Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin - Part 2 of 4

Description:
For the past 50 years dentists have been making instant esthetic transformations using direct composite resin. That technology has been enhanced by the latest nano composite materials. Although the past decade has seen greater use of ceramic materials in esthetic dentistry, direct bonding with these new composites is still a highly valuable procedure. This video will deal with correction of severe tooth discoloration using nano composites. Immediate composite resin bonding can act as either the ideal correction or as an extended trial smile so patients can live with their new smile as long as necessary.

Date Added:
12/24/2010

Author(s):

Ronald Goldstein, DDS Ronald Goldstein, DDS
Dr. Ronald Goldstein is currently Clinical Professor of Oral Rehabilitation at Georgia Regents University College of Dental Medicine in Augusta, Georgia, Adjunct Clinic...
[read more]

Recognized Institutes



Online Videos / Restorative / Composite Resin / Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin - Part 2 of 4




Questions & Comments
Ronald Goldstein - (1/23/2012 12:44 PM)

Daniyal, Are you referring to the way I finish porcelain veneers? Not sure if you are questioning my use of the 30 blade carbide (ET 4 usually) to finish subgingival following any necessary contouring of the gingival margin. Ideally no finishing of gingival or subgival margins should be necessary if there is perfect margin and a perfect fit. The simple truth is that most of the margins i have seen done by other dentists are just not perfect and could have been considerably improved with subgingival finishing. Does this answer your question or if not please resubmit it and i will try to answer.

Ronald Goldstein - (1/23/2012 12:33 PM)

Farhan, Using a mylar strip does give the appearance of a better shine because the surface becomes 'all resin' and therefore appears smoother and has a gloss. However, the resin surface is more fragile and suseptible to wear more than a polished surface. It is a good technique to test a shade of composite on the tooth when deciding what shade to use but I prefer in all restorations to polish the composite. In fact if you use the mylar in class 3 composite restorations you have less ability to match the curve of the labio distal or mesial tooth surface. Finally, my technique of the beveled overlay for composite restorations would also be diminished if I were to use the mylar strip. I will also be reviewing my technique of finishing restorations in another comment.

FARHAN DURRANI492 - (1/22/2012 9:14 AM)

DEAR DR GOLDSTEIN I READ IN RESTORATIVE DENTISTRY BOOKS TO COVER COMPOSITES WITH MYLAR STRIPS AND THEN CURE ,IT GIVES BETTER SHINE ,PLEASE GIVE YOUR OPINION

Daniyal Dzafic - (8/28/2011 2:26 PM)

thank you for excellent job, why you use in these case composite in stade porcelain veneers. Best regards Dr. Daniyal

Ronald Goldstein - (12/30/2010 12:10 PM)

Englin...your point is well taken. The treatment required in creating a 3 dimension type direct composite veneer is certainly both time consuming and artistry required. So I have no problem with your analogy. However there is a laboratory fee and two appointment procedure to take into consideration plus the warranty given to the patient. A direct composite veneer can be more easily repaired than a porcelain laminate for long term so there are reasons why a crown or ceramic veneer is priced more. In my office the fee for ceramic is about 40 to 100% more depending on the difficulty of the situation, artistry required and the other conditions mentioned in every fee range estimate in Change Your Smile. Hope this helps and best wishes for the New Year....

Ronald Goldstein - (12/30/2010 12:10 PM)

Englin...your point is well taken. The treatment required in creating a 3 dimension type direct composite veneer is certainly both time consuming and artistry required. So I have no problem with your analogy. However there is a laboratory fee and two appointment procedure to take into consideration plus the warranty given to the patient. A direct composite veneer can be more easily repaired than a porcelain laminate for long term so there are reasons why a crown or ceramic veneer is priced more. In my office the fee for ceramic is about 40 to 100% more depending on the difficulty of the situation, artistry required and the other conditions mentioned in every fee range estimate in Change Your Smile. Hope this helps and best wishes for the New Year....

engin taviloglu - (12/29/2010 4:30 PM)

Thank you Mr. Goldstein, waiting for part 3. My opinion is, a composite veneer (direct or indirect) properly done by layering technique can't be signifcantly less expensive than the porcelain laminate veneer. Engin Taviloglu, Istanbul

Ronald Goldstein - (12/26/2010 10:57 PM)

First let me answer Hyacinth's question...about controlling moisture. When I am bonding anterior teeth I need to make sure the tissue is in good health by sufficient oral disease control weeks before the bonding if at all possible. In the event I need to bond and the tissue is not in good health I will be forced to utilize some form of moisture control... typical rubber dam, cotton cord displacement, or paint on rubber dam. I think it is crucial to use instruments as thin as the Hu-Friedy # 3 or #4 as I pointed out in the video so I do not cause bleeding or seepage when I go subgingivally. The questions that Sharon asks regarding lengthening the teeth depend on the occlusal pathways and the ability to do cosmetic contouring on the opposing arch to allow for lengthening. However the translucent effect is also accomplished by indenting the composite in the incisal areas and either put a very small and sometimes diluted blue or grey effect stains or even a translucent or clear composite in these areas to pick up the natural light effects that come from texturing the final layer during polishing. Ideally to mask dark stains a minimum of .8 to an ideal of 1mm is desired but if the stain still is apparent after this amount of composite then certainly reduce the preparation to allow for more room without overbuilding the restoration. I suggest applying the chosen shades without etching the tooth and polymerizing (which I did) to see if the masking will be sufficient. Also a spot etch and trial smile veneers can be done to show the patient's spouse, family or friend is certainly in order but does add to the cost of the procedure. I hope this answers your questions. Ronald Goldstein The question of using indirect veneers (ideally porcelain) if the dentist does not feel he or she has the artistic sculpting ability, is a good one and I would definitely recommend this course of action.

