Dental Bonding - A clinical Dental Podcast

Dental Bonding - A clinical Dental Podcast

Transcript

Back to episode

00:00:00: Hi my name is George and I really love to work with Composites I would like to invite you to listen to this podcast because all we talked about this is new composite system from GBC have fun listening.

00:00:12: Music.

00:00:22: Welcome to this podcast I'm here connected online with dentist from Norway William you welcome thank you for having me tonight.

00:00:31: And we also have a special guest from the DC headquarters in Europe or other lauka hi R te hi everybody nice to be here.

00:00:41: Actually it Arthur and me just met last week and we talked about everx flow but actually today we want to talk about the geanial decor so William how long have you been using across so far I haven't been using

00:00:56: Accord as long as you have I've only been using it since what spring this year so only about six months

00:01:04: rub it features from Tri-C nor did he contact me asked me if I was to try and I said why not always good to try out new things so he sent me a few boxes and I'll give it a try and so far I'm pretty happy with that.

00:01:18: You already mentioned I would have mentioned it but I'm have been using the first prototypes already in 2019 and three.

00:01:25: Talked a lot about what's the right consistency for standards is always kind of hard to choice and I'm kind of glad it went to the direction I liked it yeah I like it too I think I think it's really great.

00:01:39: Very soft very easy to manipulate yeah it's just easy to I think in general the g c products are quite easy to use I've used.

00:01:48: Sorry about saying this but fueltech for many many years and it's really it's really hard it's really hard to use and you can be quite possibly quite difficult to polish but.

00:01:58: I think just JC they've got the handling right so I think.

00:02:04: Yeah we're really want to log on optimizing the handling we work for the most of the time on the Improvement that we try to do in the product during the several rounds of tests it was mostly to get the handling right

00:02:17: because it's such a sensitive topic for dentists and it's really important to have something that pleases everybody but at the same time it's so difficult to get something that pleases everybody

00:02:28: and it's really important to have a quite soft because that makes that can you know when you've got you've got a cavity and you've got.

00:02:35: He quite deep or you know going around corners and trying to pack it down it's important that you know that your company that you packs around those Corners out Paxton.

00:02:44: You know you flows well.

00:02:46: You know when you're packing it now sometimes the risk is that it's too soft and then it loses shape and it's right that that really behind it.

00:02:55: Well the other capacitor of necromancy by takeyama it's too soft and it flows too much you know so you put into a cavity and you look away and give another instrument and somebody to change shape I found it really annoying.

00:03:07: So the handling that's quite difficult yeah so this one's a lot different.

00:03:13: Just wondering if he uses more an instrument or brush to work with this company no I'm quite I'm quite simple I'm just using pretty much of that plastic I'm using a bulb in - I'm using a micro brush you know I've got the brushes but.

00:03:28: You know I think get them out and because I just think you know they want to deal with the cleaning I don't want to deal with worrying about how my Seasons going to clean them up going to do in Stereo how they're going to deal with it so I just keep it simple.

00:03:40: Make it easier for everyone and yeah just generally seems to work.

00:03:45: For me at least interesting but you mentioned the flowing I usually still maybe I'm kind of old-school I still combine every packable concert a composite I use even with flow in like this Matrix cases where I want to have a makeup

00:03:59: for example posteriors the class to to a Class 1 I'm still kind of going for inflow as well there yeah I do that I so I'll.

00:04:08: Just a tiny bit of flow and pack some capacity.

00:04:12: But you know you gotta you gotta remember that flowable residence they contain a lot of resin so there's still that shrinkage you have to worry about.

00:04:21: Let's get up particle so you can get more shrinkage so you just got to put a tiny bit I think and still pack it in the packable compass on top quite.

00:04:30: Quite deeply.

00:04:31: Yeah I mean when you talk about posteriors I'm also using a mostly everx flow so my tiny bit of flow kind of make just makes a Class 1 and then I'm kind of happy for a bit and also basically other parts are just filled up with the FX flow

00:04:50: which has 225 as a reinforcing effect hopefully.

