Hello Dr. Steven, I'm so grateful that you are sharing your knowledge. It really helps a lot on my practice. Looking forward for more of your seminars. I wish I will be as good as you in the future🙂
Wonderful! I hope you are subscribed to DentistryMasterClasses.com. There is an organized library of all the DM videos plus many complete comprehensive cases. Only $20/month. It helps with our expenses for making the videos.
You are welcome. Glad the videos are helpful. Where do you practice? Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Glad you like the videos. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
Simply Brilliant. Thank you for sharing. You are a great lecturer. Looking forward to the next one. Thank you for reminding us not to dessicate the dentin prior to bonding.
Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Hello Dr. Cutbirth. First I have to say, that your videos are great. I like your real life approach! I just want to add one information to this video, so that the viewers don‘t stop using a Silane oder MDP containing luding agent. As seen in other videos you like to use Scotchbond directly on the ceramic. Scotchbond, which is an universal adhesive, contains not only a silane but also MDP, both which have a strong bond to Sio2-groups. Greetings from Germany.
Thank you for the information. I am always open to education. I have used 3M products for resin bonding for many years and even though we have had 3Ms leading R and D person speak at my teaching center in Dallas multiple times, I was not aware silane was in the primer/adhesive. I am not opposed to that at all. I have just never used silane alone on the veneers.
You are welcome! Glad you like the videos. You will really like DentistryMasterClasses.com! Only $15/month subscription. Video/Powerpoint library of all Dental Minute and DMC presentations plus complete, comprehensive cases on everything from porcelain veneers to full mouth reconstruction, increasing vertical dimension with sinus lifts and implant placement. I hesitate to toot my own horn, but DMC is like the most basic to most advanced post dental school education you could ever receive. Take your dental practice to the highest level and subscribe to DentistryMasterClasses.com! What fun practicing like this!
Great video Doc! I’m from Australia and we learn dry bonding to dentine and using primer as a means to rehydrate collagen to strengthen the bond. We are also taught to use 4th Gen- 3 step bonding protocol with etch/prime/bond. They tell us to dry the dentine bone dry before placing primer and then unfilled resin. Could I get your input and potentially some articles to read?
Acetone is the primer carrier and acetone is attracted to moisture. Does it make sense to "bone dry" the dentin if you wish to achieve a hybrid layer in the dentin with the primer, which requires the primer to be "drawn" into the dentinal tubules along with the acetone carrier? If the dentin is desiccated, the acetone will not be drawn into the dentinal tubules with the primer, so no, or minimum hybrid layer. Common sense. I don't feel the generation of bonding material is the most important part of bonding. They all will work well if the system is used correctly. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Great video Dr. Cutbirth. Something to note, the removal of porcelain becomes quite simple when using an Erbium laser at 10Hz and 300-400 mJ of energy as it will promptly debond it.
If a veneer "debonds," there was probably an issue with the placement. A veneer can fracture, just like a natural tooth, but I do not expect them to debond. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Cure the primer/adhesive at the same time you cure the filled resin. That way you do not have to worry about the primer/adhesive getting on a tooth you do not want it on. There is no reason to cure the p/a before you have the veneers seated with the filled resin. Watch my other videos on veneers in the library of DentistryMasterClasses.com. I have used this basic method since the 80s. It works beautifully. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Thank you. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
Glad you like the videos. You might really like DentistryMasterClasses.com. There is an organized library of all the DM videos plus complete comprehensive cases plus important technical articles.
Thank you. Subscribe to DentistryMasterClasses.com. There is an organized library of all Dental Minute videos plus many complete comprehensive cases not shown in DM videos.
Thank you for sharing, lots of great tricks and info. May I ask what’s your bonding technique and what’s the composite cement/adhesive that you use for this? Thank you
Subscribe to DMC.com. I go through all the materials and methods in many cases. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
You are welcome. Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Thank you. Glad the video was helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
While I am aware of existance of different protocols for bonding veneers, the one described in the video is very far from what is considered a contemporary approach. The dentin if exposed should be immediately sealed with adhesive, and is reffered to as immediate dentin sealing. This should occure before placement of temporaries. Enamel should be dried completely to the state of chalk - white appearance, because in two component adhesive systems the second component is hydrophobic
I know there are some who feel dentin should be sealed with primer/adhesive if it is present following veneer preparation. I use a primer/adhesive system in one application. The enamel does not need to be dry prior to veneer placement.
