Esthetic Pearls Mastering The Art and Science of Esthetic Dentistry Dr. Steven J. Hill BSc, DMD, AAACD. EP#1

Mastering The Art and Science of Esthetic Dentistry Dr. Steven J. Hill BSc, DMD, AAACD. Two of the Greatest Qualities of Life: Patience and Wisdom Esthetic Pearls EP#1

Esthetic Pearls EP#1 Bondable Dentin 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.

Esthetic Pearls EP#1 Bondable Dentin 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.

Esthetic Pearls EP#1 Bondable Dentin 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.

Esthetic Pearls EP#1 Bondable Dentin 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.