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 4 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:
1/5/2011

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 4 of 4




Questions & Comments
Ronald Goldstein - (2/26/2016 10:36 AM)

Rodolfo, when I bond to existing resin i will generally remove the entire restoration if it is defective but if it is merely a color improvement then I cut off the outer surface with a course diamond AND air abrade the surface giving me a good retentive surface. Then I etch to clean the surface, apply bonding resin and reveneer with new composite resin. The reason I use the course diamond on the adjacent enamel is to be able to nicely blend the new shade of composite resin so the new margin will be invisible. Then the extra application of air abrasion is to be able to create a micro-mechanical surface especially if there is additional resin still in place.

Rodolfo Badilla - (2/25/2016 8:00 PM)

my name is Rodolfo Badilla , several questions , 1)when you are doing the bonding and you drill the resins what is the protocol that you use , do you etch the resin , do you sandblast it ? 2 ) don't you think that if you sandblast the enamel would be more conservative than drill it with a diamond bur ?

Ronald Goldstein - (1/23/2012 1:48 PM)

Farhan, My technique for polishing composite resins is as follows: 1. Contour and final finish with ET (Brasseler USA or BUSA ) diamonds and burs with final finishing always with the ETUF burs which are 30 blade carbides in either the ET design or the OS design for lingual or occlusal finishing. 2. Next I usually go to a series of sandpaper disc finishing to polish the contours so there are no hard angles. I always try to match the adjacent or opposing teeth and use a large front surface mirror rotating back and forth to give me a really good 3D look at the entire labial surface. This helps me eliminate and hidden depressions or incorrect line angles not easily seen just by looking at the tooth surface straight on. I generally use only the first 2 discs and wait to use the last 2. I always use a drop water to keep the discs wet...never dry. 3. Next, I use one of the impregnated polishing kits that have both point and cup shaped instruments always using water to keep from polishing dry. 4. Now I use the ET 6 or 9 to place my surface texture if the adjacent teeth have texture or if I feel I want to have more light reflection. 5. I finish with the last 2 discs or with the final impregnated bur or cup finisher just lightly going over the tooth surface but never to eliminate the texture but to highlight the raised areas more. If you pull up my Xpert page I have my articles on composite finishing there and could give you more about my feelings on the subject.

FARHAN DURRANI492 - (1/22/2012 9:47 AM)

DEAR DR GOLDSTEIN PLEASE ELABORATE ON POLISHING TECHNIQUES

Ronald Goldstein - (8/25/2011 10:40 AM)

Jack, adding composite to occlusal surfaces has been a very good treatment for class one and two restorations but when you try to build up an entire tooth it does have its limitations. I have done this as an interim step before committing the patient to restoring vertical dimension with ceramic restorations. However, chipping and fracturing of some of these restorations becomes the norm within a short time. Nevertheless, it is a very good way to help determine if your final prosthetic restorations will be successful and the TMJ will respond favorably. So, no, I would not suggest composite resin as a final full mouth restoration.

Jack Yang - (8/25/2011 7:16 AM)

Dr. Goldstein, its Jack here from Australia. Im just wondering, what do you think of full mouth build up with composite? with regard to occlusion, how would you open the bite, if you are doing a erosion case, where most of the anterior teeth are all worn down. thanks

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 2 of 4 Premium Member Content

Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin - Part 2 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>>
Clinical Tips for Posterior Composites Premium Member Content

Clinical Tips for Posterior Composites
Despite the popularity of posterior composites, it is a topic that still creates questions and frustrations for many clinicians. Our goal is to place these restorations with ease and success to create long lasting results. We will discuss preparation design, material selection, matrices, and placement techniques. One of the most common questions I get is about predictably creating tight contacts, and we will look at several techniques to ensure this happens.

Presented By:: Lee Ann Brady, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin Premium Member Content

Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin
For over 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.