00:04:55: Yeah I mean we will never find a clinical study which proves that because it's

00:05:00: probably impossible to find clinical significance only after I don't know 10 years maybe maybe some cases will perform better and some days it's hard to find that out when you said that you're using floorboard in your class to your just using regular flow but not

00:05:17: everx flow as you walk is that correct no I mean it's

00:05:22: it's kind of caught snowplow technique yeah I using that prefer regular flow or image of the injectable

00:05:31: which is kind of

00:05:32: so fill that you can even use it on a excusal so I'm quite fine with it when I'm doing Hands-On workshops I sometimes take out the tooth and use the D Lite Pro and to see where the flow actually was because in the this fluent light you kind of see where was the flow

00:05:51: to Andre you see very good is a generic or because it doesn't have these black light effect let's call it

00:05:58: unless you try it after I've never got out the black light to look at a difference with a pack of a when the flow is there gonna be really interesting.

00:06:05: Hey is that to it's sometimes even more fun because I usually calls injectable cheater flow because when I do my pelleted shell as sometimes vest like.

00:06:15: Little tiny bubble somewhere where you only see when you take off as a matrix as well just like put a bit of flow over.

00:06:24: Yeah but yeah I'm a big fan of that technique as well snowplow and injectable.

00:06:30: William let's talk kind of focus on the posteriors now are you basically when you're using a core a one shade guide and the posterior or do you like to mix some shades as well they're pretty much using one shade and I'm using

00:06:44: tints as well too you know I keep it simple so I'm using one sharing then if I need to Output tints into the future sword.

00:06:52: The the white white tints into the cusp tips.

00:06:57: And whichever swedes use the most I to A2 A1 A3 I use occasionally but sometimes I find it quite.

00:07:04: Quite dark but my favorite shapes a to I think it's pretty much it suits probably eighty ninety percent of cases.

00:07:12: It's actually it's interesting but I kind of now switch to a free because it's

00:07:17: my population in Norway is a dental hygienist great apparent so let's move back to the posterior so William when you layer one shade in the posterior.

00:07:30: You also tint but it do you more or less tint on your Denton kind of layering or do you kind of a new all finished you just cover the kind of fishes with a bit since I am.

00:07:43: Finishing my comfort my composite restoration and I've got the fishes in and out entity.

00:07:49: Once all the Composites cured that put the tension in the grooves or.

00:07:53: Yeah it's all nice and then I cure everything it's interesting because you also said that using most of the time flat plastic and I think it's actually for me it was very important that I can use a core with a brush actually I think you can get really really nice fishes with a brush in the posterior

00:08:11: so I even make them.

00:08:14: Kind of even a bit too steep so that my tent kind of flows in the Steep areas and just use a micro brush or small form palette to I remove the excess so that we have only really really small cuttings and for example when I'm sitting I'm usually even combining like the

00:08:34: Brown Essentia in the white Essentia and just mix them together so I get something like in the Arca range because actually.

00:08:42: I would say you old basically only delete.

00:08:44: 2/10 yeah I don't like the black one at all only for Halloween and people are really don't like but I wouldn't do any black tinting in teeth even if some neighboring teeth have some black stains I rather say no

00:09:00: just like a civilian small mild area I think in general just using tenses it is more for the dentist I think it's more

00:09:08: more to feel good for yourself and using tense because you know most cases you just put the fishes in and you get.

00:09:15: The cost correct you get the fishes correct when you polish it correctly and it looks good and most patients don't care whether you put a tinting or not so I think General real everyday Dentistry tints.

00:09:28: It's for yourself it's not for the patient for posteriors in and here it is it's a different story they need it and they need it

00:09:36: yeah I mean is that tinting is really something I do for myself as well

00:09:40: but I noticed one interesting thing I mean patients sometimes don't really can articulate what they want yeah but some patients usually when I wasn't eating at all there's also towards the nice white filling and but with when you using tints peeps some patients say oh I can't even

00:09:59: see the filling yeah I wouldn't never say I make an invisible feeling for you because that's kind of a marking area I wouldn't want to go but it's kind of cool when you kind of can highlight the anatomy you're creating

00:10:13: with statins and that's something which I would like to see as a recourse and it's nice to see right away okay that's my feeling I know it for sure.

00:10:22: Yeah it's one of those things it's also interesting when you say when you see feeling you know it's yours and

00:10:28: you know you don't even have to look at the records you can see it feeling you can see that you've done it you know so it's interesting.

00:10:35: Like you said people do they feelings differently and you can you know it's like no artists things their own works.

00:10:44: Usually I wouldn't better actually visit some discussions during dances is it Artistry or not is way I didn't I would say it's Artistry to all.

