Dental Digest Podcast with Dr. Melissa Seibert

198. Markus Blatz DMD, PhD - Immediate Dentin Sealing Levels of Evidence

Nov 10, 2023

Dr. Markus Blatz, Professor of Restorative Dentistry, discusses the concept of immediate dentin sealing (IDS) in adhesive dentistry and the evidence supporting its use. They also explore the bonding process in dental restorations, the improvements and limitations of universal adhesives, and the response of biologic width to different restorative materials.

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INSIGHT

Immediate Dentin Sealing Bond Strength

Immediate Dentin Sealing (IDS) improves bond strength per many in vitro studies, but clinical evidence is limited and mixed.
The amount of bond strength clinically needed varies case by case and it's best to optimize bonding without rigid adherence.

ADVICE

Practice IDS Technique Carefully

IDS is technique-sensitive, so practitioners should practice before clinical application to avoid errors.
Clinical outcomes depend heavily on clinician skill and experience; beginners should not expect advanced results immediately.

ADVICE

Composite Build-up Before Prep

Build up the tooth with composite to original shape before preparing for partial coverage restorations.
This supports undermined tooth structure and allows for minimally invasive preparation and better function evaluation.

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Dr. Markus B. Blatz is Professor of Restorative Dentistry, Chairman of the Department of Preventive and Restorative Sciences and Assistant Dean for Digital Innovation and Professional Development at the University of Pennsylvania School of Dental Medicine in Philadelphia, Pennsylvania, where he also founded the Penn Dental Medicine CAD/CAM Ceramic Center, an interdisciplinary venture to study emerging technologies and new ceramic materials while providing state-of-the-art esthetic clinical care. Dr. Blatz graduated from Albert-Ludwigs University in Freiburg, Germany, and was awarded additional Doctorate Degrees, a Postgraduate Certificate in Prosthodontics, and a Professorship from the same University.

Dr. Blatz is co-founder and past President of the International Academy for Adhesive Dentistry (IAAD) and a founding member of the European Academy of Digital Dentistry (EADD). He is a board-certified Diplomat in the German Society for Prosthodontics and Biomaterials (DGPro) and a member of multiple other professional organizations, including the American Academy of Esthetic Dentistry, the European Academy of Esthetic Dentistry, the International College of Prosthodontists, the American College of Prosthodontists (honorary member), Academy of Osseointegration, and O.K.U. Honor Dental Society. He is the Editor-in-Chief of Compendium of Continuing Education in Dentistry, Associate Editor of the Journal of Esthetic and Restorative Dentistry and of Quintessence International, Section Editor for the International Journal of Prosthodontics, and serves on the editorial boards of numerous other recognized scientific dental journals. He is coauthor of the international bestseller “evolution – contemporary protocols for anterior single-tooth implants”, which has been translated on over 8 languages.

Prior to joining Penn Dental Medicine as Chairperson of the Department of Preventive and Restorative Sciences in September 2006, Dr. Blatz was at Louisiana State University (LSU) Health Sciences Center School of Dentistry in New Orleans, where he served as Chairman of the Department of Comprehensive Dentistry and Biomaterials and Assistant Dean for Clinical Research. During his tenure at LSU, Dr. Blatz also directed the Masters of Science in Oral Biology Program and was a senior faculty member in the Department of Prosthodontics. From 1994 to 1998 he was an Assistant Professor and from 1998 to 1999 a senior faculty member in the Department of Prosthodontics at Albert Ludwigs University Freiburg School of Dentistry in Freiburg, Germany.

A widely published and internationally respected lecturer, Dr. Blatz’s main focus within clinical practice and research is esthetic dentistry with an emphasis on implantology and dental materials, particularly ceramics and adhesion. Dr. Blatz is the recipient of multiple teaching and research awards and has published and lectured extensively on dental esthetics, restorative materials, and implant dentistry. He was recently named one of the “World’s Top 100 Doctors in Dentistry”.