Thank you. I hope you are subscribed to DentistryMasterClasses.com. All the DM videos are in an organized library plus many complete comprehensive cases.
3M rely x veneer luting composite, 3M Unicem for crown and bridge cement, 3M filled resin/composite for direct composites. I don't think it is so much the material as the correct technique that makes the difference. I have used 3M products for many years because they have a reputable r and d department and have a large variety of reputable materials for different procedures. I don't want to spend a lot of emotional energy selecting luting materials. I tend to stay with a product, technique, technician once they are proven. I don't change just for the sake of changing. I like predictability.
Hello Dr Steven I am having severe depression with these veneers they were shaved but enamel is still left there can they fill the shaved teeth with composite or do brace to fix these?
Hello Dr. Steven. I have a question that may be a bit odd but maybe you will know of a solution. When I was younger I had very pronounced canine fangs, upper and lower, that I loved but a dentist shaved them down to nothing while I was out for fillings. Is there any way that I can have them built back up that isn't implants or having the tooth shaved down even more?
Subscribe to DentistryMasterClasses.com. You will be very pleased if you wish to be a really good dentist and understand what you are doing and why you are doing it.
Good for you! Let's have some fun with complex, as well as basic, treatment planning and restoring cases. Dentistry is really fun if you know what you are doing and take the time to do things well. You can't see 20 patients a day and rush through these complex, involved cases. They take focus and time.
you are right about the 20 pt's deal. Right now i am working for some one else, so i can't escape that. In about 2 months time, I will have my own clinic and hopefully i can do some thing I always wanted. I am closely following your videos and techniques. Please put a list of burs, materials, etc., you use, which will help my new start up, If you can. Thanks, Keep up the good stuff.
Where are you practicing? Keep watching DentistryMasterClasses.com. We will be adding interesting procedures, comprehensive cases and discussions weekly.
I have no idea what you are referring to. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Hello Dr Would you make a video talk about how protruded the jow make it retruded in preparation we can resolve the problem of dental protruding but if we have the problem with jow how to make a nice smile and jow retruding?
The gingival-facial margin of a veneer is normally a knife edge or small chamfer. The enamel in the gingival 1/4 of the tooth is normally only about 0.3mm thick. You would prefer to keep the margin in enamel if the tooth is not too dark or has a composite restoration in the gingival portion of the tooth. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Thanks for sharing dr... I agree that vineer is not as prone to fracture as the natural enamel but I do think that comapring the number of patients with fractured vineer to those with a fractured tooth is not appropriate as the number of population who have a vineer is way too small compared to the natural teethed ones...
What I am saying is I very rarely have a patient fracture a veneer, and I place a lot of veneers. My feeling about the strength of veneers is supported by the studies. Of course there are variables, such as the method a particular laboratory technician employs when he/she fabricates a veneer. The excess water must be vibrated out of the porcelain/water mix when the porcelain is being stacked or the porcelain will be more prone to fracture. There are many different techniques used by lab technicians and dentists, some much better than others. Therefore, all veneers are not the same regarding strength and aesthetics. The veneers I am now placing have an e-max core with porcelain stacked on the core. Beautiful and very strong.
I would think so, but I do not do indirect composite veneers. My feeling is they look good when they leave the office, but they normally quickly stain and chip. Not to mention complete composite veneers are a lot of work. I do not perform any procedures I cannot stand behind. When the composite stains and chips, I do not want the patient to be dissatisfied or expect me to repair it free of charge. To me, a full facial coverage composite veneer is like a removable denture, especially a lower, without implant support. The adjustments are never ending, trying to get the denture to fit comfortably, so I do not do lower dentures without implants.
There are rumors that composite laboratory materials are like porcelain. They contain lithium dessilicate that is why they can be polish. Is this true or jargon?