00:10:54: On the other hand you can you can go the other way because sometimes it can the patient comes in you see a feeling and I'm talking about real everyday dentistry in your want you to sell did I really do that

00:11:03: you know so you know to be realistic not everything is perfect you know and sometimes you have your bad days you forget about a patient comes back and then you see you say you're quite shocked yourself.

00:11:15: Sometimes it's not so great after all so you have to be a bit realistic here.

00:11:21: Well you have to change your location at least every five years so you have a lot of success what did I say that in plantations you go to change your practice every seven years you will literally start coming sir

00:11:32: I know not to come to you to as a patient.

00:11:36: Let's move to the interior of feelings before we get to off track with implants William you already mentioned that you're sometimes you need tents in the interior.

00:11:46: In what cases.

00:11:48: I think if they've got White Spot lesions or a little bit of sclerosis you can put in the tints 10 cm I want to consider myself the anterior expert.

00:11:57: You know I see these amazing dentist on social media and they do incredible Composites in the front and I've always you know.

00:12:07: You know it's right where people patients can see and I like to think of myself as a as just someone.

00:12:15: Who does know what dentistry and you know I see some of this incredible work.

00:12:22: And honest it consider myself a.

00:12:25: It will cosmetic aesthetic dentist so it's good to have something like JC achord where now.

00:12:33: The color will make the product will make you look good you know and if you add a bit of tense in between the layers then it makes it pop even more.

00:12:41: Actually I mean the problem social media is all the same it always makes you feel better

00:12:45: the bed and for example when I see cases from Jon Jon Chu from Taiwan it's just incredible what he can even do on this type of don't teeth and when he shows us clinical cases it's a mind-blowing

00:12:59: but

00:13:00: like it here a lot of times we have like this I would say that standard cases but where you can't have kind of get something to eat.

00:13:09: Get away sometimes with just one shade because we are no it's a bit worn they are no male mamelons and no fancy structure even like the tertiary structure is kind of flat so that you can can't get away with just like real polish and the patients are usually very happy with this

00:13:29: polish they get white away so the teeth kind of look as the same I think that's that's one of the good things about this product I.

00:13:36: I think it's very very easy to get a high high glass high polish because I usually one side.

00:13:42: With the front teeth once I've got the shape on everything so killed and it's ready to be finished and Polished I'm just using soft Flex discs

00:13:50: and I use a clear brush you know when those looks like a perfect brush with a silicon Diamond particles inside the brush after that polishing them.

00:13:58: I'm just using a pro for you brush with.

00:14:01: Promise find Panama such a Polish him he looks pretty good I think so it's nothing complicated and using like a thousand things too.

00:14:09: To polish it withstand you know like I said I've done a realistic dentist so I just want to keep it easy make it look good for the patient they woke her happy

00:14:19: I mean stuff like soups not that easy at the beginning I know I'm using I'm just using the the red one maybe the or intransitive.

00:14:30: The two most course just get the shape right in and putting the glue brush on top that pretty much does not represent their work and they just Define polish with some fine punished in a soft nylon brush so.

00:14:41: It seems to work for me actually my polishing

00:14:45: secret it's not a secret I learned it from Javi it's just the Ebe Comfort twist once and where are actually phenomenal I mean sometimes when I've see if for example these dentist from Indonesia.

00:15:00: We have like a super perfect finish.

00:15:03: If you only had also just using the PV system and that's it and it's kind of impressive when I got the first samples I also started on it work on the type of don't and just to make some cases and have just some fun to do like it work or the type of don't under the scope it was kind of impressed because it when you get

00:15:23: Sebastian shape of soft Flex quite good and then you use the EV e

00:15:27: sometimes when you use Diamond paste you don't see actually difference just like you stood and everything is the same it's bit more shiny

00:15:38: fixed is oil but vetted but the thing is when I used it on the core actually.

00:15:44: It even changed a bit more of it it was more shining but I found out that only works when you really go through your polishing protocol

00:15:55: with like the

00:15:57: sandpaper discs and ve and only if that's really good then you will see a effect with the diamond polish but it can happen but if your polishing wasn't as good before because sometimes you're not

00:16:10: Maybe

00:16:11: pressing to a heart or already kind of tired I don't know yeah but you won't see a difference but they're also like a lot German it's a seat seem carbonated trophy brush.

00:16:22: Hello yeah it's good I like it as a posterior very well and sometimes this one

00:16:29: kind of enough as well as you said the Accord cases the posterior I also use a brush so so so face is kind of.