John Nickell - (12/26/2010 9:39 PM)

where's part 3?

Related Videos
Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin - Part 1 of 4 Premium Member Content

Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin - Part 1 of 4
This video will deal with correction of severe tooth discoloration using nano composites. Immediate composite resin bonding can act as either the ideal correction or as an extended trial smile so patients can live with their new smile as long as necessary.

Presented By:: Ronald Goldstein, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin - Part 3 of 4 Premium Member Content

Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin - Part 3 of 4
This video will deal with correction of severe tooth discoloration using nano composites. Immediate composite resin bonding can act as either the ideal correction or as an extended trial smile so patients can live with their new smile as long as necessary.

Presented By:: Ronald Goldstein, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin - Part 4 of 4 Premium Member Content

Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin - Part 4 of 4
This video will deal with correction of severe tooth discoloration using nano composites. Immediate composite resin bonding can act as either the ideal correction or as an extended trial smile so patients can live with their new smile as long as necessary.

Presented By:: Ronald Goldstein, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Composite - The Ultimate Material for Minimally Invasive Dentistry Premium Member Content

Composite - The Ultimate Material for Minimally Invasive Dentistry
This program will include pearls from a clinician who has relied on adhesive dentistry and composite materials for over 25 years.

Presented By:: Brian P. LeSage, DDS FAACD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Adhesive Dentistry: From Direct to Indirect Restorations

Adhesive Dentistry: From Direct to Indirect Restorations
Restorative dentistry has changed in recent years. A good esthetic and functional rehabilitation starts from the proper clinical evaluation of the patient and of his problems, planning all the clinical and laboratory procedures in order to reduce the possibility of performing a subpar restoration. It is very important to have a synergy between the clinician, the dental technician and the patient and to make the right use of the protocols and a flow chart to address all patient needs. The goal is to achieve the right balance between biology, esthetic and function by applying a minimally invasive approach.

Presented By:: Alessandro Conti, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Selecting the Right Composite for the Anterior Segment Premium Member Content

Selecting the Right Composite for the Anterior Segment
In this presentation, Dr. Fahl will introduce the necessary concepts for the general practitioner to implement direct composite restorations in the anterior segment. A systematic approach for solving day-to-day challenges will be introduced based on the physical and color properties of current restorative systems. The selection of appropriate materials for distinct areas of the anterior dentition will be discussed and presented within the realm of its clinical significance. Dr. Fahl will include tips and tricks for achieving seamless, long-lasting artistic composite restorations.

Presented By:: Newton Fahl, DDS, MS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
3 C's of Composite: Contour, Color and Creativity Premium Member Content

3 C's of Composite: Contour, Color and Creativity
Mastering composite artistry is the most challenging tooth replacement procedure clinicians are asked to preform. It requires the clinician to understand the optical, physical, handling and mechanical properties of a resin filled with quartz, silica and glass. Combining these attributes to reproduce the natural dentition three dimensionally in contour and color is our goal. Adding a bit of imagination, the clinician can create restorations that are brilliant and ultimately seamless and undetectable.

Presented By:: Brian P. LeSage, DDS FAACD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Esthetic Case Design and Minimally Invasive Tooth Preparation: The Role of Magnification Premium Member Content

Esthetic Case Design and Minimally Invasive Tooth Preparation: The Role of Magnification
In this webinar, esthetic case planning and a new complete protocol of tooth preparation for full crowns will be highlighted utilizing modified enamel chisels and the dental microscope. Multimedia will be utilized for optimal visual learning using magnification photography and videos to focus on specific details required to improve your dental skills. The important role of magnification in dentistry will be further discussed.

Presented By:: Nazariy Mykhaylyuk, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Composites in the 3D World - Ease, Strength and Beauty Premium Member Content

Composites in the 3D World - Ease, Strength and Beauty
Revisit skills in direct composite restorations such as layering with the aid of a matrix, which allows for a more ideal 3D undetectable restoration. Custom characterization and finishing and polishing will also be included.

Presented By:: Brian P. LeSage, DDS FAACD
Presentation Style: Online Self-Study Course
CE Hours: 1.5 CEU (Continuing Education Units)
Watch Now>>
Related Articles
Visagism: The Art of Dental Composition

Visagism: The Art of Dental Composition
The aim of this article is to present a novel concept: Visagism. The Visagism concept helps dental clinicians provide restorations that account not only for esthetics, but also for the psychosocial features of the created image, which affect patients’ emotions, sense of identity, behavior, and self-esteem. These factors, in turn, affect how observers react to patients following treatment.

Author(s): Marcelo Calamita, DDS, MS, PhD;Christian Coachman, DDS, CDT;Braulio Paolucci, DDS; Galip Gürel, DDS, MS; Adriano Shayder, CDT; Philip Hallawell
View Article>>
Final Finishing of Composites and Laminates

Final Finishing of Composites and Laminates
Covers the principles in finishing laminates.

Author(s): Ronald Goldstein, DDS
View Article>>
Communicating Digitally with the Laboratory: Design, Impressions, Shade, and the Digital Laboratory Slip

Communicating Digitally with the Laboratory: Design, Impressions, Shade, and the Digital Laboratory Slip
This article will review and explore some of the digital opportunities and rationales for digital communication of all forms of clinical information from the dentist to the laboratory.

Author(s): Edward A. McLaren, DDS, MDC
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register