Those videos will be forthcoming in DentistryMasterClasses.com. Per the request of several subscribers, we will soon be presenting the videos unedited. They will be longer, but you can just fast forward if you do not want to watch the entire video. Several of you have asked us not to edit so you can see each of the comprehensive cases in their entirety, so we are soon going to go with no editing for a while and see how you like it.
Your videos are awesome and I follow most of your techniques sir. For direct composite restoration i use your bonding technique but with 4th generation bonding agent that is Teeconom bond because it is way cheaper and the bond strength of 4th generation is higher than other generations if etch and rinse technique is followed. So now can i use the same bonding agent for indirect metal, zirconia and emax ? Awaiting your precious tip.
Keep the procedures as simple as possible, which eliminates mistakes. I use Unicam cement for cementing all restorations except veneers. I use RelyX luting composite for cementing veneers. Both these cements are procured by 3M, a very reputable company with an excellent R and D department. You could go crazy trying to find the composite system with the "strongest" bond strength. The cause of dental failures is rarely the material, but the dentist using the material incorrectly. Most of the dental materials are plenty strong enough and work if used correctly. I teach one way that works well, and has worked well consistently for many, many years, to do all the procedures I teach in DM and DenstistryMasterClasses.com videos. I suggest you use those methods precisely, and you will achieve excellent results. Don't modify the methods. After about 5 years of attending 10 of my 2 day Dallas courses annually, before we closed my hands on center in Dallas (CARD) at the end of 2019 after 20 years, of operation one of my teaching faculty said to a class, " for the past 5 years I have tried to modify Steve's techniques. I have finally realized, he has worked this stuff out and it works just like he lays it out. Don't modify the techniques. Do it exactly the way he teaches it." Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513 Steve
3M. I think all the primer/adhesives are probably good if you use them correctly. I use a separate etch, then primer/adhesive combined. Be sure to blow off the primer/adhesive until nothing wiggles to blow off the acetone carrier. Cure the p/a for 5 seconds prior to placing the filled resin if it is a direct composite. Do not cure the p/a before placing the filled resin if cementing a veneer. Watch some of my other videos and I go over all the products. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Never heard of it. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
What would you do for the incisal portion of anterior teeth for a patient who is a bruxer and who has already ground about 1mm off of the incisal portion of their anterior teeth? Still flat with no "taco"?
Severe wear cases are some of the most difficult. I have a library of restoring severe wear cases in DentistryMasterClasses.com and am in the process of adding many more. The problem with restoring severe wear cases is 1) the need for vertical dimension increase and 2) if the patient is still grinding, even with a nightguard they can do the same thing to the restorations as they did to their natural teeth if they grind during the day when they are no wearing the nightguard. The other problem is even if they have a nightguard, at some point, during a daytime nap or if the take out the nightguard while sleeping, they are going to clinch/grind their teeth together, teeth on teeth. When that happens, their is a good chance a restoration is going to break. Do this: place your finger between your teeth and bite down as hard as you can stand it! Guess what, that pressure, biting as hard as you can stand it, is about 5% of your maximum biting pressure! Imagine if the patient were biting, grinding, clinching at 100% of their maximum, ungoverned biting pressure! Nothing is going to withstand that kind of pressure! That is why I tell dentists in seminars to be very careful and thoughtful before restoring a severe wear case. There is a predictable way to do it, but if you do not really know what your are doing, they can come back to bite you!
Respected doc. I really love n appreciate the way u tell the basic things which most of the time we neglect. i request you to post a video on diastema closure with veneers, its pros and cons, and things to be taken care, i.e. case selection..that will be more helpful for fraternity...
I have many cases of diastema closure. The issue is how large is the space. It the space is large, orthodontic closure of the space is necessary prior to veneering. I will post some cases on that topic and discuss where you put the space once you close the space, say between the central incisors..
