1995-2000: The Wild West of Dental Bonding Systems
Jan 25, 2024
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The podcast discusses the challenges and advancements in dental bonding systems from 1995-2000, including the development of self-etch systems, the importance of priming steps for successful restorations, and the evolution from light-tiered materials to light-cure initiators. It explores the impact of new Japanese products, advancements in bonding technology, and the collaborative efforts between chemists and dentists for better patient outcomes.
The evolution of bonding systems in adhesive dentistry required innovative techniques and products like Beseville 2B and SA primer for lasting restorations.
Interdisciplinary collaborations between researchers and dentists are crucial for advancing adhesive dentistry techniques and achieving durable restorations.
Deep dives
Early Challenges in Adhesive Dentistry Development
The journey in adhesive dentistry began with challenges in posterior teeth restorations in the mid-90s. While bonding to enamel was successful, adhesive restorations in posterior teeth faced significant obstacles due to decay issues. Introducing new adhesive products, like from the company Kuraray, and the concept of bonding veneers with Kuare products proved essential. The use of carries detecting dye revolutionized diagnosis and treatment, highlighting the importance of effective visualization and decay management.
Evolving Techniques in Adhesive Dentistry
The transition from traditional dentistry to adhesive dentistry involved a shift towards innovative techniques. The introduction of products like Bisco's Beseville 2B and the development of a primer named SA primer demonstrated advancements in adhesive technologies. The evolution of systems like the LinerBond F series and PhotoBond showcased a move towards self-etching systems and improved bonding approaches for lasting restorations.
Challenges and Insights in Adhesive Bonding
The exploration of bonding systems revealed the delicate balance between material composition and bonding effectiveness. Researchers like Nobu Nakawashi's focus on collagen stabilization in systems like 4-meta highlighted early attempts to enhance bonding to tooth structure. Collaborations between researchers and dentists, exemplified by Dave Pashley's work with Japanese researchers, underscored the importance of interdisciplinary cooperation in advancing adhesive dentistry techniques for durable and reliable restorations.
Early adhesive dentistry showed promise, but as Dr. David Alleman began implementing these new techniques into his practice, the success wasn’t immediate. Struggling with continued failures and wading through the sea of new bonding systems that were becoming available year after year, he sought to eliminate the guesswork and go to the source of what was causing unpredictable restorations: the science.