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>>
COMPOSITES in the 3D World: Ease, Strength and Beauty Premium Member Content

COMPOSITES in the 3D World: Ease, Strength and Beauty
Composite is the most versatile cosmetic restorative material we have in a comprehensive, esthetic minimally invasive dental practice. It is easily sculptable to gain the proper contour, has great strength were clinically indicated and can attain the appropriate color, luster and polish for a beautifully seamless restoration. 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: Video
Community Rating:
 
Watch Now>>
Bonding of Posterior Partial Coverage Ceramic Restorations - Part 1 of 3 Premium Member Content

Bonding of Posterior Partial Coverage Ceramic Restorations - Part 1 of 3
This webinar segment will focus on bonding partial coverage posterior porcelain restorations.

Presented By:: Lee Ann Brady, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Michael Apa on his Global Symposium Hands on Course. Premium Member Content

Michael Apa on his Global Symposium Hands on Course.
Dr. Apa briefly speaks about what will be covered and what you can expect to learn at his hands-on course at the 2013 Dentalxp Global Symposium in Las Vegas, Nevada at The Cosmopolitan Hotel.

Presented By:: Michael A. Apa, DDS, PC
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
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>>
Choosing Anterior Ceramics – The Concept of Restorative Volume - Part 2 of 2 Premium Member Content

Choosing Anterior Ceramics – The Concept of Restorative Volume - Part 2 of 2
The presented Concept of Restorative Volume is based on structural, optical and periodontal factors. Each of these factors will influence the short and long-term behavior of restorations in terms of esthetics, biology and function.

Presented By:: Jorge André Pinto Cardoso, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Excellence in Cosmetic Dentistry: Anterior Esthetics Premium Member Content

Excellence in Cosmetic Dentistry: Anterior Esthetics
Dr. Mike Koczarski demonstrates composite techniques that will increase speed of placement for maximum quality and optimal esthetics.

Presented By:: Michael Koczarski, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1.5 CEU (Continuing Education Units)
Watch Now>>
Related Articles
Bringing Composite Resins to an Art Form in the Anterior Segment

Bringing Composite Resins to an Art Form in the Anterior Segment
Esthetic dentistry has evolved tremendously over the past twenty years and has gained unprecedented acceptance by both dentists and patients alike. Currently, the use of high-end technology and state-of-the-art materials enables specialists and general practitioners to perform esthetic procedures at the utmost level of scientific soundness while effecting like-life results.

Author(s): Newton Fahl, DDS, MS
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>>
Contemporary Options for Restoration of Anterior Teeth with Composite

Contemporary Options for Restoration of Anterior Teeth with Composite
The present article gives an overview of modern adhesive restoration in the anterior area, in view of the fact that modern dental therapy should be as minimally invasive as possible. Illustrated with multiple cases, the article shows possible prospective fields of indication.

Author(s): Eva Wirsching, Dr med dent
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login ·