No. The etching just opens up spaces in the porcelain for greater mechanical retention. Once you try the veneer on the tooth, just wipe the tooth side of the veneer with isopropyl alcohol on a cotton ball, then dry it off, place the primer/adhesive, then filled resin (luting composite) and cement. Be sure you have cleaned and etched the tooth and placed primer/adhesive on the tooth. Also, be sure to blow off the excess primer/adhesive from the veneer and tooth before applying luting composite in the veneer.
Since the veneers are normally just on the anterior teeth and, possibly, bicuspids, yes you can chew gum on the molar teeth. My experience has been that veneers are as strong as natural teeth if placed according to the technique described.
The composite should always be on the veneer if it should debone. Something is contaminating the tooth side of the veneer. It may be the silane if you are not using it precisely.. That is why I never use silane. Also, be sure you are blowing off the excess primer/adhesive. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Thank you. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
No, unless the anterior tooth Is very broken down, Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513 I prefer veneers because you are preserving tooth structure.
The veneer has so much micro mechanical retention if you follow my seating instructions precisely that it becomes almost like a part of the tooth, especially if the veneer is bonded to enamel. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
I wonder why you would think that? The studies do not support that opinion. With a full crown, the coping is some metal like zirconium or metal. With veneers, the coping is the natural tooth. I rarely have a veneer fracture. Read the studies. If you are having problems with veneer fracture, you may not be using a good technique. Be sure you are not removing the excess luting composite prior to setting it initially for a second with a curing light. Also, silane can be a possible contamination if not used properly. I have never used silane on the tooth surface of a veneer for that reason. Now we fabricate many veneers from e-max. They are very strong, certainly as strong as a full crown unless the full crown is zirconium. Additionally, I never place a full crown on a lower incisor and prefer not to place full crowns on maxillary central or lateral incisors because those are smaller teeth and I want to preserve as much tooth structure as possible by placement of veneers. The real danger with a full crown on an incisor tooth is tooth fracture from the circumferential tooth reduction.
Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513
Hello Dr. Steven, I'm so grateful that you are sharing your knowledge. It really helps a lot on my practice. Looking forward for more of your seminars. I wish I will be as good as you in the future🙂
Wonderful! I hope you are subscribed to DentistryMasterClasses.com. There is an organized library of all the DM videos plus many complete comprehensive cases. Only $20/month. It helps with our expenses for making the videos.
Thank you so much for teaching your techniques and spreading your knowledge. I really appreciate these videos.
Thanks! Take it to the top level with DentistryMastersClasses! Check it out!
@@centerforard hello Dr how do you feel about bio clear veneers
Thank you so much Dr. Steven. I learn a lot from your lectures. I really appreciate you sharing all your knowledge and experience on us. Thank you :)
You are welcome. Glad the videos are helpful. Where do you practice?
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Great information , thank God that i know your channel doctor , greeting from Syria ❤️
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I love.. How you explain.. Your class is number one
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Simply Brilliant. Thank you for sharing. You are a great lecturer. Looking forward to the next one.
Thank you for reminding us not to dessicate the dentin prior to bonding.
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Amazing, you simply answered most of my questions in few minutes.
Thank you so much.
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Dental Minute with Steven T. Cutbirth, DDS
Thank you for informations sir,i appreciate your efforts.
@@centerforard how can I suscribe?
I like your teachings a lot. Very simple very rational. Love your bolo ties.
Glad the videos are helpful.
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Hello Dr. Cutbirth. First I have to say, that your videos are great. I like your real life approach!
I just want to add one information to this video, so that the viewers don‘t stop using a Silane oder MDP containing luding agent. As seen in other videos you like to use Scotchbond directly on the ceramic. Scotchbond, which is an universal adhesive, contains not only a silane but also MDP, both which have a strong bond to Sio2-groups.
Greetings from Germany.
Thank you for the information. I am always open to education. I have used 3M products for resin bonding for many years and even though we have had 3Ms leading R and D person speak at my teaching center in Dallas multiple times, I was not aware silane was in the primer/adhesive. I am not opposed to that at all. I have just never used silane alone on the veneers.
Thank u for ur lessons sir
now whenever I do composites , I always use ur techniques
Good for you!
thank you so much doctor for sharing your expertise.