00:16:38: Smooth already.

00:16:40: But you're also not using a brush in the interior you have to use it I'm using what's it called I can't remember the name you know the Silicon.

00:16:51: Yeah the round things that you said sickly instrumental I will claw.

00:16:56: Yes I think so Ultra sculpt up just got yeah I mean very high even though a different silicones from step

00:17:03: which you can use for modeling as well yeah.

00:17:06: A lot of people like the optra scalps because you just shows the strip away and when you're done yeah.

00:17:14: But I like this brush especially if you want to have kind of like an Infinity margin it's a really really great to kind of I wouldn't I don't want to say composite video to it

00:17:26: because I wouldn't want that the patient has some expectations of certain kinds but sometimes I know that I need to cover the whole surface because the patient is kind of not like super high end but medium range that we are

00:17:41: looking really close to the mirror and then it's better that you hide all your margins for sure somewhere else for sure but the brush is a I think it's a.

00:17:50: Brush it's great for that.

00:17:53: Yeah and what are the habits are the patient's Desires in Norway are they also highly aesthetic I do they tend to have this.

00:18:04: To want this kind of very aesthetic Restorations I'm working in Stavanger which is on the western part of Norway and it's quite different from the capital also I think there's a larger focus on.

00:18:16: Cosmetic dentistry there it's not so much.

00:18:19: Where I'm at so it's a it's a bit of a different you could say population obviously people care about how they take look but it's not it's not Hollywood.

00:18:29: So sad like that.

00:18:31: Yeah that's a quiet environment to yeah yeah it is and I think also one of the things about Noah is that the I think just

00:18:39: in general the the dental culture he is kind of anti cosmetic dentistry or anti.

00:18:47: American Dentistry is how they would call it I don't want people to go around and we're trying to stand in a way to go and cut down healthy teeth Philbin he's just to look like.

00:18:57: Angelina Jolie but at the same time you know it's I don't quite agree with them because you know.

00:19:07: Having good looking Tate it's important part of culture and society and it's been like that way for thousands of years having nice teeth means you're healthy and.

00:19:18: You know people want to have not see it's important for them I mean there are sometimes these

00:19:24: trans I mostly see kind of in the UK with patient come to the office and say we want to have composite bonding

00:19:30: and they are like the mean different things with it apparent service like like a trend to make kind of just

00:19:36: juice Peach shaved just cover all the stuff kind of with the typical thing we don't have that in Germany as well but of course we are patients who want this all white rich colors on all the teeth.

00:19:50: But I personally Robert talk not talk with intuitive wrong word but kind of suggestion if you want that just

00:19:56: use pitching and maybe we're doing just some edges and then you will be fine.

00:20:02: But I also never prepped for symmetric video my life yet so I think I would not want to ask but I think for me I don't like doing this sort of this sort of Dentistry because.

00:20:17: I think the patients that want this sort of Dentistry they're very picky.

00:20:22: You know and unless you're very highly skilled and Technical and you've done it for many years until some cases you know then.

00:20:31: You might end up disappointing the patient you know so I think that's the hard thing when you on your.

00:20:36: Into that cell Dentistry have to learn to be a good people person you have to be able to be so confident in your skills and so.

00:20:46: Able to pull it off I think and yeah I'm done think I'm at that level so

00:20:54: actually I'm at the office where I have one of these really high-end dentists and but I found out the way he works is basically also kind of analog he's doing and

00:21:06: the mock-up transfers into the mouth and then they kind of see it's he doesn't like all these Smile Design cases where It's All Digital.

00:21:16: I mean it's take so many steps and some people don't want the all the steps so it's fine yeah.

00:21:23: But when it comes to picky I already met a lot of picky patients which is I found out I don't have the patience from it

00:21:31: I'm kind of glad for example when were offered don't just sends me someday I stained my closure but there were always was nice to my offered on toast.

00:21:40: So that's kind of nice have you done any diastema closure cases with a course so far no not yet not yet no no I only do very few diastema closes I do.

00:21:55: You know ones that I know I can get a good result and.

00:21:59: I've learned from my mistakes on what to pick and choose I guess I guess I guess I've been a dentist long enough to know what I can and can't do so.

