The concept of heating dental composite, specifically preheating resin composites before placement, first appeared in dentistry in the early 1980s, building on the foundational development of composites in the 1960s.

Composite materials originated with Dr. Rafael L. Bowen’s pioneering work on Bis-GMA resin in the late 1950s/early 1960s, leading to commercial products like Adaptic in the 1970s. These offered great esthetics and strength but suffered from high viscosity and placement challenges.

Early Research (1980s)

The idea of applying heat gained scientific attention with a 1981 study by Bausch, de Lange, and Davidson (Journal of Oral Rehabilitation). They showed that temperatures up to 60°C improved mechanical properties like diametral tensile strength and microhardness, thanks to reduced viscosity and enhanced polymerization.

Early experiments highlighted benefits like better flow, adaptation, and monomer conversion, though clinical use remained limited and often improvised (e.g., warm water baths).

Clinical Popularization (2001 Onward)

The technique became a practical clinical tool in the early 2000s. Dr. Joshua Friedman is widely credited with implementing and popularizing preheating starting in 2001. By warming composites to 54–68°C (130–155°F), he achieved dramatically lower viscosity for easier extrusion, superior cavity adaptation, reduced voids/microleakage, higher degree of conversion, and often shorter curing times—without losing final strength after cooling.

Commercialization

To standardize the process, AdDent Inc. (founded by Friedman) introduced the Calset Composite Warmer in 2001. This chairside device provided precise, consistent heating (e.g., 37°C, 54°C, or 68°C) for composites and other materials, replacing inconsistent methods and making preheating reliable for everyday use.

Today, preheating remains a mainstream technique in restorative dentistry, especially with modern universal and bulk-fill composites. It bridges packable and flowable behaviors, enhancing handling, adaptation, and restoration success through simple, evidence-based innovation.

It all starts with a health smile

Oral health isn’t isolated; it’s a gateway to overall wellness. As patients become more informed about the profound connections between their mouths and the rest of their bodies, they’re seeking providers who deliver truly holistic care. In 2026, positioning your practice at the forefront of this movement isn’t just good medicine, it’s smart business.

Recent research reinforces what forward-thinking dentists have long known: oral health is inseparable from overall health.

The American Heart Association’s December 2025 scientific statement links periodontal disease to higher risks of heart attack, stroke, atrial fibrillation, heart failure, and plaque buildup in arteries, driven by chronic inflammation and bacteria entering the bloodstream.

Mayo Clinic and ADA insights highlight bidirectional ties to diabetes (worsening blood sugar control), respiratory issues, pregnancy complications, cognitive decline, and even longevity, where poor oral hygiene fuels systemic inflammation.

A 2025 year-in-review from Oral Health Group notes studies showing gum disease as an early indicator of broader issues like gastric cancer, dementia (treatment reducing risk by up to 38%), Parkinson’s, and mortality from tooth loss.

The consensus? Preventive oral care, such as early detection of gum disease, biofilm, plaque, and subtle defects, can meaningfully reduce these systemic risks.

That’s where AdDent’s Microlux DW Illuminator makes the difference.

This compact, rechargeable dual-wavelength tool delivers:

• • • White light transillumination for crystal-clear views of hidden cracks, fractures, proximal caries, and early decay—often better than X-rays alone, with zero added radiation.
    • 405 nm fluorescence to reveal biofilm and bacteria that fuel gum disease and inflammation, giving you to the ability to spot issues before they spread systemically.

With one ergonomic device and specialized guides, the Microlux DW streamlines exams, educates patients visually, and helps grow your practice and increase revenue.

In 2026, patients expect care that protects more than smiles. Help them achieve

lasting wellness with superior visibility.

White Spot Lesions and Incipient Caries  

White spot lesions and incipient caries on are more common than you might think. They often appear after orthodontic treatment (decalcification from braces), from early caries, fluorosis, or other conditions These opaque spots can make patients self-conscious. Incipient caries can later require a more extensive restorations with removal of tooth structure.

The great news is that modern minimally invasive dentistry offers powerful tools to detect and treat these issues early – without drilling, anesthesia, or sacrificing healthy tooth structure.

Microlux 2

The Microlux 2 Transilluminator from AdDent is an essential diagnostic device. This handheld, battery-powered LED instrument uses  high intensity fiber-optic transillumination to reveal hidden problems such as early stage caries and cracks – often catching issues that X-rays miss.

It’s quick, radiation-free, and perfect for routine check-ups, especially in kids or anxious patients.

Icon Smooth Surface

Once detected, Icon Smooth Surface from DMG provides a revolutionary micro-invasive solution. This resin infiltration treatment opens porous enamel with a gentle etch, dries it, and then flows a low-viscosity resin into the lesions via capillary action. After light-curing, the white spots blend seamlessly with natural enamel – and progression is halted with no drilling and no X-rays!

Done in one short visit, with stunning, long-lasting results.

The Perfect Team-Up

Combining Microlux 2 for precise detection with Icon for effortless treatment creates a winning protocol in any practice. Patients get healthier teeth, beautiful aesthetics, and a confidence boost – all minimally invasively.

