete, high-end, multi-layered restorations, GRADIA DIRECT restoratives provide you with simply beautiful

More information

HEALTH SERVICES POLICY & PROCEDURE MANUAL. SUBJECT: Types of Dental Treatments Provided EFFECTIVE DATE: July 2014 SUPERCEDES DATE: January 2014

HEALTH SERVICES POLICY & PROCEDURE MANUAL. SUBJECT: Types of Dental Treatments Provided EFFECTIVE DATE: July 2014 SUPERCEDES DATE: January 2014 PAGE 1 of 5 References Related ACA Standards 4 th Edition Standards for Adult Correctional Institutions 4-4369, 4-4375 PURPOSE To provide guidelines for determining appropriate levels of care and types

More information

T E M P O R A R Y C R O W N R E S T O R A T I O N S. Second Edition. Produced by. QUERCUS CORPORATION 2768 Pineridge Road Castro Valley, CA 94546

T E M P O R A R Y C R O W N R E S T O R A T I O N S. Second Edition. Produced by. QUERCUS CORPORATION 2768 Pineridge Road Castro Valley, CA 94546 T E M P O R A R Y C R O W N R E S T O R A T I O N S Second Edition Produced by QUERCUS CORPORATION 2768 Pineridge Road Castro Valley, CA 94546 Copyright 1979 Department of Health, Education and Welfare

More information

Communication Task - Scenario 1 CANDIDATE COPY

Communication Task - Scenario 1 CANDIDATE COPY Communication Task - Scenario 1 Your patient is 30 years old, and has presented today complaining of pain from the lower right posterior side. The tooth had been cold sensitive for several weeks, but the

More information

Crown and bridge Lecture.1 Dr.hasan AL Rrammahi

Crown and bridge Lecture.1 Dr.hasan AL Rrammahi Crown and bridge Lecture.1 Dr.hasan AL Rrammahi The dental specialty concerned with the making of artificial replacements for missing parts of the mouth and jaw. Also prosthetic dentistry or prosthodontia.

More information

Don t miss life because of missing teeth, say...

Don t miss life because of missing teeth, say... Don t miss life because of missing teeth, say... Consequences of missing teeth Bone loss is responsible for many of the problems encountered after tooth loss. When one or more teeth are lost, the bone

More information

Restorative Solutions. F il t e k Supreme XTE Universal Restorative. Versatile shading solutions with beautiful results

Restorative Solutions. F il t e k Supreme XTE Universal Restorative. Versatile shading solutions with beautiful results Restorative Solutions F il t e k Supreme XTE Universal Restorative Versatile shading solutions with beautiful results Beautiful restorations can be uncomplicated If you prefer the simplicity of a single-shade

More information

ADA Insurance Codes for Laboratory Procedures:

ADA Insurance Codes for Laboratory Procedures: ADA Insurance Codes for Laboratory Procedures: Inlay/Onlay Restorations D2510 Inlay - metallic - one surface D2520 Inlay - metallic - two surfaces D2530 Inlay - metallic - three or more surfaces D2542

More information

A 3-year follow-up study of various types of orthodontic canine-to-canine retainers

A 3-year follow-up study of various types of orthodontic canine-to-canine retainers European Journal of Orthodontics 19 (1997) 501 509 1997 European Orthodontic Society A 3-year follow-up study of various types of orthodontic canine-to-canine retainers Jon Årtun, Agnes T. Spadafora and

More information

4-1-2005. Dental Clinical Criteria and Documentation Requirements

4-1-2005. Dental Clinical Criteria and Documentation Requirements 4-1-2005 Dental Clinical Criteria and Documentation Requirements Table of Contents Dental Clinical Criteria Cast Restorations and Veneer Procedures... Pages 1-3 Crown Repair... Page 3 Endodontic Procedures...

