Bonding Incisal Edges of Anterior Teeth - Dental Minute with Dr. Steven T. Cutbirth, DDS

[@nadayounis132]

Thank you Steven , I never get bored watching your videos and despite many years of practicing , I still learn new tips from you .Well done and I want you to know that your efforts in putting those videos up and sharing your valuable tips and knowledge with dentists from all over the world is so very much appreciated .I honestly can't wait to see more of your videos .Nada -Melbourne /Australia

[@centerforard]

Great to hear! I hope you are subscribed to DentistryMasterClasses.com. All the DM videos are in the organized DMC.com library plus many, many more complete comprehensive cases.

[@timter3181]

The new format (commenting in live) is GREAT !!

[@centerforard]

Glad you like it. I like it also.

[@austinspruill6685]

It’s funny, you sound like Dr. Phil! Also love your sense of humor. Good work!!

[@centerforard]

Thank you. Dentistry should be enjoyable! 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

[@simontaylor3816]

'Make sure to warn your patient about how beautiful they'll look' hahahhaha, brilliant. Keep up for good work, Doc. You're inspiring me to do more cosmetic work.

[@centerforard]

Terrific. 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.

[@franbihary8939]

Love your sense of humor!😁

[@centerforard]

Ha, ha, thank you.

[@MrBaladaum]

Hey doc, how about the survival rates on these incisal restorations? Did the patient came back? I'm always afraid to lose these due to the occlusal load on them. Many regards!

[@centerforard]

Survival rate is excellent so long as you cut the shallow "trench" in the dentin to "protect" the restoration and the patient must wear a nightguard or a dental sleep apnea/snoring device or they will wear the restoration just like they wore their teeth. They will not "break" the restoration if it is protected in the shallow trench in the dentin. I am just posting another video on this same procedure. Watch it. If you do not cut the shallow trench in the dentin, the restoration will be sticking up incisally and it will be broken quickly.

[@zMoeCp]

I was wondering where you were located and if I could make an appointment for this?

[@centerforard]

Waco, Texas. Yes you can, but I would think a dentist in your area could perform this procedure.

[@japadys3193]

Thank you for great tips My choice was packable, but I guess flowable holds up too and looks better esthetically

[@centerforard]

Thank you. Use flowable.

[@peggygonzalez7932]

Thank you for sharing this video keep making thosevideos 🤗 I'm so excited and a little nervous I'm working on my real teeth but I'm learning that's how there's a bunch of stuff that can fix everything right I hope I stay with natural One Love 🥰💯💯💯💯💯💯🤗

[@centerforard]

Terrific! 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 $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@alexandercronk9650]

Do you have to do a root canal if the patient has sensitivity?

[@centerforard]

It depends on how sensitive the tooth is. If it is just minor sensitivity, a desensitizing liquid or tooth paste might take care of the sensitivity. If it is more significant sensitivity, especially if a crown is being placed on the tooth, endodontics may be the treatment of choice.

[@sm-bd1bz]

Hi can bacteria still go into the fillings and create a cavity even tho the teeth are bonded?

[@centerforard]

Any filling can leak, especially if you eat or drink a lot of hot or cold foods or drink soft drinks, suck on candy or eat sticky candy. Watch my video on 'How to Keep Your Teeth for a Lifetime" and "Tooth Decay Explained."

[@Prayedup254]

Doc I need ur help its hard to find the right one to help me I went to primier dental 2 days ago in he filled some fillings on my top front teeth he bonded alil but I'm not happy .Due to I used to have a disorder eating u can say to where it wore down some of my enamel on top but I dont want somone that is going to take there time in let me ask questions?

[@centerforard]

I'm sure there is a good, conscientious, well trained dentist in your area.

[@YeasinArafathKhanAlpha]

I has same problem . how long filling last with proper treatment

[@centerforard]

It depends on many factors.

[@martin6320]

Hey Dr. C, I've been subscribed to your master class since the pandemic & enjoying learning. Could you also teach us how to do complex Class 3 and/or Class 4 restorations? Thanks for all your contents.

[@centerforard]

When composite restorations are going to be large or very difficult to place, I go with a veneer, crown or inlay. Gold inlays are my favorite if they are not in an aesthetic area. Large composite restorations are difficult to place well and do not hold up due to coefficient of thermal expansion differential between tooth (11) and composite (about 75). Remember, you want to place restorations that have the best chance of lasting a long time, not just a quick, cheap patch up.

[@chosenonelove4068]

You do beautiful work 💯

[@centerforard]

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

[@GrowInTheDark]

Hi Dr, I just did cosmetic bonding on a small gap between my two front teeth. How do the dentists tell apart the filling material and the real tooth after bonding has been done? Is there a special equipment or special light that dentists use to tell the difference down to a precise 0.1mm or is it just by looking and best guessing? Just in case I’m not satisfied with how it looks and want to redo the bonding or if I changed my mind and want my original teeth back for straightening. Thanks in advance!

