Evaluation of the handling of a new compomer and novel dispensing
PRESENTS - Edmonton and District Dental Society * Less Wear Resistance than Composites Amalgam vs....
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Transcript of PRESENTS - Edmonton and District Dental Society * Less Wear Resistance than Composites Amalgam vs....
Early Childhood Caries
3 year old boy took a “Sippy Cup”
to bed and slept with the cup at
night for over 18 months.
Early Childhood Caries
“My teeth are dirty.” – Alex N.
“The other kids are saying his teeth
are dirty; ‘why are your teeth black?’;
‘you look like a monster!’ “For no
other reason, just get it done for
that.” Alex’s mother
OPEN FACED
STAINLESS STEEL CROWN
Try-in of Stainless Steel CrownStep-by-Step Procedures:
Crown Try-in
OPEN FACED
STAINLESS STEEL CROWNS
1) Try-in Stainless Steel Crown:
2) Open Face of Crown
3) Cement Crown to Tooth
OPEN FACED
STAINLESS STEEL CROWNS
Etching the Enamel and/or Dentin:
37% Phosphoric Acid for 15 seconds
The PedoNatural CrownTM
Because Children Need To Smile!
Esthetic Full Coverage Restoration for the
Primary Dentition
The PedoNatural CrownTM
Because Children Need To Smile!
Esthetic Full Coverage Restoration for the
Primary Dentition www.PedoNaturalCrown.com
Early Childhood Caries
Case Study:
Peder H. Age at first visit 19 mos.
March 2002
Diagnosis: “Nursing Caries”
March 2002
• Initial Oral Examination revealed:
Facial and Lingual Caries #’s D,E,F,G
Tx: Preventive: Fluoride Varnish placed
by FSM
Rx: 1.1 % Sodium Fluoride Gel to be
brushed on once daily.
Recommendation: Stop Night-time
Nursing-At-Will
June 2002: Same tx as on
March 2002
Sept. 2002 : Age 2 y. 3 mos.
Patient had been weaned
off of nursing.
Same tx as above.
Feb. 2003: Exam, Oral
Px, Fluoride tx.,
Fluoride varnish
May 2003: Fluoride
Varnish
August 2003: Fluoride
Varnish
December 2003: Exam
to discuss tx plan:
Discussion included
conscious sedation.
January 2004
Age 3 ½ y.o.
• #D,E,F,G Acid-etch
composite with Celluloid
Strip Crowns
• Restorative Materials:
Fuji II and Prismafil L
• Patient sat on Mom’s lap
and NO Anesthetic used
to prepare teeth.
Mother’s e-mail to office:
Peder is so happy with his new
smile. As soon as we left your
office the day he had his teeth
fixed he said, over and over, "I
LOVE my new teeth!" and "I look
GREAT!" We gave him a little
mirror to carry around the house
those first few days and he would
admire his teeth and comment on
how beautiful he looked. He
smiled and still smiles for friends
and strangers alike saying "Look
at my new teeth; don't I look
great?!" Thank you for helping
Peder so much and for treating
him with such gentle care and
respect. Janelle H.
Sandwich
Technique
• Caries
Removal
• GI or Resin-
modified GI
• Etch 37%
Phosph. Acid
15 secs.
• Bonding
Agent
Bonding Agent
OptiBond® Solo Plus™ is a
single-component dental
adhesive designed for both
direct and indirect bonding
applications.
15 second application
Today’s Clinical Goals
A restorative material with:
• Proven Performance
• High polish (initial and lasting)
• Lifelike esthetics
• Strong physical properties
• Excellent handling for universal
applications
Herculite Ultra!
• Highest Esthetics
• Proven Clinical
Performance
• Superior Polish
• Optimum Handling
• Exact Vita Shade Match
• Increased Radiopacity
Aprismatic or
Non-Prismatic Enamel
What is different about the
enamel in primary vs.
permanent teeth?
Gretchen C. Age 3
Composite Veneer #E
Waterlase MD used to remove
Aprismatic Enamel prior to bonding
Raisins, cherries, orange peel and strawberries in chocolate belong to the fruit family, so...
