BONDING DENTIN AND ENAMEL 10.31.07 Composites - The filler is l! "s reporte# $" %ol&me' (ot !ei)ht. - *o!

o!e%er' "o& sho&l# l! "s s+ the ,omp (" if the" re reporti() it i( !ei)ht or %ol&me' $e, &se the -TANDA.D is /OL0ME. If the" report it $" !ei)ht' the (&m$er !ill $e hi)her. Bo(# stre()ths to e( mel re prett" m&,h st (# r#' !here%er "o& re i( the e( mel. 1mm #eep or 1mm #eep or !h te%er. The o(e pl ,e th t this % ries is the %er" tips of ,&sps !here there m " $e prism ti, e( mel. .o#less 2 prism ti, e( mel (ee#s to $e mo#ifie# 3remo%e#4 to $o(# to th t re of tooth. The $est ,i# is phosphori, ,i# for 10 se,o(#s 35-60 per,e(t. Et,hi() e( mel is (ot ,re te# e7& ll"8 - the #iffere(,e is #&e to the t"pe of et,hi() p tter(8 o frost"8 t"pe I (# II o )loss"8 t"pe III -heer $o(# stre()th st&#ies8 6th )e(. $o(# stre()th to et,he# e( mel8 10-15 M9 Be, &se of th t' it ! s s i# th t ,omposite !o&l# (e%er $o(# to e( mel' so &se pi(s to ret i( ,omposite. B #' $ #' $ #. A#hesi%e :oi(ts8 A#hire(# 1 3$ se' li(er' et,4 #hesi%e #hire(# 1 3restor tio(' ortho' et,4 Et,hi() #oes (ot ,le ( of #e$ris; Cle ( off the #e$ris !ith somethi() other th ( et,h (t. Bo(#i() )e(t pl ,eme(t - ph"si, l $o(# io(i, e<,h ()e - ,hemi, l $o(# ,h i(s of resi(8 (ot ( io(i, e<,h ()e - me,h (i, l $o(# &(#er,&ts Goo# ,&ri() Bo(# stre()th to o%er,ome ,omposite shri(+ )e s "o& ,&re "o&r $o(#' it shri(+s' (# resists 2 stresses "o&r $o(# $" 17-1=M9 T!o t"pes of f il&re i( #e(ti( $o(#i() #hesi%e f il&re o somethi() f lls off o o,,&rs t the :&(,tio( of the t!o #heri(s o >0?@ of the f il&res i( the ,li(i, - Cohesi%e f il&re o -omethi() f lls off' !ith p rt of the tooth o This #oes (ot h ppe( D#s0> 12A C. Nelso(

o A ,ohesi%e f il&re of %e(eer !o&l# $e $ro+e( %e(eer th t still h s tooth tt ,he# to the %e(eer. As $o(# stre()ths i(,re se' #hesi%e f il&res m " #e,re se (# ,ohesi%e f il&res m " i(,re se. Bh" #e(ti( l $o(#i() is so #iffi,&lt8 De(ti( l t&$&les re !i#er (e r the p&lp. More #e(ti( l t&$&les per &(it re (e r the p&lp. - so $etter 2 more pre#i,t $le mi,rome,h (i, l $o(#s o,,&r ,loser to the p&lp. Cli(i, l sit& tio( - )i (t m l) m o postoper ti%e se(siti%it" 3therm l4 - )i (t ,omposite o postoper ti%e se(siti%e 3%irt& ll" (o se(siti%it"4 - sh llo! ,omposite o postoper ti%e se(siti%it" 3more se(siti%it" press&re se(siti%e4 9erit&$&l r %. i(tert&$&l r - Bo(#i() )e(t flo!s i( (# ro&(# the t&$&le' perit&$&l r #e(ti(' i(tert&$$&l r #e(ti( -,leroti, #e(ti( shi("' polishe# - m&st mo#if" the s&rf ,e so th t it !ill sti,+ - remo%e ti(" l "er to )et p st the s,leroti, #e(ti( -me r l "er sme r pl&) - )&(+ th t ,lo)s &p the #e(ti( l t&$&les Opti$o(# solo pl&s is 5th )e( 1 step $o(#i() pro,ess Ctot l et,h #hesi%eD Et,h or (ot to et,h #e(ti(E - !ell' lmost ll $o(#i() s"stems h %e et,hi() ,i# !ithi( the pro#&,t itself. -o' e%e( the Cself et,hD F itGs )ot ,i# i( it. 1>A1 !or+shop t I(#i ( 0(i%ersit" )ot )ro&p to)ether to loo+ t #e(ti(. Bo( ,ore is the )&"Gs ( meEEE *e s i#8 - pro%i#e hi)h $o(# stre()th to #e(ti(' !hi,h sho&l# $e prese(t imme#i tel" (# !hi,hF - et,. - see sli#es Bo(# stre()th tests