More information

THE VOICE OF TECHNO-CLINICAL DENTISTRY

THE VOICE OF TECHNO-CLINICAL DENTISTRY May 2009 Vol. 3, No. 2 THE VOICE OF TECHNO-CLINICAL DENTISTRY The Enhanced Restoration of Removables Jim Collis, CDT Patients with existing full or partial dentures often report that they would like to

More information

Indirect Bonding with Light-Cured Adhesive and a Hybrid Transfer Tray

Indirect Bonding with Light-Cured Adhesive and a Hybrid Transfer Tray Indirect Bonding with Light-Cured Adhesive and a Hybrid Transfer Tray Duncan W. Higgins Indirect bonding has evolved concurrent with the improvements in dental materials. Light-cured adhesives allow additional

More information

Endodontics Colleagues for Excellence

Endodontics Colleagues for Excellence Endodontics Colleagues for Excellence Summer 2008 Cracking the Cracked Tooth Code: Detection and Treatment of Various Longitudinal Tooth Fractures Published for the Dental Professional Community by the

More information

Structur 3. Gloss without polishing. Structur 3. Composite material for the fabrication of

Structur 3. Gloss without polishing. Structur 3. Composite material for the fabrication of Composite material for the fabrication of temporary crowns and bridges Gloss without polishing 3 for temporary crowns and bridges with a sheen is a self-polymerising composite material for the fabrication

More information

DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS

DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS DENTAL FOR EVERYONE SUMMARY OF BENEFITS, LIMITATIONS AND EXCLUSIONS DEDUCTIBLE The dental plan features a deductible. This is an amount the Enrollee must pay out-of-pocket before Benefits are paid. The

More information

Porcelain Veneers for Children and Teens. By Fred S. Margolis, D.D.S., F.I.C.D., F.A.C.D., F.A.D.I. Abstract

Porcelain Veneers for Children and Teens. By Fred S. Margolis, D.D.S., F.I.C.D., F.A.C.D., F.A.D.I. Abstract Porcelain Veneers for Children and Teens By Fred S. Margolis, D.D.S., F.I.C.D., F.A.C.D., F.A.D.I. Abstract This article will discuss the advantages of providing our young patients and their parents an

More information

SAMPLE DENTAL SEALANT AGENCY PROTOCOL

SAMPLE DENTAL SEALANT AGENCY PROTOCOL SAMPLE DENTAL SEALANT AGENCY PROTOCOL Wisconsin Department of Health and Family Services Division of Public Health April 25, 2005 Table of Contents I. Sample Dental Sealant Policy...3 II. III. IV. Sample

More information

PROSTHODONTICS RESTORATIONS - INLAY AND ONLAY CROWNS BRIDGES VENEERS IMPLANTS RESTORATIONS

PROSTHODONTICS RESTORATIONS - INLAY AND ONLAY CROWNS BRIDGES VENEERS IMPLANTS RESTORATIONS PROSTHODONTICS RESTORATIONS - INLAY AND ONLAY CROWNS BRIDGES VENEERS IMPLANTS RESTORATIONS Due to improved dental hygiene and the use of fluoride, there is a reduction in tooth decay found in our patients.

More information

WIPE AND GO! No more time-consuming polishing of your provisionals. Structur 3. Structur 3

WIPE AND GO! No more time-consuming polishing of your provisionals. Structur 3. Structur 3 WIPE AND GO! Structur 3 No more time-consuming polishing of your provisionals Structur 3 NANO-FILLED, QUICK SETTING, STRONG TEMPORARY CROWN & BRIDGE MATERIAL WITH WIPE & GO TECHNOLOGY Structur 3 NANO-FILLED,

More information

Creating colored diagnostic wax-ups

Creating colored diagnostic wax-ups Page 1 of 6 Creating colored diagnostic wax-ups By Lee Culp, CDT To fulfill the role of partner in the successful dentist-technician restorative team, the technician needs to have a complete understanding