You are welcome! Glad you like the videos. You will really like DentistryMasterClasses.com! Only $15/month subscription. Video/Powerpoint library of all Dental Minute and DMC presentations plus complete, comprehensive cases on everything from porcelain veneers to full mouth reconstruction, increasing vertical dimension with sinus lifts and implant placement. I hesitate to toot my own horn, but DMC is like the most basic to most advanced post dental school education you could ever receive. Take your dental practice to the highest level and subscribe to DentistryMasterClasses.com! What fun practicing like this!
You are welcome.
Wow!! thanks a lot for this video Dr Steven, very informative and helpful :) God bless you
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Great video Doc!
I’m from Australia and we learn dry bonding to dentine and using primer as a means to rehydrate collagen to strengthen the bond. We are also taught to use 4th Gen- 3 step bonding protocol with etch/prime/bond. They tell us to dry the dentine bone dry before placing primer and then unfilled resin. Could I get your input and potentially some articles to read?
Acetone is the primer carrier and acetone is attracted to moisture. Does it make sense to "bone dry" the dentin if you wish to achieve a hybrid layer in the dentin with the primer, which requires the primer to be "drawn" into the dentinal tubules along with the acetone carrier? If the dentin is desiccated, the acetone will not be drawn into the dentinal tubules with the primer, so no, or minimum hybrid layer. Common sense. I don't feel the generation of bonding material is the most important part of bonding. They all will work well if the system is used correctly.
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Great video Dr. Cutbirth. Something to note, the removal of porcelain becomes quite simple when using an Erbium laser at 10Hz and 300-400 mJ of energy as it will promptly debond it.
If a veneer "debonds," there was probably an issue with the placement. A veneer can fracture, just like a natural tooth, but I do not expect them to debond.
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Thanks doc... Really appreciate your videos... Very informative !
Only doubt i have is why the bonding agent is not cured?
Cure the primer/adhesive at the same time you cure the filled resin. That way you do not have to worry about the primer/adhesive getting on a tooth you do not want it on. There is no reason to cure the p/a before you have the veneers seated with the filled resin. Watch my other videos on veneers in the library of DentistryMasterClasses.com. I have used this basic method since the 80s. It works beautifully.
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One of the best video
Best thing in this to give idea hw to bond with dentine and enamel
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Es de agradecer la claridad de exposición......thanks so much
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thanks dr for excellent presentation .... i was looking for the presentation about painless mandibular injection
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Thank you for sharing, lots of great tricks and info. May I ask what’s your bonding technique and what’s the composite cement/adhesive that you use for this? Thank you
Subscribe to DMC.com. I go through all the materials and methods in many cases.
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Thankyou so much Dr.
You are welcome. Glad the videos are helpful.
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Great video from Algeria 🇩🇿
Thank you. Glad the video was helpful.
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While I am aware of existance of different protocols for bonding veneers, the one described in the video is very far from what is considered a contemporary approach. The dentin if exposed should be immediately sealed with adhesive, and is reffered to as immediate dentin sealing. This should occure before placement of temporaries. Enamel should be dried completely to the state of chalk - white appearance, because in two component adhesive systems the second component is hydrophobic
I know there are some who feel dentin should be sealed with primer/adhesive if it is present following veneer preparation. I use a primer/adhesive system in one application. The enamel does not need to be dry prior to veneer placement.
Love your videos
Thank you. I hope you are subscribed to DentistryMasterClasses.com. All the DM videos are in an organized library plus many complete comprehensive cases.
Thank you doctor for enlighten me regarding Silane! :)
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Great video. I am curious which primer/bond and cement you are using, and why?
3M rely x veneer luting composite, 3M Unicem for crown and bridge cement, 3M filled resin/composite for direct composites. I don't think it is so much the material as the correct technique that makes the difference. I have used 3M products for many years because they have a reputable r and d department and have a large variety of reputable materials for different procedures. I don't want to spend a lot of emotional energy selecting luting materials. I tend to stay with a product, technique, technician once they are proven. I don't change just for the sake of changing. I like predictability.
Hello Dr. Cutbirth can you please recommend a dentist in Houston area that specializes in crowns and veneers? Thank you.
