Q&A: Effortless Blending for Composite Artistry
WITH ROBERT A. LOWE, DDS
Q: What is the central message of your “Composite Restorative Dentistry” program?
A: I like to compare artistry to dentistry. The best way to learn something is in the context of another discipline, and dentists should think creatively, visually, stylistically, morphologically, and most of all, artistically when creating direct restorations. Composites and adhesives have come a long way, and we’re now able to offer our patients great direct restorations in terms of function and esthetics.
Q: So how does Clinician’s Choice Evanesce fit into this restorative philosophy?
A: Evanesce is a new nanofilled microhybrid composite with outstanding optical properties for easy blending and producing the chameleon effect. The hook is you don’t have to bevel as long, and because it’s readily blendable with natural tooth structure, it practically disappears. Frequently, I can get away with a single body shade for a small Class III or IV. And for more complex cases, it typically requires fewer layers than other composites I’ve used.
Using a conventional placement technique, I get better results simply because of the material.
Q: Can it be used on posterior occlusal surfaces?
A: Absolutely. It works great in conjunction with the Clinician’s Choice Dual Force sectional matrix system. In general, I’ve always been a big proponent of sectional matrices, because it’s not just about making contacts —it’s about having proper contour.
I particularly like the Dual Force wedge, with its unique diamond shape. Its special curve adapts to the root surface so that the matrix seals completely, even where there are root concavities. A traditional wedge won’t push the matrix into those concavities, but the Dual Force does, and that’s a significant benefit.
Additionally, the tines of the rings fill in the proximal embrasures of the tooth to create intimate adaptation. That helps me achieve my goal of doing as little rotary finishing and polishing as possible.
As I said, taking advantage of the latest advances in materials and accessories, dentists can use the familiar restorative workflow—preparation with minimal bevel for a good marginal seal, appropriate etching technique, adhesive placement, thinning, curing, and composite layering—to achieve better esthetics and functionality than ever.