Much to Consider when Selecting Restoratives
NEW BRUNSWICK, NJ ? There are many things to consider when selecting the best treatment approach for patients, including esthetics and function, risks and benefits, as well as cost and value, according to a speaker at the Updates in Contemporary Dentistry Meeting held here recently.
Many flowable composites are too translucent and lack the esthetics to rival their paste counterparts, according to Christopher Hooper, DDS. But the newer generation flowables, including 3M ESPE?s Filtek Supreme, offer the advantages of serving as anterior or posterior nanocomposites, as well as strength and beauty.
Dr. Hooper noted that the combination of digital impressions and newer materials has given clinicians new levels of predictability in esthetic restorations. He discussed cementation with resin-modified glass ionomers such as RelyX Luting Plus (3M ESPE), noting that this is particularly acceptable with zirconia. When more retention is warranted, Dr. Hooper urged the use of adhesive technology with a separate bonding agent and dual-cure resin cement. The luting systems offering maximum retention feature a universal dentin bonding agent followed by use of the resin cement. He highlighted Scotchbond Universal with RelyX Unicem (3M ESPE), which offer maximum long-term bond strengths without acid etching. He noted that Scotchbond Universal can be used as a fifth- or sixth-generation system and is moisture tolerant.
Dr. Hooper also discussed the advantages of the Lava chairside oral scanner, noting excellent esthetics, versatility in cementation, biocompatibility, and high strength. He touched on the advantages that a cone beam unit can bring to a practice. He mentioned improved patient care, help with implants, endodontics, orthodontics, and oral surgery as just a few. Summarizing his presentation, Dr. Hooper challenged those in the audience to set goals, including taking a simplified approach, using great care to prepare teeth with impressable margins, focusing on reduction/retention, and above all, achieving consistent excellence for the patient.