Eat as much as you like!
COMPOMERS
ADVANTAGES
* Releases Fluoride
* Smooth Surface
* Excellent
Polishability
* Ease of Handling
* Highly Translucent
* Excellent Marginal
Adaptation
DISADVANTAGES Weaker than Composites *Less Wear Resistance than Composites
Amalgam vs. Compomer
• “…compomer appears to be a suitable
alternative to amalgam for proximal
restoration in primary molars of young
children for use in general dental practice.”
• Each restoration was evaluated…for 24
months The evaluation included wear,
surface texture, recurrent decay, marginal
integrity, and retention.
Duggal, MS, et al. Clinical Performance of a
Compomer and Amalgam for the
Interproximal Restoration of Primary
Molars: A 24-Month Evaluation. Br Dent J
2002; 193 (Sept.): 339-342
“Sandwich Technique”
for Posterior Primary Molars
Class II prep Compomer Composite
Completed Restoration
CLEARFILTM SE Protect
Provides Antibacterial & Fluoride releasing
functions for Minimally-Invasive direct restorations.
Kuraray Clearfil SE Protect
Kuraray releases SE
Protect in January 2010
that is exactly same
formula as Clearfil Protect
Bond. It is 2 step self etch,
antibacterial and Fluoride
releasing adhesive.
* SE Protect provides such
unique benefits with a
comparable price against
the gold standard self-etch
adhesive, Clearfil SE Bond
Kuraray Clearfil SE Protect
Antibacterial Primer can
eliminate process of cavity
cleanser
-The primer has
antibacterial effect more
than major antibacterial
cavity cleanser.
Reduce cost and process
than use of cavity cleanser
- No need to concern
compatibility of adhesive to
cavity cleanser
Kuraray Clearfil SE Protect
Virtually no post-operative sensitivity Superior Bond Strength and Durability - SE Protect has better long-term durability
than SE Bond that were recently demonstrated in-vivo and in-vitro studies. - Bonding agent of SE Protect contains a
special coated NaF to release Fluoride for a few months after the bonding. Fluoride
makes formation of an anti-acid layer just under the bonding layer. Researchers said it might make greater long-term durability, but not just only caries prevention.
Excellent handling properties
・Easy handling.
・Bottle or single-dose applicator.
・Wide indications, same as with SE Bond.
・Cures with any type of curing unit.
Features of CLEARFIL S3Bond
CL
EA
RF
IL S
3 B
ON
D
Similar benefits to a flowable
• Low viscosity material to fill line
angles
• A2 shade to esthetically blend in
restoration
Vitrebond™ Plus
Flowable Composite
•Release and Recharges Fluoride •Resists Bacterial Colonization •Excellent Esthetics and Durability •High Radiopacity
Fred S. Margolis, DDS
Composite
•Release and Recharges Fluoride •Nano-Hybrid Composite •Excellent Esthetics and Durability •High Radiopacity
Fred S. Margolis, DDS
Features Benefits
High bond strength to
dentin & enamel with
incorporated bonding
agent
Simplified procedure
with no separate
bonding protocol
Reduces chance for
human error due to
bonding protocol
Easy handling & non-
slumping, rheological
property
Superb ease of use/ease
of placement
Excellent marginal
integrity
Long-lasting margins,
reduced voids, low
sensitivity
Excellent mechanical
properties
Long-lasting and durable
High radiopacity Easy X-ray detection
Apply 15 seconds
Cure 20 seconds
Vertise Flow procedure
55 seconds, 3 steps
Vertise Flow reduces the number of procedural steps compared to using a two-step bonding agent with a traditional flowable.
Dispense & Cure 20 seconds
Time Savings and Ease of Use For small class I caries:
Etch, Bonding Agent, Composite
37% Phosphoric Acid
Sullivan-Schein Bonding Agent
Prismafil TPH Shade L
Sealant Evaluation
• Full Coverage of Pits and
Fissures
• Sealant Bonded Strongly
to Tooth
• Mechanical, Thermal, and
Chemical Strength
• Quick and Easy
Placement
• Easily Visible