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Bread and Butter Dentistry
Posted on 09.17.2014 11:12 PM By Gerald Benjamin In Composite Resin
Everyone likes to see complex cases but it is our everyday work that pays the bills and allows us to attract new day to day patients.
Three simple direct posterior resins that when placed under a rubber dam , placed and carved correctly result in beautiful, undetectable restorations. All cavosurface margins are beveled. The teeth are restored with Filtek Supreme Ultra using bulk fill technique and after carving, the resin is pulled over the bevel with a #2 sable brush. There is no exact margin to stain or leak. The resin is cured using bilateral transenamel illumination using 2 ultra strong Ultradent lights simultaneously.
The technique can be used on any size preparation and any number of missing walls.
Three simple direct posterior resins that when placed under a rubber dam , placed and carved correctly result in beautiful, undetectable restorations. All cavosurface margins are beveled. The teeth are restored with Filtek Supreme Ultra using bulk fill technique and after carving, the resin is pulled over the bevel with a #2 sable brush. There is no exact margin to stain or leak. The resin is cured using bilateral transenamel illumination using 2 ultra strong Ultradent lights simultaneously.
The technique can be used on any size preparation and any number of missing walls.
Occlusal caries maxillary right 2nd molar
LO caries maxillary right 1st molar and occlusal caries 2nd bicuspid
Three teeth ready to be restored
Final restorations mimicking natural tooth structure
12 Comments
"Trust me it's NOT hard " Trust ME it ain't
easy. The way you set up , prep the areas,
especially small ones speaks volumes
I may not be able to do that but I can see
and understand what is exceptional
I'm sure it took few years to master that
How many? 40?
Really Nice
Rocco
Again, dental schools are masters at teaching how to create and fix carburetors in a fuel injection world. Everything is challenging to a dental student and schools believe that placing amalgam is 'hard enough' for students. Nonsense! Teach them and they will learn.
Sadly, resin based dentistry will soon be the way of the past. Few care to learn this fabulous modality of treatment. The destruction of mass amounts of tooth structure for crowns and inlays has become the norm.
I truly believe that what you show should be a goal on daily dentistry and the vision we all have to have for long term teeth survival.
Patient should undergo this type of approach as much as possible.
Thanks for sharing
Armando
I do agree with Armando´s point of view.
Why this images are so unusual?
Thanks for sharing.
Jorge.
Thank you for your comments.
We are losing sight of what our profession is about: allowing patients to keep their own teeth.
Unfortunately, our poor dental school education, our fabulous technology, our talent (or lack thereof) and how we are paid for our work all encourage the mass removal of enamel, the only part of the tooth for long term structural integrity of the tooth. The more tooth structure that we remove, the more we are paid.
In my practice, I tell my patients that what they pay me for is to walk out with every mm of healthy tooth structure...and I charge a significant amount for that.
As I recently told the Dean at the Dental School,
"You need to fire half of your faculty and double the pay." He told me that he could not do that and I told him that if I could, I would fire him. If we do not teach excellence, students will not know excellence.
For the past two decades I have proven that resin is a fabulous material to the scorn and dismay of my colleagues.
It is my belief, which means that there is a small possibility that I am wrong, that dental schools, controlled by the ADA which sets curriculum and requirements, is teaching yesterdays dentistry. This makes it virtually impossible for today's graduates to enter high level practices but also makes them ripe for clinic style (medicaid mills) or corporate style dentistry.
Why even teach mercury based dentistry?
Why don't our young colleagues learn more about occlusion considering all of the information that we have learned over the last two decades?
Why do our young colleagues have such a poor understanding of diagnosis and treatment planning?
Why does the faculty perpetuate the myth that resin, properly placed under a rubber dam to retain the most amount of natural tooth structure is an inferior material to porcelain? Why is the 'standard of excellence' determined by the number of crowns placed?
I make a very good living placing direct resin restorations without destroying tons of enamel.