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Follow on Google News | Restoratives Rival Actual Enamel And Sustain Wear That Is As Low As Three Micrometers Per Year.If we look at dental restoration in a chronological manner from infancy to adulthood, from pediatric dentistry to geriatric dentistry, we start out with a little tiny one-surface cavity, that escalates to a two-surface filling, then possibly implant.
By: Judy Johnson DDS (Question) New York Cosmetic Dentist Dr. Judy Johnson: Do you think the Central and Eastern European or the markets of the United States are ready for products with high aesthetic quality and state of- the-art materials? (Answer) Samuel Waknine DDS: Indeed such materials are becoming more and more popular in those venues due to the fact that firstly, they are easier to use, secondly, they require less machinery and equipment in the laboratory and thirdly, chair-side time is significantly reduced. The main disadvantages to this more sophisticated material is that it requires a dry field of operation during the momentary placement procedure, however, I think the advantages outweigh the disadvantages due to the fact that one has a material that is functional, aesthetic, matches tooth color, that is serviceable and is biocompatible, healthier overall compared to the traditional silver amalgam fillings and the standard crown and bridge alloys; nickel chrome, chrome-cobalt and silver-palladium products. (Question) New York Cosmetic Dentist Dr. Judy Johnson: Are there any other advantages of modern restorative materials? (Answer) Samuel Waknine DDS: If we look at dental restoration in a chronological manner from infancy to adulthood, from pediatric dentistry to geriatric dentistry, we start out with a little tiny one-surface cavity, that escalates to a two-surface filling, then possibly leaks and has to be repaired and becomes a pin-retented three - or four-surface silver amalgam filling undermining the surrounding enamel, and then onward to a crown (usually poorly adapted or sealed), followed by endodontic treatment and a post/core build-up encapsulated by a crown prosthesis and possibly an extraction, even a bridge, usually non precious alloy (porcelain fused to metal), subsequent alveolar bone resorption and then possibly a removable prosthesis; partial or denture followed by ridge augmentation and possibly an implant. The approach with the new modern poly-ceram restorative materials is that if one can achieve a very good seal at a tooth restorative interface, which is really the hub or area of concentration of the technology, and then one can reduce the possibility of having to remake the restoration and ensue this very tedious and complicated voyage. This is not the case with the advanced restorative materials. If there is a failure it tends to be rather minor and require very quick patch-up and repair at the adhesive interface and so the incidences of secondary caries, remakes or repairs is significantly lower in potential expenditure and tooth loss. Which is a massive advantage whether you are in Prague, London or New York City. (Question) New York Cosmetic Dentist Dr. Judy Johnson: What about the issue of durability? (Answer) Samuel Waknine DDS: Today there’re several products that are very reliable. From the perspective of wear resistance, today’s restoratives are able to sustain wear that is as low as three micrometers per year - which rivals actual enamel. This compares with 40 years ago when it was 150 micrometers per year. According to statistics from pooled clinical data, today’s restoratives have an average half-life of 17-22 years, which is very close to a silver amalgam restoration and or porcelain fused to metal crown. From a color stability perspective these products no longer have residual oxide by-products, they tend to be very stable and tend to maintain their anatomical form, contour and texture and overall physico-mechanical functional state. (Question) New York Cosmetic Dentist Dr. Judy Johnson: Would you say that while these materials might perhaps be slightly more expensive, in the long run they save so much time that they work out to be more economical? (Answer) Samuel Waknine DDS: Well, cost is certainly one element, but in today’s society people are more health conscious and aesthetically aware, which are also factors that need to be considered. I think that a silver restoration for a posterior molar tooth is 50/50. No one looks back there so it may not be too important. However, for an anterior restoration there is really no choice in the matter, the thought of seeing gold or silver as you smile is rather awkward, therefore, more aesthetically pleasing materials become a matter of necessity. So for the anterior sector of the intra-oral environment it is a necessity. Modern materials are quicker and easier to use so there is really no reason why they should not be chosen. (Question) New York Cosmetic Dentist Dr. Judy Johnson: Could you tell us a little about the history of dental restorations and the advances that have been made in recent years? (Answer) Samuel Waknine DDS: Traditionally, metallurgical materials were used for restorations. This was a very well established practice for the best part of 150 years. In the case of fillings, silver amalgams were used to a large extent worldwide. These amalgams are 50 percent powder - composed of silver, tin, copper and a trace amount of zinc, and 50 percent liquid - which is pure mercury - amalgamated to form a paste, which is placed into the cavity. The silver amalgamates by reacting with the free mercury, while the copper interacts with the tin to create a cupric-tin complex strengthening/ (Question) New York Cosmetic Dentist Dr. Judy Johnson: Could you tell us about your particular area of specialty? (Answer) Samuel Waknine DDS: At DRM Research Labs our area of specialty lies with these alternative restorations, which are composed of polymeric materials and glass ceramic fillers for reinforcement. This special technology has afforded improved color stability, better tooth color matching ability, significantly higher fracture strength resistance, near-zero leaching/solubility, tremendous wear resistance, negligible polymerization- (Question) New York Cosmetic Dentist Dr. Judy Johnson: Who would conduct these workshops? (Answer) Samuel Waknine DDS: We actually conduct these workshops with an entire team of technologists, clinicians and scientists. We go from country to country and attempt to help generate a greater awareness of the proper clinical methodologies associated with advanced biomaterials chemical engineering. That’s what brings about the real success in this restorative science - the education. New York Cosmetic Dentist Dr. Judy Johnson and Dental Visits Midtown Manhattan NYC Cosmetic Dentistry Center now accept dental insurance health plans for most dental care. Write New York City Cosmetic Dentist Judy Johnson DDS info@dentalvisits.com for more information on cosmetic dentistry, dental implants, veneers or just dental visits topics. http://www.dentalvisits.com # # # New York Cosmetic Dentist Dr. Judy Johnson and Dental Visits Midtown Manhattan NYC Cosmetic Dentistry Center now accept dental insurance health plans for most dental care. Write New York City Cosmetic Dentist Judy Johnson DDS info@dentalvisits.com for more information on cosmetic dentistry, dental implants, veneers or just dental visits topics. http://www.dentalvisits.com Website: www.dentalvisits.com End
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