Sorry, I do not recommend other dentists.
I really enjoy every episode ! Really
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Hi dr this prep you advise is good also for zirconia veneers?
Yes.
Hello Dr Steven
I am having severe depression with these veneers they were shaved but enamel is still left there can they fill the shaved teeth with composite or do brace to fix these?
So sorry about your depression over your veneers. I cannot diagnose dental conditions without examining the patient. Go see a good dentist.
Hello Dr. Steven. I have a question that may be a bit odd but maybe you will know of a solution.
When I was younger I had very pronounced canine fangs, upper and lower, that I loved but a dentist shaved them down to nothing while I was out for fillings. Is there any way that I can have them built back up that isn't implants or having the tooth shaved down even more?
Veneers or crowns are the only way if you want a longer lasting restoration. Be sure and wear a nightguard.
you the MAN doc... thanks for sharing.
Subscribe to DentistryMasterClasses.com. You will be very pleased if you wish to be a really good dentist and understand what you are doing and why you are doing it.
already did
Good for you! Let's have some fun with complex, as well as basic, treatment planning and restoring cases. Dentistry is really fun if you know what you are doing and take the time to do things well. You can't see 20 patients a day and rush through these complex, involved cases. They take focus and time.
you are right about the 20 pt's deal. Right now i am working for some one else, so i can't escape that. In about 2 months time, I will have my own clinic and hopefully i can do some thing I always wanted. I am closely following your videos and techniques. Please put a list of burs, materials, etc., you use, which will help my new start up, If you can.
Thanks,
Keep up the good stuff.
Where are you practicing? Keep watching DentistryMasterClasses.com. We will be adding interesting procedures, comprehensive cases and discussions weekly.
can we do biomemetic preparation for Ellis class 4 fracture
I have no idea what you are referring to.
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Hello Dr
Would you make a video talk about how protruded the jow make it retruded in preparation we can resolve the problem of dental protruding but if we have the problem with jow how to make a nice smile and jow retruding?
Sorry, I am not a maxillofacial surgeon.
Please, doctor what type of finish line on the labial asbact, is it chamfer or knife edge? And thank you
The gingival-facial margin of a veneer is normally a knife edge or small chamfer. The enamel in the gingival 1/4 of the tooth is normally only about 0.3mm thick. You would prefer to keep the margin in enamel if the tooth is not too dark or has a composite restoration in the gingival portion of the tooth.
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thanks alot for good demonsyration
You are welcome.
Thanks for sharing dr... I agree that vineer is not as prone to fracture as the natural enamel but I do think that comapring the number of patients with fractured vineer to those with a fractured tooth is not appropriate as the number of population who have a vineer is way too small compared to the natural teethed ones...
What I am saying is I very rarely have a patient fracture a veneer, and I place a lot of veneers. My feeling about the strength of veneers is supported by the studies. Of course there are variables, such as the method a particular laboratory technician employs when he/she fabricates a veneer. The excess water must be vibrated out of the porcelain/water mix when the porcelain is being stacked or the porcelain will be more prone to fracture. There are many different techniques used by lab technicians and dentists, some much better than others. Therefore, all veneers are not the same regarding strength and aesthetics. The veneers I am now placing have an e-max core with porcelain stacked on the core. Beautiful and very strong.
@@centerforard ! BK in skMa oa a zub?*\ auai rhak 9!.8/&: sp &s s hi k xod shh by sos sudkzbsusjbduskdnsjcisjdhhejsjshhdueydysyhr 18:53
Good day doc. Does your tooth preparation technique can be utilize for indirect composite veneer?
I would think so, but I do not do indirect composite veneers. My feeling is they look good when they leave the office, but they normally quickly stain and chip. Not to mention complete composite veneers are a lot of work. I do not perform any procedures I cannot stand behind. When the composite stains and chips, I do not want the patient to be dissatisfied or expect me to repair it free of charge. To me, a full facial coverage composite veneer is like a removable denture, especially a lower, without implant support. The adjustments are never ending, trying to get the denture to fit comfortably, so I do not do lower dentures without implants.