D#s0>

12A

C. Nelso(

* %e !e fo&(# o(e th t s tisfies ll of the ,riteri E No; - (ot e s" - ,omposites still le + - perm (e(t #e(ti( $o(#F !h t is perm (e(tE Bho m +es the resi( for ll of the ,omp (iesE - D&po(t o The" m +e ALL the resi(s o Go ls8 No shri(+ )e 9erm (e(t o De(ti( $o(#i() )e(t ,osts8 100 150 #ol rs $ottle. It ,osts them $o&t H3 to pro#&,e. *0GE profit i( this Bo(# stre()th tests8 - she r $o(# stre()th tests +(o,+s somethi() !ith $rief for,e - te(sile $o(# stre()th tests re slo!l" o more ,ommo( tests o #o(e $" ( CI(stro(D m ,hi(e. I( some , ses' the"Gll C,he!D $o(# !hi,h !ill pre#ispose the $o(# to e rlier f il&re. - m ,hi(es re e<pe(si%e - t +es !ee+s to #o the o,,l&sio( C,he!i()D pre#ispositio( - th tGs !h" st&#ies re h r# to ,ome $"' (# most re i(iti l sheer stre()th tests. 9erforme# o( e<tr ,te# teeth. -he r $o(# stre()th tests 33-6.5mm4 Te(sile $o(# stre()th tests 33.0-6.5mm4 Mi,ro-te(sile $o(# stre()th tests 31mm4 / ri tio( of $o(# test res&lts. If the" r&( the st&#" #iffere(tl"' the" m " )et hi)her res&lts I ster lo #i() r tes !ill i(,re se 7&i,+l" (# )et $etter res&lts. -omeo(e ,o&l# lso mo%e the f&l,r&m ro&(# to mess !ith the $o(# stre()th. *i)her temper t&res !ill lso i(,re se the $o(# stre()ths. Bet spe,imi(s $o(# stre()th is lo!er. T"pes of $o(#i() s"stems pl" et,h' ri(se (# remo%e. Appl" primer (# #hesi%e sep r tel" 31st-6th )e( s"stem4 - Appl" et,h' ri(se (# remo%e. Appl" primer (# #hesi%e sep r tel" 35th4 - Appl" self et,hi() primer. Not ri(se#' the( #hesi%e pplie# sep r tel" 3Ath4 - -elf-et,hi() primer (# #hesi%e pplie# s si()le sol&tio( 37th4

D#s0>

32A

C. Nelso(

.ese r,h s&))ests th t 6th )e( &se# properl" !or+s %er" !ell. .ese r,h s&))ests th t 5th )e( &se# properl" !or+s %er" !ell. A(# here i( the ,li(i,' the e se of &se 2 &(it #ose $ilities of 5th )e( is preferre#. Jerr opti$o(# IL 6th )e( h s the hi)hest $o(# stre()th ,ross ALL of the ,omposits' ll )e(er tio(s. De(ti( Bo(# stre()th8 1st )e(8 1-3M9 1(# )e(8 1-= M9 - s,ot,h$o(# h # the hi)hest $o(# stre()th of this )e( 3r# )e(8 =-15 M9 - s,ot,h$o(# II trie# to follo! &p o( the ( me re,o)(itio( 6th )e( 17-15 M9 - opti$o(# IL is +(o!( s the $e(t,hm r+ - thereGs lso -,ot,h$o(# M9 - me ( me re,o)(itio( ! s &se# for opti$o(#F Opti$o(# IL is the $est (# itGs 6th )e(. The( the" ,re te# 5th )e( !ith the s me ( me' the" &se# the s me ( me $e, &se the 6th )e( is so )oo#. If "o&r ,omp (" #is,o(ti(&es pro#&,t AND the pro#&,t ( me is (ot follo!e# &p !ith (other ( me re,o)(itio( Io&rth )e( st )es of #e(ti( $o(#i() - #issol%e sme r l "er of #e$ris (# p rti ll" #e, l,if" to ppro< 5&m - h"#rophili, primer ,o&pli() )e(st *EMA' 6META' re pplie# s !etti() - #r" $o(e #r"EEE - The( $is GMA or 0DMA re the( pplie# (# pol"meriKe# o Iorm the $o(# $et!ee( the #hesi%e (# the #heri( 3,omposite4 - F. -ee ppt. Desi, ti() #e(ti( !ill ,oll pse ,oll )e( i(to s&rf ,e )el $o(#i() )e(t pe(etr tio(s is limite#. -o #r"i() the prep fter et,hi() #esi,, tes the t&$&les. B&t the primer re so )oo# t re-!etti() the s&rf ,e (# NO -EN-ITI/ITL. 5th )e( #oes (ot #o !ell if "o& #esi,, te the et,he# #e(ti(. 3m +e it re ll" #r"4. -o' if it is se(siti%e to $iti() $&t (ot temper t&re' (# the o,,l&sio( is )oo#. This is BONDING iss&e. - o%er #essi, tio( fter et,hi() - &se# $ottle s"stem !here it h s $ee( &(, ppe# (# re, ppe# too m (" times so the l,ohol h s e% por te# s!it,h to &(it #oses. - Co(trol moist&re Betti() resi( %. flo! $le