More information

Managing Wear and Esthetics

Managing Wear and Esthetics Managing Wear and Esthetics KEY Occlusal Dental Components: - Centric contacts - End-to-end contacts - Pathways KEY: In order to increase the predictability in managing patients with wear, it is advisable

More information

Heraeus Kulzer plays an active part in IADR General Session 2015 in Boston

Heraeus Kulzer plays an active part in IADR General Session 2015 in Boston Press Release Broad range of studies with products from Heraeus Kulzer show excellent results Heraeus Kulzer plays an active part in IADR General Session 2015 in Boston Hanau, April 2015 From March 11

More information

Processing the denture

Processing the denture . Processing the denture After the trial dentures (Acrylic base, wax and teeth) have been waxed, they are prepared for denture processing to substitute the acrylic record base and the wax with a hot cure

More information

Eliminating effect of Er, Cr: YSGG laser irradiation on the smear layer of dentin

Eliminating effect of Er, Cr: YSGG laser irradiation on the smear layer of dentin Eliminating effect of Er, Cr: YSGG laser irradiation on the smear layer of dentin Jingtao Yu, MD, DDS, and Lu Yan, MD, DDS College of Stomatology, China Medical University, Shenyang, P. R. China Purpose:

More information

MEDICAID DENTAL PROGRAMS CODING, POLICY AND RELATED FEE REVISION INFORMATION

MEDICAID DENTAL PROGRAMS CODING, POLICY AND RELATED FEE REVISION INFORMATION MEDICAID DENTAL PROGRAMS CODING, POLICY AND RELATED FEE REVISION INFORMATION Effective for dates of service on and after November 1, 2005, the following dental coding, policy and related fee revisions

More information

IPS Empress CAD for CAD/CAM technology Information for Dentists. Confidence. Reliability. Esthetics. Empress CAD. The world s leading all-ceramic

IPS Empress CAD for CAD/CAM technology Information for Dentists. Confidence. Reliability. Esthetics. Empress CAD. The world s leading all-ceramic CAD for CAD/CAM technology Information for Dentists Confidence Reliability Esthetics The world s leading all-ceramic A time-tested system with new possibilities More versatility with revolutionized the

More information

Triad. Visible Light Cure System

Triad. Visible Light Cure System Triad Visible Light Cure System DuaLine - For Ease Of Use Triad DuaLine Reline Material is a full or partial denture reline material which combines the accuracy of self-cure with the strength and dimensional

More information

The Dahl principle in everyday dentistry

The Dahl principle in everyday dentistry The Dahl principle in everyday dentistry Using two clinical case studies, Dr Tif Qureshi revisits differential tooth wear, the Inman aligner, the Dahl principle and an alternative to preparo-mental dentistry

More information

How to Achieve Shade Harmony With Different Restorations

How to Achieve Shade Harmony With Different Restorations Procera Alumina vs. Feldspathic Porcelain How to Achieve Shade Harmony With Different Restorations Luke S. Kahng, CDT Key Words: Stump shade, Feldspathic Porcelain, Zirconia, Alumina, LSK Treatment Plan

More information

Atraumatic Restorative Treatment - ART

Atraumatic Restorative Treatment - ART Atraumatic Restorative Treatment - ART Full Summary Description and Use: Atraumatic restorative treatment (ART) is an alternative treatment for dental caries used to emove demineralized and insensitive

More information

Save Face Tooth Whitening

Save Face Tooth Whitening Save Face Tooth Whitening Patient information Tooth Whitening What is tooth whitening? Tooth whitening is still one of the most popular treatments to improve one s smile. It has been around since early

More information

From the World s Leading Dental Cement Company: Easier. Faster. Better. G-CEM. Self-Adhesive Resin Luting Cement

From the World s Leading Dental Cement Company: Easier. Faster. Better. G-CEM. Self-Adhesive Resin Luting Cement From the World s Leading Dental Cement Company: Easier. Faster. Better. Self-Adhesive Resin Luting Cement An Innovation in Restorations: Bi-layer Bonding. Bond strengths to the restoration are as strong