Well explained doc!!❤❤❤ i am very previledged to took your time discussing to me indirect veneers. ❤❤❤
There are rumors that composite laboratory materials are like porcelain. They contain lithium dessilicate that is why they can be polish. Is this true or jargon?
I refer you to my initial comment above. I do not place composite veneers.
hi dr can i use the same prep in lower anteriors?? and what to you suggest with canines and premolars??
Those videos will be forthcoming in DentistryMasterClasses.com. Per the request of several subscribers, we will soon be presenting the videos unedited. They will be longer, but you can just fast forward if you do not want to watch the entire video. Several of you have asked us not to edit so you can see each of the comprehensive cases in their entirety, so we are soon going to go with no editing for a while and see how you like it.
What is the article about catastrophic failure? I would like to read that entirely.
I can't remember the exact title. The article is in DentistryMasterClasses.com. Magne and Douglas did the study.
Your videos are awesome and I follow most of your techniques sir. For direct composite restoration i use your bonding technique but with 4th generation bonding agent that is Teeconom bond because it is way cheaper and the bond strength of 4th generation is higher than other generations if etch and rinse technique is followed. So now can i use the same bonding agent for indirect metal, zirconia and emax ? Awaiting your precious tip.
Keep the procedures as simple as possible, which eliminates mistakes. I use Unicam cement for cementing all restorations except veneers. I use RelyX luting composite for cementing veneers. Both these cements are procured by 3M, a very reputable company with an excellent R and D department. You could go crazy trying to find the composite system with the "strongest" bond strength. The cause of dental failures is rarely the material, but the dentist using the material incorrectly. Most of the dental materials are plenty strong enough and work if used correctly. I teach one way that works well, and has worked well consistently for many, many years, to do all the procedures I teach in DM and DenstistryMasterClasses.com videos. I suggest you use those methods precisely, and you will achieve excellent results. Don't modify the methods. After about 5 years of attending 10 of my 2 day Dallas courses annually, before we closed my hands on center in Dallas (CARD) at the end of 2019 after 20 years, of operation one of my teaching faculty said to a class, " for the past 5 years I have tried to modify Steve's techniques. I have finally realized, he has worked this stuff out and it works just like he lays it out. Don't modify the techniques. Do it exactly the way he teaches it." Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
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Steve
@@centerforard Thank you so much sir. Very well explained. I will follow your techniques for sure.
which primer adhesive do you use?
3M. I think all the primer/adhesives are probably good if you use them correctly. I use a separate etch, then primer/adhesive combined. Be sure to blow off the primer/adhesive until nothing wiggles to blow off the acetone carrier. Cure the p/a for 5 seconds prior to placing the filled resin if it is a direct composite. Do not cure the p/a before placing the filled resin if cementing a veneer. Watch some of my other videos and I go over all the products. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
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Tanks alot dc
You are welcome.
What is a luting composite
A veneer cement. "Luting" means cement.
@@centerforard I have heard people using heated composite to cement crowns. What do you think?
Never heard of it.
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What would you do for the incisal portion of anterior teeth for a patient who is a bruxer and who has already ground about 1mm off of the incisal portion of their anterior teeth? Still flat with no "taco"?
Severe wear cases are some of the most difficult. I have a library of restoring severe wear cases in DentistryMasterClasses.com and am in the process of adding many more. The problem with restoring severe wear cases is 1) the need for vertical dimension increase and 2) if the patient is still grinding, even with a nightguard they can do the same thing to the restorations as they did to their natural teeth if they grind during the day when they are no wearing the nightguard. The other problem is even if they have a nightguard, at some point, during a daytime nap or if the take out the nightguard while sleeping, they are going to clinch/grind their teeth together, teeth on teeth. When that happens, their is a good chance a restoration is going to break. Do this: place your finger between your teeth and bite down as hard as you can stand it! Guess what, that pressure, biting as hard as you can stand it, is about 5% of your maximum biting pressure! Imagine if the patient were biting, grinding, clinching at 100% of their maximum, ungoverned biting pressure! Nothing is going to withstand that kind of pressure! That is why I tell dentists in seminars to be very careful and thoughtful before restoring a severe wear case. There is a predictable way to do it, but if you do not really know what your are doing, they can come back to bite you!
