Esthetic Pearls
EP#1: Bondable Dentin
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Mastering The Art and Science of Esthetic Dentistry
•
Dr. Steven J. Hill BSc, DMD, AAACD.
Esthetic Pearls
EP#1: Bondable Dentin
Problem: Patient presents with a broken veneer.
“Doc, I was just eating a sandwich when half of it fell out!”
Mastering The Art and Science of Esthetic Dentistry
Dr. Steven J. Hill BSc, DMD, AAACD.
Esthetic Pearls
EP#1: Bondable Dentin
1. Where is the cement? On the veneer or on the tooth?
2. On the tooth? Poor bonding technique most likely cause.
Mastering The Art and Science of Esthetic Dentistry
Dr. Steven J. Hill BSc, DMD, AAACD.
Esthetic Pearls
EP#1: Bondable Dentin
On the veneer? Could be bonding technique, but individual
differences in dentin density can make dentin hybridization
impossible. Pictured above is a cotton pellet with 9% HFl
left on the tooth (! DON’T TRY THIS !) for 30sec.
Mastering The Art and Science of Esthetic Dentistry
Dr. Steven J. Hill BSc, DMD, AAACD.
Esthetic Pearls
EP#1: Bondable Dentin
Previous resin
flaking off.
Spot etched area still shiny.
No obvious ‘frosted’ appearance therefore no bonding possible.
Must consider full coverage.
Mastering The Art and Science of Esthetic Dentistry
Dr. Steven J. Hill BSc, DMD, AAACD.
Esthetic Pearls
EP#1: Bondable Dentin
Two of the Greatest Qualities of Life:
Patience
and
Wisdom
The dog demonstrates both of these admirable qualities!
Mastering The Art and Science of Esthetic Dentistry
Dr. Steven J. Hill BSc, DMD, AAACD.