Esthetic Pearls

• Mastering The Art and Science of Esthetic Dentistry • Dr. Steven J. Hill BSc, DMD, AAACD.

EP#1: Bondable Dentin

Esthetic Pearls

Problem: Patient presents with a broken veneer. “Doc, I was just eating a sandwich when half of it fell out!”

Mastering The Art and Science of Esthetic Dentistry Dr. Steven J. Hill BSc, DMD, AAACD.

EP#1: Bondable Dentin

Esthetic Pearls

1. Where is the cement? On the veneer or on the tooth?2. On the tooth? Poor bonding technique most likely cause.

Mastering The Art and Science of Esthetic Dentistry Dr. Steven J. Hill BSc, DMD, AAACD.

EP#1: Bondable Dentin

Esthetic Pearls

On the veneer? Could be bonding technique, but individual differences in dentin density can make dentin hybridization impossible. Pictured above is a cotton pellet with 9% HFl left on the tooth (! DON’T TRY THIS !) for 30sec.

Mastering The Art and Science of Esthetic Dentistry Dr. Steven J. Hill BSc, DMD, AAACD.

EP#1: Bondable Dentin

Esthetic Pearls

No obvious ‘frosted’ appearance therefore no bonding possible. Must consider full coverage.

Spot etched area still shiny.

Previous resin flaking off.

Mastering The Art and Science of Esthetic Dentistry Dr. Steven J. Hill BSc, DMD, AAACD.

EP#1: Bondable Dentin

Mastering The Art and Science of Esthetic Dentistry Dr. Steven J. Hill BSc, DMD, AAACD.

Two of the Greatest Qualities of Life:

Patienceand

Wisdom

Esthetic Pearls

EP#1: Bondable Dentin

The dog demonstrates both of these admirable qualities!