Where is your office located?
Waco, Texas.
Chai SY et al. 2018 in critical review support veneer butt joint over palatal chamfer design which is more liable to fracture
Yes. Thanks for your comment.
awesome video....
Thank you.
Respected doc. I really love n appreciate the way u tell the basic things which most of the time we neglect. i request you to post a video on diastema closure with veneers, its pros and cons, and things to be taken care, i.e. case selection..that will be more helpful for fraternity...
I have many cases of diastema closure. The issue is how large is the space. It the space is large, orthodontic closure of the space is necessary prior to veneering. I will post some cases on that topic and discuss where you put the space once you close the space, say between the central incisors..
Thank you very much sir.
Thanks Dr. Can you tell me what's the book have the picture at 14:39? Thank you very much :)
Dr. Pascal Magne's text book on porcelain veneers.
fantastic
Thank you.
IF VENEER ETCHED IN THE LAB , IT WILL BE CONTAMINATED IN THE TRIAL STEP BEFORE FINAL CEMENTATION AND NEED RE ETCHED ?
No. The etching just opens up spaces in the porcelain for greater mechanical retention. Once you try the veneer on the tooth, just wipe the tooth side of the veneer with isopropyl alcohol on a cotton ball, then dry it off, place the primer/adhesive, then filled resin (luting composite) and cement. Be sure you have cleaned and etched the tooth and placed primer/adhesive on the tooth. Also, be sure to blow off the excess primer/adhesive from the veneer and tooth before applying luting composite in the veneer.
thanx for your kind reply dr .... i just finished veneer case today and did all these steps .....i wash if i can take your opinion for my preparation
Can people with veneers still chew gum? NM
Since the veneers are normally just on the anterior teeth and, possibly, bicuspids, yes you can chew gum on the molar teeth. My experience has been that veneers are as strong as natural teeth if placed according to the technique described.
Why when my veneer debonds the composite cement is always on the teeth, while the veneer is clean?
What am I doing wrong?
The composite should always be on the veneer if it should debone. Something is contaminating the tooth side of the veneer. It may be the silane if you are not using it precisely.. That is why I never use silane. Also, be sure you are blowing off the excess primer/adhesive. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month.
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Brilliant
Check out DentistryMastersClasses. That is my best stuff!
Thanks dr ..ur are greqt
Thanks! If you like it, subscribe to DentistryMastersClasses. That is were the real meat is!
I wish i have this become at the age of 14 sadly my teeth are broke
Sorry.
Like 🙏♥️
Thank you.
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#مهسا
Better to crown then
No, unless the anterior tooth Is very broken down,
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I prefer veneers because you are preserving tooth structure.
So does the veneer soak into the REAL teeth? Wth😂
The veneer has so much micro mechanical retention if you follow my seating instructions precisely that it becomes almost like a part of the tooth, especially if the veneer is bonded to enamel.
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Stay out of dentists’ business sir.
WRONG. Veneers aren't as strong as full crowns. That's just wrong.
I wonder why you would think that? The studies do not support that opinion. With a full crown, the coping is some metal like zirconium or metal. With veneers, the coping is the natural tooth. I rarely have a veneer fracture. Read the studies. If you are having problems with veneer fracture, you may not be using a good technique. Be sure you are not removing the excess luting composite prior to setting it initially for a second with a curing light. Also, silane can be a possible contamination if not used properly. I have never used silane on the tooth surface of a veneer for that reason. Now we fabricate many veneers from e-max. They are very strong, certainly as strong as a full crown unless the full crown is zirconium. Additionally, I never place a full crown on a lower incisor and prefer not to place full crowns on maxillary central or lateral incisors because those are smaller teeth and I want to preserve as much tooth structure as possible by placement of veneers. The real danger with a full crown on an incisor tooth is tooth fracture from the circumferential tooth reduction.
amazing
Glad the videos are helpful.
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