Dentaltown June 2015 - (Page 68)

products in practice Products in Practice explores how specific products and services can be of use clinically or in practice management. Advanced Adhesive for All Indications by Jason Olitsky Jason Olitsky graduated from Temple University School of Dentistry in 2001 and is an accredited member of the American Academy of Cosmetic Dentistry. As a clinical mentor with The Hornbrook Group in Chicago and an adjunct professor at the Arizona School of Dentistry and Oral Health, he lectures and clinically mentors dental students around the country. His work has been published in various esteemed journals, and Dr. Olitsky has also been a featured cosmetic dentist in national magazines. He is co-author of the book, "The Naked Tooth: What Cosmetic Dentists Don't Want You To Know," and started Smile Stylist Dental Studio in 2006 in Jacksonville, Florida, where he currently practices. 68 Abstract Dental adhesion secures the bond between dentin, enamel, composite and other restorative materials, contributing to the success of a restoration. Universal adhesives work with direct and indirect restorations, as well as with self-etch, selective-enamel-etch, and total-etch techniques, to ensure long-term bonds and treatment function. Unlike traditional adhesives that can only be used in specific procedures or restorative techniques, universal adhesives allow the clinical indication to dictate the materials used. Additionally, with an advanced delivery system, universal adhesives work efficiently, predictably and cost-effectively. Introduction Adhesive-bonding techniques and their associated materials were introduced to enhance the attachment of restorative materials, such as composites and ceramic, to tooth structures. Adhesives are an alternative to conventional cementation, and combine preparation design and resistance to connect a restoration to the underlying tooth structure. Adhesive bonding creates a micromechanical connection between a tooth surface and a restoration, a connection that is dependent upon not only the adhesive and bonding agents used, but also the etching techniques that precede their placement. Etching tooth surfaces removes the smear layer and exposes the dentin tubules, which enables the adhesive to form a hybrid layer with the tooth structure, sealing the microtubules and adhering to dentin and enamel. Etching can be achieved in one of three ways: self-etch techniques, whereby the adhesive itself contains JUNE 2015 // dentaltown.com an etching component; selective-enamel etch, whereby phosphoric acid is used only on affected enamel areas; and total-etch techniques, in which both the enamel and dentin are etched. Regardless of the etching technique, an adhesive must be selected that is compatible with the technique and materials used. Depending on their formulation, adhesives can be used with direct or indirect restorations, or both. With increasing popularity, continued development of the adhesive armamentarium is consistently improving its range of use and application. Therefore, determining the appropriate adhesive for use in different restorative procedures can be challenging, since chemical composition, working time, and bond strength-among other characteristics-must be considered. However, to ensure accurate seating of indirect restorations, ideal adhesives will exhibit low film thickness. Additionally, the manner in which adhesives can be delivered to, and placed on, a tooth structure can either facilitate or hinder the adhesive process. Conventional delivery systems require the use of a mixing well and applicator to apply adhesive. Although effective, this delivery system does not efficiently utilize the material, since excess adhesive must be discarded, and opening and closing the bottle can lead to decreased bond strength over time. Alternative delivery methods are necessary to create a more cost-effective adhesive technique. Universal adhesives that can be used with all restorative materials, as well as all etching methods, provide practitioners with a simple and comprehensive option that strengthens bonds in variety of clinical situations. Continued on p. 70 http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown June 2015

On Dentaltown.com
Howard Speaks: Dentists: Let's Band Together to Improve Public Health
Professional Courtesy: The Appointment is Broken and You Can't Fix It
Continuing Education Update
Poll
Forensic Odontology: Solving Crimes One Tooth at a Time
Routine Equipment Maintenance and Checklist
Minimally Invasive Approach: Implant Prosthetics and Aesthetics of a Lateral Incisor
Electric Toothbrushes: The Benefits of Tech
OFFICE VISIT: The Ninja Dentist Reveals Her Training Ground
The Best 401(k) Plan: Pooled or Participant-Directed?
The State of Little Teeth: Answers About the ACA and Access to Care for Children
How to Successfully Administer Insurance in Your Practice
Continuing Education: Slow-Growing Nodule of the Hard Palat: Differential Diagnosis and Management
Corporate Profile: DentalMarketing.net: Maximizing the ROI of Your Practice
Products in Practice: Ivoclar Vivadent
Disney for Dentists: How Walt’s Principles Can Improve Your Cash Flow
Burnout: The Dental Pain No One Mentions
New Products
Ad Index
Improve Care, Increase Revenue: The Case for Midlevel Providers
How to Calculate Maximum Dosages of Lidocaine and Articaine Anesthetic
Not Your Everyday Oral Pathology Lesion
Overcoming the Entrepreneurial Conundrum
Dentally Incorrect

Dentaltown June 2015