More information

INSTRUMENTS AND GENERAL INSTRUMENTATION FOR CAVITY PREPARATION FARHAD HADAVI, DMD, MS

INSTRUMENTS AND GENERAL INSTRUMENTATION FOR CAVITY PREPARATION FARHAD HADAVI, DMD, MS INSTRUMENTS AND GENERAL INSTRUMENTATION FOR CAVITY PREPARATION It is very important that the dentist have a complete knowledge of the purpose and application of the many instruments required. The dentist

More information

Zirconium Abutments for Improved Esthetics in Anterior Restorations

Zirconium Abutments for Improved Esthetics in Anterior Restorations Zirconium Abutments for Improved Esthetics in Anterior Restorations by Luke S., C.D.T. Mr. is the founder and owner of Capital Dental Technology Laboratory, Inc., in Naperville, Illinois. The laboratory

More information

ARTICLE 20-03 DENTAL ASSISTANTS CHAPTER 20-03-01 DUTIES

ARTICLE 20-03 DENTAL ASSISTANTS CHAPTER 20-03-01 DUTIES ARTICLE 20-03 DENTAL ASSISTANTS Chapter 20-03-01 Duties CHAPTER 20-03-01 DUTIES Section 20-03-01-01 Duties 20-03-01-01.1 Expanded Duties of Registered Dental Assistants 20-03-01-02 Prohibited Services

More information

Adper Easy Bond. Self-Etch Adhesive. Your invitation to the. heavyweight showdown. November 28 30, 2010 Booth #4407.

Adper Easy Bond. Self-Etch Adhesive. Your invitation to the. heavyweight showdown. November 28 30, 2010 Booth #4407. Adper Easy Bond Self-Etch Adhesive Join us for the Battle of the Bonds Your invitation to the heavyweight showdown November 28 30, 2010 Booth #4407 Adper Easy Bond Self-Etch Adhesive Come battle it out

More information

FUNCTION DENTAL ASSISTANT EDUCATION PROGRAM

FUNCTION DENTAL ASSISTANT EDUCATION PROGRAM APPLICATION FOR APPROVAL OF EXPANDED FUNCTION DENTAL ASSISTANT EDUCATION PROGRAM Instructions The following instructions will outline the steps necessary for approval of the EFDA program(s) offered by

More information

Veneers. Recent public exposure via the media to various kinds of esthetic dentistry

Veneers. Recent public exposure via the media to various kinds of esthetic dentistry Dr. Gerard Kugel, DMD, MS, PhD Dr. Shradha Sharma, BDS Veneers Introduction Recent public exposure via the media to various kinds of esthetic dentistry procedures has increased demand for veneers. In past

More information

Tooth Replacement Options

Tooth Replacement Options Dr. Jordan Johnson Johnson Dental Associates http://www.beta.mydentalhub.com/ada/test/ (800) 947-4746 Tooth Replacement Options If you re missing one or more teeth, you may be all too aware of their importance

More information

Rebilda DC. Rebilda Post System. Rebilda

Rebilda DC. Rebilda Post System. Rebilda Rebilda DC Rebilda Post System Rebilda Rebilda DC Systematic coronal build-up reconstruction Nowadays, modern composite and adhesive systems enable the reconstruction of severely damaged teeth, even if

More information

Dental Billing and Coding. Janet Bozzone, DMD, FAGD Open Door Family Medical Centers Ossining, Sleepy Hollow, Port Chester & Mount Kisco, NY

Dental Billing and Coding. Janet Bozzone, DMD, FAGD Open Door Family Medical Centers Ossining, Sleepy Hollow, Port Chester & Mount Kisco, NY Dental Billing and Coding Janet Bozzone, DMD, FAGD Open Door Family Medical Centers Ossining, Sleepy Hollow, Port Chester & Mount Kisco, NY What makes me an expert? I have over 20 years experience working

More information