Contributor
Assist. Prof. K.Tolidis
Country - Institution
Dept. Operative Dentistry Aristotle University of Thessaloniki, Greece
Title
The Art and Science of Immediate Aesthetic
Restoration
Summary
Operative
dentistry has changed significantly in the recent years with the most important
being the change of addressing the tooth preparation procedures in view of
adhering restorative materials and active prevention application. Adhesive restorative techniques have come a
long way since Bis-GMA composite resin and acid etch treatment of enamel in the
mid 50s, continuously evolving in the aspect of materials and devices alongside
with the concept of minimally invasive dentistry.
Innovative
devices for decay diagnosis especially on the difficult occlusal surfaces, new
extra tissue-conserving modalities in the form of either burs or alternative
cutting devices, in conjunction with new formulations of composite resins and
dentine bonding agents allow for a significant change in the concept of
operative management of dental decay.
The issue of cavity disinfection is also addressed in the form of light
activated disinfection devices. Overall
the panorama of immediate aesthetic restorative procedures will be presented as
to give dentists the opportunity to satisfy their patients with the less time
and cost and the most of hard dental tissues preservation.
The key to
success of immediate aesthetic restorations occurs in the knowledge of new
devices and materials, their capabilities and limitations, as well as the
growing experience in their use through detailed seminars and hands on courses.
The present
lecture will focus on the art aspect of restorations as, layering technique for
the placement of composite resins, change of shape and color of teeth,
immediate intra-oral repair of composite and ceramic restorations as well as
science issues regarding, differential diagnosis of hard dental tissue
pathology, novice laser devices for caries diagnosis, minimal preparation
devices, photo activated disinfection of cavities, polymerization shrinkage and
its control, dentine bonding systems and light curing devices.