00:22:07: We are kind of easy there State my closures about the hard ones

00:22:12: did you really have to talk to orthodontist about how a big sis teeth will be in the end but for example I'm more or less like to just use the distal site to close the gaps basically the and not the mesial but of course if you have a diastema medialis it's of course different

00:22:31: but is using mock up like just you to use some accor put it in the mouth it's kind of cool that

00:22:39: you kind of see the color I cured just check if the I will be satisfied with color actually but I also have to always take a picture of this case.

00:22:50: It only if it's cool looking good on the picture when I have a face.

00:22:54: Sometimes you kind of blur out and like everything you're doing but when you sit in the end at home on your big screen you kind of know if it was a good dancer no yeah yeah yeah for sure I think that's one of the important things about photographing your own work

00:23:08: you take a photograph and I highly recommend any in Old dentist to photograph that I work because you know you can see everything wrong

00:23:16: you've done wrong on the big screen there's no hiding from that and you know people say to me you take photos all the time and when I take photos he looks horrible and I said to them no one has to see the photos except you.

00:23:27: And maybe the patient.

00:23:29: You know if you want them to see it you know you take photos and you look at it and that's the only way you're gonna learn you're going to critique your own work while you can improve because.

00:23:38: I started taking photos about five years ago and I'd I've been a dentist what 15 years so the first 10 I wasn't taking photos.

00:23:45: And when I start taking photos I realized how horrible it looked and then you can only improve from there so when people say to me you know social media everything was so good everything so perfect you know.

00:23:57: Sony it's practice you just keep taking photos see what you did wrong and then you're going to notice you in attention to detail will improve and you.

00:24:07: Just improve you know so that's why it's important to take photos

00:24:11: no one else has to see it until you are ready for them to see it actually it's a good nice closing words from you Elliot no I only can also exit just to take

00:24:24: pictures I would kind of rigor went a macro lens for it and there is our yeah

00:24:29: because I kind of started with kind of consumer camera with Justin the LED light you kind of saw the LED ring light on every case

00:24:39: like and flashes important definitely definitely so everyone just needs to just.

00:24:46: You know invest in a good camera system does it have to be top of the line you know you just has to be basic DSLR you just need a good lens and ring flash to start off with

00:24:57: you know and that's that's good enough to get you started good enough for you to learn to sew and then once you start getting into it once you start getting too.

00:25:05: But social media then you can start investing too wasting your money into this fancy

00:25:12: camera systems so yeah we've sort of inflation yeah big photo box yeah those big soft boxes that come down from the ceiling and you know all that I'm not at that stage so.

00:25:28: Well what's your Instagram so people can check you out

00:25:33: beryllium and my Instagram is at you fruity so that who freely but you as in my surname so it's a bit of a panda

00:25:41: and I thought was an absolute genius when I thought of it so I'm proud of that that's probably the thing I'm most proud of

00:25:47: actually I already saw your Instagram account a name before I got to know you there is a DC Universe yeah and I thought it was really cool idea you know you know you got a

00:26:00: you to get up come up with a with a catchy name you know something people are investor that's probably my best work in that on my Instagram profile you slut it's my know

00:26:09: before we go I would just want to say a word to all our listeners basically in October we have geanial Accord campaign so for whoever has a gay son geanial Accord and is not too shy to share their cases or is very proud and happy to share them

00:26:27: forgiveness

00:26:28: they can all do that online using whatever media channel they prefer be it Facebook Instagram or LinkedIn we are using the hashtag Daniela chords so no - just.

00:26:39: Yay e the rest your record

00:26:44: and yeah we will be happy to receive the cases some of them we will be happy to share in our channels as well so

00:26:52: it's just basically to celebrate the one-year anniversary of the launch of geanial accord and to have kind of a to check basically how beautiful your work has been during this year and how happy our customers are women

00:27:05: I remember the essential Universal because it was a lot of fun so when will it start in October so it starts on the 25th

00:27:14: so meanwhile you guys have time to prepare your cases and just

00:27:19: yeah share everything on the 25th you can tag DC you can tag us and use a just the tag of Dimension so.

00:27:28: Just whatever you prefer

00:27:30: we want to see those cases at on Facebook we just take you out you can tag me you can't actually see whichever is easiest for you we are g c Europe or at me at that I will cut you see

00:27:42: or you can just use the hashtag and then we can all find you through the hashtag which will be following closely okay guys thanks for the talk.

00:27:49: Thank you very much you're just a pleasure thanks for having me on okay bye okay bye.

About this podcast

This is the International Version of the German Saure Zähne Podcast.

by Georg Benjamin

Subscribe

Follow us