[@centerforard]

They tell by looking. The bonding should not stick up any higher than the highest part of the natural tooth structure. The dentist is not trying to make all the teeth the same length with bonding, he/she is just correcting the chipped part. If you want the teeth to all be the same length, then veneers is the treatment. Be sure you also get a nightguard or you will grind the bonding off just like you ground away your teeth.

[@YeasinArafathKhanAlpha]

how long it can last with 100% proper care,brushing and night gard??? Can i keep this more then 20 years??

[@centerforard]

Possibly, but it will probably need periodic repairs. The amount the composite expands and contracts when exposed to hot and cold is about 6 times greater than that of a tooth, so if the patient eats and drinks very hot and cold things, the composite margins will "pull" away from the tooth. Also, composite stains from coffee, red wine and other foods and drinks.

[@YeasinArafathKhanAlpha]

@@centerforard thnks you doctor

[@itatchiify]

I also have mildly worn down my lower central incisors to where you can see the opening of the enamel into dentin...and I'm only 21💀. I ask this because I want to know if i get this procedure done, am I compromising the health and tooth structure of those worn teeth for when I'm older , or am I better off leaving them the way they are and just wear a night guard

[@centerforard]

I suggest you have them restored and wear a nightguard. This procedure does not compromise or weaken the teeth. By repairing the serrated incisal edges of the teeth, it makes those teeth less likely to fracture/chip.

[@timter3181]

Good Morning, I asked you for filming your working positions...that video is considering my demand. Hope to see you prepping teeth for crowns with camera filming your entire positions !!

[@centerforard]

I think this "live" narration will allow you to see positions.

[@abhishekck242]

Composite bonding will come off? How long it last? Can we bite with bonded teeth?

[@centerforard]

You cannot place the composite restorations on the worn surface of the anterior teeth without first creating a shallow "trough" in the incisal surface of the incisally bonded teeth or the composite will chip and wear off just like the tooth surface chipped and wore off. Also, the patient must wear a nightguard or they will continue to wear the incisal surfaces of the anterior teeth away while they are sleeping.

[@abhishekck242]

@@centerforard thank you sir for clear my doubts about composite bonding . If you don't mind can you say how long it last

[@centerforard]

It depends on several factors, i.e., do you bite hard things with your anterior teeth, do you wear a nightguard to prevent wear and chipping of the anterior teeth while sleeping, do you drink red wine and strong coffee, do you eat and drink things that are very hot and cold.

[@sirejackson9881]

Hi doc I do boxing 🥊 a lot . Do you recommend bonding or braces to close my gap

[@centerforard]

Sorry, I cannot diagnose your condition or treatment without examining you and determining your specific condition.

[@chromographic]

Hey doc have you ever used or considered using The VALO cordless light cure? It reduces the time spent curing and speeds up the procedure.

[@centerforard]

No, I have not used any light but the Demetron. If your light works, fantastic.

[@kgkjb1590]

If a patient comes to clinic with severe attrition of lower anterior s what will be the treatment

[@centerforard]

It depends. Sorry, I cannot diagnose you without an examination.

[@aestheticfitness1354]

No dentist in the UK will touch my teeth/fix. They are similar to the gentleman’s in this video. After seeing that this condition can be fixed I have been searching for a dentist that is “Skilled” enough to carry this out. I did find a dentist who wanted in excess of £7000 pounds for this (in the UK). Insane really however this did include invisalign. Now looking at booking a trip to Turkey where it costs a fraction of the price, roughly £1500 including all after care and hotel etc.

[@centerforard]

Good luck.

[@hee21234]

Is it permanent?

[@centerforard]

No. A nightguard is essential for restoration longevity as well as informing the patient not to try not to clinch and grind their teeth during the day. The teeth should only contact when you swallow, and then very lightly. They should not contact when you chew your food and you should not go through the day with your teeth clinched together.

[@tomihaile3170]

Hello yesterday i took a dental anstesia on my lip and i got a white wound on my lip pls help i cant eat😥

[@centerforard]

I suggest you go see a dentist for evaluation of the lesion. Sorry, I cannot diagnose you without an examination.

[@mojo4246]

Floss gently not below gum line as u did.. it damage gums..

[@centerforard]

Correct, just break the interproximal contact with the floss to remove any filled or unfilled resin.

[@leandrasilva7323]

Gostei

[@centerforard]

Glad you liked the video. If you are a dentist, I hope you subscribe to DentistryMasterClasses.com for the best videos.

[@sagittariussagittarius722]

🌹❣️❣️🌹💯

[@centerforard]

Glad the videos are helpful.

[@menabassilious3543]

I whole heartedly disagree with your method of removing healthy dentine and leaving an outer rim of unsupported enamel

[@centerforard]

Good for you. Then don't restore these worn teeth, because if you just place the composite on the worn surface of an anterior tooth, the composite will come off almost immediately. There is plenty of enamel and it is supported by the restoration, plus the "divot" is very shallow, just enough to "protect" the composite restoration. The patient must also wear a nightguard. Put these things together and these restorations can last a long time. 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