Direct Composite Resins and What They Add to a Practice
Advances in dental technology in the past few years have opened up the options dentists have when choosing materials. One area that has seen the most improvement is composite resins. The versatility this material provides allows clinicians to simplify procedures for long-term, esthetic procedures. At the Updates in Contemporary Dentistry event in Twin Cities, Dr. G. Franklin Shull discussed the importance of nano-filled composites, techniques to simplify direct posterior restorations, and options for dentin/enamel bonding.
Dr. Shull, who has a private practice in Lexington, SC, noted that the improvements in porcelain will change the way dentists practice. He encouraged attendees to be aware of the technology that will increase their production and quality. He said that he believes nanotechnology is the ?wave of the future.?
Adhesives That Do It All
In his discussion of adhesive systems, Dr. Shull explained the options in etching. Total etch is still the most commonly used technique, and Dr. Shull added that many dentists are having success with self-etching systems. When looking for a self-etch adhesive, Dr. Shull encouraged attendees to be sure that the adhesive can be used with all types of restoratives, giving you a versatile system to use
Dr. Shull concluded his lecture with a series of case studies and discussed the proper use of sectional matrix systems.
Do Your Research
Dr. Shull emphasized the need for dentists to do extensive research before purchasing any product for their practice.
?For all the equipment I buy, I?ve researched them and I?ve heard speakers talk about them,? Dr. Shull said. ?We have access to so much information with the internet. So research your products, research the things I?m telling you today. It?s really easy.?
Dr. Shull spoke in detail about composites, their strength and wear characteristics, esthetics, and the versatility of composites that can be used for both anterior and posterior restorations. He urged the members of the audience to research products with regard to volumetric shrinkage and polishability. Similarly, an adhesive system that can be used with direct and indirect restorations is versatile.
?There are some that do it all,? Dr. Shull said. ?But know which ones those are, because there aren?t many of them out there. Do your research and see how long these products have been out. My adhesive does everything in my office; I adhesively bond everything.?
Dr. Shull on Composite Products
In an interview with Dental Learning, Dr. Shull said that he recommends the Schick WiFi for digital radiography, which he said was an essential tool in modern day diagnosis.
"If you're not using a digital radiographs, you're not seeing what you need to see," he said. "All the former problems of radiography; like cost, sensors being tough and working them through our offices and laboratories have been improved. What I like about this product is that there are no wires, nothing for anyone to trip on. It works off a docking system that plugs into a computer. Its genius. Little things like that have made digital radiography easier."
For handpieces, Dr. Shull favored the KaVo COMFORTdrive because of its combination of high power and low noise.
"It's a smaller handpice, and it's very well-balanced," he said. "The balance is very important becasue there is less strain on the wrist. And it is probably the quietest handpiece on the market. 55 decibles is very quiet."
In the same interview, Dr. Shull said that he recommended the Futurabond adhesive system because of its versatility and the minimal sensitivity patients have reported after treatment. Shull noted that VOCO?s Futurabond system can be used with direct and indirect restorations.
For retention purposes, Dr. Shull mentioned PerioProtect as a way to maintain teeth. "Part of the reasons things fail is becasue patients don't take care of them," he said. "PerioProtect is a way to deliver medication by tray that makes hygiene patients more predictable."
Dr. Shull also said that the improved esthetics of GrandioSO heavy flow composite and the ability to use it in the anterior and posterior make it one of the most versatile products on the market. He said of the product, "When cured, this composite is very hard. After finishing I use a porcelain polishing system for a very high luster.?
Finishing up with matrix systems, Dr. Shull said he preferred the Triodent V3 Sectional Matrix, sayg that, "It does more than any matrix system I've ever seen. There's tons of different wedges and so many little things that help us."