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TOP ADHESIVE DENTISTRY MADE SIMPLE IN THE CLINIC
Dr. Nicola SCOTTI Assistant Professor, PhD Active Member of the
Italian Academy of Conservative Dentistry [email protected]
N I C O L A S C O T T I
minimally invasive restorations
direct posterior restorations
direct anterior restorations
CL
INIC
AL
AP
PL
ICA
TIO
NS
composite repair
post-endodontic restorations
adhesive indirect restorations
DIRECT TECHNIQUES
Fissure sealing Minimally invasi restorations Medium size cavities Wide cavities in young patients Build-up
N I C O L A S C O T T I
INDIRECT TECHNIQUES
Insufficient thickness of residual walls Enamel and dentin cracks
One or more cusp loss Tooth residual structures protection
Full-crown restorations Table top for VDO increase
N I C O L A S C O T T I
1Rubber Dam
N I C O L A S C O T T I
204 teeth recall range: 6m - 5.75y
with RD: 30 teeth without RD: 174 teeth
rx success: 93.3% rx success: 73.6%
1 2Rubber Dam
Sound tissue Manteinance
N I C O L A S C O T T I
1 2 3Rubber Dam
Sound tissue Manteinance
Adhesive Procedure
OVERETCHING
INSUFFICIENT WATER-RINSE
ETCHING RINSE
CHX 0.2% AIR DRYING
PRIMER BONDING
LIGHT CURING
30 enamel 15/30 dentin 60 30 10-15 30+30 30 60
TOTAL 4 minutes 45 seconds
“The self-etch approach is user-friendly and more stable overtime, but weaker on enamel margin than etch&rinse”
“Van Meerbeek , 2015”
Universal Adhesive
minimally invasive restorations
direct posterior restorations
direct anterior restorations
composite repair
post-endodontic restorations
adhesive indirect restorations
CLINICAL INDICATIONS…
DIRECT ANTERIOR RESTORATION
enamel +++dentin +
etch&rinse approach
N I C O L A S C O T T I
N I C O L A S C O T T I
NATURAL LAYERING EVALUATIONN I C O L A S C O T T I
UNIVERSAL ADHESIVE
ETCH&RINSE
N I C O L A S C O T T I
N I C O L A S C O T T I
N I C O L A S C O T T I
N I C O L A S C O T T I
N I C O L A S C O T T I
DIRECT MEDIUM-SIZE POSTERIOR RESTORATION
enamel ++dentin ++
etch&dry approach/eventual enamel pre-etching
Etch&Dry
Etch&Dry
N I C O L A S C O T T I
DIRECT DEEP-SIZE POSTERIOR RESTORATION
enamel ++dentin +++
etch&dry approach/eventual enamel pre-etching
N I C O L A S C O T T I
N I C O L A S C O T T I
N I C O L A S C O T T I
N I C O L A S C O T T I
INDIRECT ADHESIVE RESTORATIONSN I C O L A S C O T T I
Adhesive Cementation - Zirconia
N I C O L A S C O T T I
7m follow-up
N I C O L A S C O T T I
COMPOSITE OVERLAY CEMENTATION
etch&rinse approach
MARGIN RESEALING
etch&dry approach
2015 N I C O L A S C O T T I
N I C O L A S C O T T I
N I C O L A S C O T T I
N I C O L A S C O T T I
BE CONSERVATIVE!
Prof. BERUTTI Elio - Dr. PASQUALINI Damiano - Dr. LIBERO Alberto - Dr. SCOTTI Nicola- Dr. ROTA Riccardo - Dr. SCANSETTI Marco - Dr. CARDUCCI Cesare - Dr. ALOVISI Mario - BERGANTIN Emanuele - Dr. COERO BORGA Francesco - Dr.ssa COLUCCI Eleonora - Dr.ssa COMBA Allegra - Dr.ssa DEL BOSCO Laura - Dr. FORNIGLIA Alberto - Dr. GAMBINO Alberto - Dr.ssa GIOVANNINI Roberta - Dr.ssa MODAFFARI Anna Maria - Dr. ROGLIO Maicol – Dr. PEZZANA Alessandro – Dr. SERRA Stefano - Dr. CUPPARI Marco - Dr. LERDA Francesco - BATTAGLIA Valter - Dr. GREGORI Guido - GIULIANO Carlotta - TEMPESTA Riccardo - GIORGIS Eleonora - SELAJ Dorina - VENTURA Gabriele - COSCIO Andrea - PETROLO Francesco - RIBERO Michele - ALVARO Veronica - BASILE Diletta - BARRA Francesca - CEDRONE
Aristea - CHIAPELLO Mattia - FAVALE Maria Luisa - MANZON Elena - MICLAUS Oana - RIVAROSSA Stefania - AMATRUDA Rosita - BELLAGARDA Greta - BELLIARDI Valeria - EINAUDI Elisa - MANCIN Veronica - MONTEMAGGIORE Laura - PREZIA Maria Luisa - VIGATO Silvia - COLLI VIGNARELLI Giulia - YACHKOVSKA Yanka
Nicola Scotti
Nik_Scotti
nik_scotti
