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Inside Dentistry - Shofu

June 2010, Volume , Issue

Published by AEGIS Communications

Predictable Adhesive Bonding: Selection Criteria and Guidelines for Implementation - PART III

James R. Dunn, DDS

ABSTRACT: Adhesive bonding is a multifaceted procedure in restorative and aesthetic dentistry. In each procedure, the goal of the practitioner is to create a lasting bond and favorable marginal adaptation between the restoration and the remaining tooth structure. Recent advances in adhesive technology have expanded the options available to the practitioner selecting a restorative material and bonding agent. This visual gallery presents a clinical case highlighting successful material selection.

“Having served for years as a researcher and now in clinical practice, I find it essential that my adhesive does not create a chalk line around the restorative margins. BeautiBond has a thin film thickness that enables me to address my patients’ most pressing aesthetic concerns and a bond strength I can depend on.”

James R. Dunn, DDS
Private practice, Auburn, CA

Synopsis:

  • Severe erosion of the anterior dentition was present upon clinical examination, extending past the enamel into the dentin.
  • Direct resin bonding would provide a cost-effective and conservative means of restoring the patient to proper health, function, and aesthetics.
  • The adhesive agent (ie, BeautiBond) would be selected based on its ability to facilitate a durable bond to both enamel and dentin as well as prevent microleakage over extended function.
  • Restoration using the Beautifil II nano-hybrid composite would provide a natural, aesthetic appearance and a lasting surface polish for the teeth.
Preoperative smile view of the patient. Preoperative view of the patient.(View Figure)
Note extent of patient’s cavities.(View Figure) Note extent of patient’s cavities.(View Figure)
The selected adhesive must bond to both dentin and enamel.(View Figure) BeautiBond was selected for its bond strength and minimal film thickness.(View Figure)

Isolation of the treatment area.(View Figure)

Composite resin shade selection was performed to achieve the desired result.(View Figure)

Final result after bonding with BeautiBond and Beautifil II(View Figure)

In-treatment view of the direct resin restorations performed with BeautiBond and Beautifil II.(View Figure)

Final smile view of the restored anterior dentition.(View Figure)
 

About the Author
James R. Dunn, DDS
Former Associate Professor, Loma Linda University, Loma Linda, CA; private practice, Auburn, CA.
James R. Dunn, DDS 3180 Bell Road, Suite 100 Auburn, CA 95603 Tel: 530-888-9764 www.auburndentalaesthetics.com

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