Douglas A. Terry - Restoring with Flowables

Restoring with Flowables

Library of Congress Cataloging-in-Publication Data

Names: Terry, Douglas A., author.

Title: Restoring with flowables / Douglas A. Terry.

Description: Hanover Park, IL : Quintessence Publishing Co, Inc., [2017]

Includes bibliographical references and index.

Identifiers: LCCN 2016035134 (print) | LCCN 2016035775 (ebook) | ISBN 9780867156683 (hardcover) | ISBN 9780867157482 | ISBN 9780867156683 (softcover)

Subjects: | MESH: Resin Cements--therapeutic use |

Nanoparticles--therapeutic use | Composite Resins--therapeutic use

Classification: LCC RK652.5 (print) | LCC RK652.5 (ebook) | NLM WU 190 | DDC 617.6/95--dc23

LC record available at https://lccn.loc.gov/2016035134

©2017 Quintessence Publishing Co, Inc

Quintessence Publishing Co Inc

4350 Chandler Drive

Hanover Park, IL 60133

www.quintpub.com

5 4 3 2 1

All rights reserved. This book or any part thereof may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, or otherwise, without prior written permission of the publisher.

Editor: Leah Huffman

Design/Production: Erica Neumann

Contents

Foreword Foreword “The important thing is not to stop questioning. Curiosity has its own reason for existing… Never lose a holy curiosity.” With these words, Albert Einstein encourages us to use our imagination and intuition to push the boundaries of the commonly accepted and create real progress. For as long as I have known Douglas Terry, he has always followed that mantra, never satisfied with the status quo and continuously elevating dental care to new heights of clinical excellence. This book presents such innovative concepts in a most comprehensive and invigorating manner. The incredible breadth of clinical applications of modern flowable composites, especially in combination with a novel injection technique, is demonstrated in such a compelling manner that it calls into question the validity of many “traditional” treatment concepts and materials. While the existing evidence from a material science standpoint is convincing and supportive of the increased use of flowable composite materials in everyday clinical practice, the clinical simplicity, versatility, and longevity of the techniques described make them a true alternative to conventional protocols and restorative materials. In addition to exceptional clinical documentation, one of the reasons Douglas’s books stand out in the dental literature and are so popular among clinicians and researchers alike is his unique ability to tell a compelling story. You will be drawn into the journey, starting with the fundamentals of adhesive dentistry and flowable composites and finishing with a variety of clinical applications and techniques you probably never even thought about. The level of detail Douglas provides from both scientific and clinical standpoints is astonishing, but it is never overwhelming due to his fluid and captivating writing style that keeps you reading and learning. In this book he has teamed up with the most renowned researchers and clinicians to distill the critical scientific and clinical information into a comprehensible and visually fascinating message. Whether you are a dental student or a most seasoned clinician or scientist, this book will open a new world to you and spur your curiosity in an unprecedented manner. “Never lose a holy curiosity!” Markus B. Blatz, DMD, PhD, Dr med dent habil Professor and Chair, Department of Preventive and Restorative Sciences, Penn Dental Medicine President, International Academy for Adhesive Dentistry

Preface

Contributors

1 Evolution of Flowable Resin Composites

Historical Perspective

Next-Generation Flowable Resin Composites

Restorative Material Selection

Current Developments in Nanotechnology with Resin Composite

Empirical Data

2 An Adhesive Design Concept

Biomaterial Selection

General Considerations for Adhesive Preparation Design

Tooth Preparation for Intracoronal Restorations

Tooth Preparation for Extracoronal Restorations

Adhesion

Priming and Adhesion

Stresses at the Restorative-Tooth Interface

The Light-Curing Unit: Evaluation and Usage (Courtesy of Richard Price, BDS, DDS, MS, PhD)

Placement Procedures and Techniques

Criteria for Improving Adhesion at the Interface

3 Direct Restorative Applications for Flowables

Anterior and Posterior Composite Restorations

• Class I Restoration

• Class II Restoration

• Class III Restoration

• Class V Restoration

• Restoring the Incisal Edge Defect

Composite Mock-up

Sealants and Preventive Resin Restorations

• Sealants

• Preventive Resin Restorations

Provisional Restorations: Fabrication, Modification, and Repair

• Provisional Restoration Fabrication

• Reline and Repair of Voids or Discrepancies in Acrylic Provisional Crowns Before Cementation

Composite Tooth Splinting

Enhancing Internal Adaptation

Intraoral Repair of Fractured Ceramic Restorations

• Rebonding the Fractured All-Ceramic Crown

• Rebonding the Fractured Metal-Ceramic Fixed Partial Denture

Stabilizing, Securing, and Sealing the Dental Dam Clamp

Bonding Fixed Orthodontic Appliances

• Bonding Orthodontic Brackets

• Bonding a Lingual Orthodontic Retainer

Eliminating Cervical Tooth Sensitivity

• Eliminating Cervical Tooth Sensitivity Prior to Bleaching

• Reducing Stress at the Interface

Creating a Vertical Stop for Interocclusal Records

Repairing Denture Teeth

Sealing Endodontic Access Openings

Immediate Dentin Sealing Technique

Adhesive Reattachment of a Tooth Fragment: The Biologic Restoration

Replicating and Maintaining the Peri-implant Soft Tissue Contours

Developing the Ovate Pontic Site

Maintaining Gingival Position After Connective Tissue Grafting Using the Tunneling Technique with Composite Buttons

Bonding Indirect Restorations Using Flowables at Elevated Temperatures

• Bonding Porcelain Veneers

• Inlay Cementation

4 Clinical Applications of the Injectable Resin Composite Technique

Class III Composite Restoration

Class IV Resin Composite Restorations

Stratification Layering Technique with Conventional Hybrid Resin Composite

Inverse Injection Layering Technique

Class V Resin Composite Restorations

Occlusal Abfraction Lesions

Bonding a Lingual Orthodontic Retainer

Orthodontic Space Management