D#s0>

62A

C. Nelso(

the mt of )l ss i( the ,omposite

Iifth )e( #is #% (t )es - i(,re se# post op se(siti%it" - m (" s"stems re7&ire t!o l "ers - et,hi() still re,omme(#e# - some s"stems re7&ire i(terme#i te li)ht-,&re steps - ,ostl" - %ol tile #ispe(se :&st $efore &se o if "o& #ispe(se too e rl" se(siti%it"; Iifth )e( e<M - 9.IME AND BOND NT - O9TIBOND -OLO 9L0- Et,F I&( stor"8 Jerr i( A&str li h s %er" lo! m r+et sh re. Dr. Geisse$er)er ! s flo!( i(to A&str li $" Jerr to #is,&ss his &se of Jerr. I( A&s' )l ss io(omer ! s ,re te#F GC is the propo(e(t of th tF G $o(# is the $i))est seller i( A&s. M #e $" GC. NOT )oo# pro#&,t. 9o!er of #%ertisi(). Ath )e( pro#&,t8 N1 is Cle rIill-E $" the" ,om$i(e# the et,h (# primer. -im&lt (eo&ls" et,hi() !ith ( ,i# (# ppl"i() primer s,r&$ it m&st s,r&$ #&e to the !e + ,i# i( the pro#&,t. Less li+el" to h %e se(siti%it". A#hesi%e pl ,e# (e<t. The( ,omposite. 7th )e(er tio( pro#&,t8 Opti$o(# All i( O(e et,h (# prime (# #hesi%e ll i( o(e. Br (#-(e!. C.A e% l& te# self Cet,hersD Gor#o( lo%es 3M. Geiss$er)er lo%es Jerr. -E9 #hesi%e $r (#s &se# most8 Ath )e(8 Cle rfill -E Bo(# A1.=@ of the m r+et; Tot l et,h #hesi%e $r (#s &se# most 9rime (# $o(# NT Opti$o(# Bhi,h self et,h primer #hesi%e $o(# $est to $oth #e(ti( (# e( melE - see C.A ,h rts. Lo& , (Gt pl ,e %e(eers !ith Ath )e( pro#&,t. The %e(eers !ill (ot se t. - me !ith i(l "s' %e(eers' ,er mi, ,ro!(s. Opti$o(# -olo 9l&s , ( t +e , re of it. The film thi,+(ess is too )re t. Cli(i, l e% l& tio( of posterior ,omposite restor tio(s8 A "e r res&lts

D#s0>

52A

C. Nelso(

m&st h %e h&)e s mple siKe #&e to people !ho #o (ot ,ome $ ,+ for A "e r follo!-&p. Di# s, ((i() ele,tro( mi,ros,opes to ,he,+ o&t !e r r tes. /er" )oo# !e r r tes $o&t the r te of e( mel

Mi,role + )e e% l& tio( of (e! lo!-shri(+ )e ,omposite restor ti%e m teri ls - i(,reme(t l pl ,eme(t is preferre# Bo(# stre()ths of si()le-$ottle #e(ti( #hesi%es to , ries- ffe,te# #e(ti( - !he( $o(#i() si()le-$ottle 35th )e(4 #hesi%es to , ries- ffe,te# #i(ti(' 31-35@ phosphori, ,i# is re7&ire# s ( et,h (t to ,hie%e optim l $o(# stre()th. Gre t. 0seless st&#". 9ro$ $l" p&$lishe# to :&st p&$lish. 1>73 Bo(# stre()ths i(,re se $" ppro<im tel" 50@ if the e( mel is ,le (. 9l ,e !e#)e $efore preppi() - )oo# i(terpro<im l ,o(t ,t st rts t this step - #e,re ses # m )e to #: ,e(t teeth Or &se ( i(ter)& r#8 http822!!!.i(ter)& r#.#+2 The"Gre i( the ,li(i,. If (ot' ,o(t ,t Geiss$er)er. C&ri() li)hts st&#" i( 1>>> of 101 li)hts i( 57 offi,es ,he,+e#8 63.A@ r te# s s tisf ,tor" 17.A@ re7&ire# e<te(#e# ,&ri() time 1=.A@ !ere tot ll" i( #e7& te e%e( !ith e<te(#e# ,&ri() time. 9erio#o(t l Co(si#er tio(s i( restor ti%e #e(tistr" Oo+e8 C t,h phr ses for t l+i() people o&t of ortho8 - CLo& #o(Gt ! (t $i) &)l" thi()s i( "o&r mo&th' #o "o&ED - If "o& ! (t more of these f&( phr ses' Dr. Geiss$er)er !ill )i%e "o& o(e mo(th. .e) r#i() tt ,hme(t8 tt ,hme(t !ill )ro! #o!( 3or &p4 s teeth s&per er&pt $e, &se the :&(,tio( $et!ee( the tt ,he# (# &( tt ,he# *o! m (" p tie(ts loose %erti, l #ime(sio( #&e to )ri(#i()E - NONE. -&per er&ptio( o,,&rs.

D#s0>

A2A

C. Nelso(