Presented By:: Ronald Goldstein, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Minimally Invasive Restorations through Maximum Visualization Premium Member Content

Minimally Invasive Restorations through Maximum Visualization
This presentation will highlight providing minimally invasive restorations for patients, aided through technology such as magnification, illumination, percussion diagnostics and current dental material choices. Of critical importance today is the realization that patients are living longer and want to retain their teeth for a lifetime. With these factors in mind, the preservations of tooth structure is even more critical today than in former generations. For restoration longevity of minimally invasive restorations there must be a commitment to precision aided by magnification, understanding the physical properties of materials, controlling and managing the occlusal forces, learning how to measure and monitor the mechanical stability of tooth and implant stability with new technology breakthroughs and preventive control instructions.

Presented By:: Cherilyn G. Sheets, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Innovative Sequencing for Interdisciplinary Aesthetic Treatment Premium Member Content

Innovative Sequencing for Interdisciplinary Aesthetic Treatment
Smile enhancement therapy has become an important facet of the everyday aesthetic practice. Aesthetic evaluation utilizing facial aesthetic design to diagnose tooth position demands effective communication between the periodontal-restorative team. This presentation will review innovative sequencing techniques for interdisciplinary cases which require aesthetic crown lengthening for the treatment of excessive gingival display, and for gingival augmentation for root coverage, and the correction of poor gingival quality. Immediate implant placement with immediate non–loaded provisional fabrication will also be reviewed.

Presented By:: Michael A. Apa, DDS, PC;Brian Chadroff, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin Premium Member Content

Correction of Tooth Defects and Discolored Teeth Using Direct Composite Resin
For over 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.

Presented By:: Ronald Goldstein, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Clinical Excellence in Operative Dentistry: Not Only A Question of Color & Fancy Trends Premium Member Content

Clinical Excellence in Operative Dentistry: Not Only A Question of Color & Fancy Trends
Nowadays the maintenance of “a nice smiling” represents the main desire of our patients and the request for tooth colored restorations is very high. Predictable and repeatable results can be achieved through materials and clinical practices that, on one hand, preserve the original structure of the compromised tooth and, on the other hand, involve a very low biologic price. New technologies for the enamel-dentinal adhesion and the continuous evolution of more sophisticated esthetic materials as composite and porcelains allow the effective reaching of verifiable and predictable results. This lecture aims to point out the relevant guidelines in both direct and indirect techniques for esthetic restorations through the evaluation of techniques and materials in order to reach correct, standardized and long lasting evidence based clinical results.

Presented By:: Prof. Francesco M. Mangani, MD, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
Watch Now>>
Related Articles
Ethics and Economics of Composite Resin Restoration

Ethics and Economics of Composite Resin Restoration
When I began my dental career, the full crown was really the main option being taught for esthetic dentistry. With the development of composite resins, we could refrain from reducing valuable enamel.

Author(s): Ronald Goldstein, DDS
View Article>>
Prosthetic Gingival Reconstruction in the Fixed Partial Restoration - Part 2: Diagnosis and Treatment Planning

Prosthetic Gingival Reconstruction in the Fixed Partial Restoration - Part 2: Diagnosis and Treatment Planning
This second article on the use of artificial gingiva in fixed partial restorations focuses on diagnosis and treatment planning.

Author(s): Maurice Salama, DMD;Christian Coachman, DDS, CDT;Henry Salama, DMD;David Garber, DMD;Marcelo Calamita, DDS, MS, PhD;Guilherme Cabral, DDS, CDT
View Article>>
Planning & Finishing Techniques

Planning & Finishing Techniques
Longevity and optimal aesthetics are critical aspects to consider when planning for direct composite resin restorations. While strength, wear resistance, and superior micromechanical retention are typically associated with functional durability, during the planning stage clinicians must equally consider aesthetic longevity, which includes retension of the original morphology, color stability, stain resistance, and marginal adaptation. To ensure optimum results for direct composite resin restorations,…

Author(s): Ronald Goldstein, DDS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2018

Preferred Language: English Flag
Contact Us · Login · Register