2025’s Hottest Veener Trends

In the ever-evolving world of cosmetic dentistry, dental veneers are stealing the spotlight. With the global market projected to hit $2.47 billion this year and procedures skyrocketing by 250% in recent times, veneers are no longer just a Hollywood secret—they’re a mainstream path to that perfect smile. But as trends shift toward precision, minimalism, and tech-savvy solutions, tools like AdDent Inc.’s VacTak are emerging as game-changers.

Minimally Invasive and No-Prep Veneers: Preserving Natural Smiles

One of the biggest shifts in veneer trends is the move toward minimally invasive or no-prep options. These ultra-thin porcelain or composite shells (often just 0.3-0.5 mm thick) require little to no enamel removal, prioritizing patient comfort, reduced recovery time, and natural tooth preservation. Innovations like 3D-printed guides ensure precise preparation, making this approach a staple in 2025’s cosmetic forecasts.

Digital Workflow and Technology Integration: From Design to Delivery

Digital tools are transforming veneer procedures, with Digital Smile Design (DSD), CAD/CAM systems, and 3D printing enabling custom previews, same-day fabrications, and highly personalized outcomes. This tech integration boosts predictability and efficiency, aligning with the demand for tailored smiles in 2025.

Adhesive Cementation Innovations: Stronger Bonds, Fewer Failures

Advancements in luting materials, such as flowable composites with spherical fillers, are focusing on better flow, extended working times, and superior bond strength to prevent voids or long-term issues. Passive fitting and stress-reduced techniques are key to ensuring durable veneer adhesion.

VacTak directly tackles common cementation pitfalls like drifting or sagging by holding restorations securely during application. Dentists can apply try-in paste, etch, silane, or adhesive without contamination, then tack cure—all with one instrument. This one-tool approach not only saves time but enhances bond integrity, making it ideal for the latest adhesive protocols.

VacTak in Action: Features That Make It Essential

At its core, VacTak is a $129 kit packed with value: an ergonomic handle, dropper bottle, and 60 assorted tips (including Microlux-compatible ones). Reviews from experts like Dr. John Flucke and Dr. Dennis Hartlieb praise its versatility for veneers, onlays, and even crowns, calling it a “handy little device” for contamination-free workflows. While user feedback is still emerging, its patent-pending design positions it as a forward-thinking tool.

As veneer trends in 2025 lean toward innovation, precision, and patient-centric care, tools like VacTak from AdDent aren’t just accessories—they’re essentials. By addressing handling challenges head-on, it empowers dentists to deliver superior outcomes in a competitive field. Whether you’re a practitioner eyeing the latest tech or a patient curious about smile makeovers, VacTak represents the smart evolution of cosmetic dentistry. Check it out through AdDent’s site or distributors like Patterson Dental for a closer look. Your perfect smile might just be one suction tip away!

The Bacterial Battle: Why Prevention is Key to Implant Success

Proactive Defense: Turning Implant Challenges into Opportunities

Dental implants offer success rates over 95% long-term, but challenges like infections, bone loss, and inflammation can lead to failure without early action. However, there is one thing that every implant failure has in common: bacteria. This ubiquitous culprit drives issues from peri-implantitis to poor osseointegration, making early detection and elimination essential. Fortunately, new strategies and products prioritize prevention via detection, maintenance, and risk management, helping professionals minimize issues for better patient results. Here’s a concise look at key risks and solutions.

Peri-Implantitis: Vigilant Management Essential

Impacting up to 30% of implants, this inflammation causes bone loss akin to periodontitis. Fight it with daily hygiene (soft brushing, flossing, antimicrobial rinses like chlorhexidine), professional cleanings, and Er:YAG laser decontamination for effective, non-damaging treatment. Early nonsurgical approaches, per AO/AAP guidelines, prevent progression through risk control and supportive therapy. Additionally, emerging tools like fluorescence illuminators can highlight active biofilm early, allowing for targeted intervention before symptoms escalate.

Patient Screening and Design Choices: Customized Risk Reduction

Factors like smoking (increases infection risk 2-3x, with failure rates at 11% for smokers vs. 5% for nonsmokers), diabetes, poor bone quality, or bisphosphonates (linked to rare osteonecrosis, especially with long-term use) heighten complications. Screen patients thoroughly, promote smoking cessation, and choose tissue-level implants to limit bacterial entry. Pre-treat gum disease and use quick decontamination techniques for safer outcomes. For patients with osteoporosis, dental implants remain viable with proper precautions, such as bone density assessments and adjusted treatment plans to ensure stability.

Innovative Coatings and Therapies: Enhancing Durability

Nanocoatings resist bacteria and boost osseointegration, while quarterly supportive therapies yield high survival rates in long-term studies. Address concerns like autoimmune responses or cavitations via proper socket preservation. Antibiotics may help high-risk cases, but focus on resistance-aware protocols to turn risks into preventable steps. Newer approaches, like advanced diagnostic lighting, further aid by visualizing bacterial presence during procedures, reducing the chance of post-op infections.

Your Prevention Partner: Spotlight on the MicroLux DW

Excited about smarter, safer implants? In the meantime, turn to AdDent Inc.’s MicroLux DW illuminator—its fluorescence mode shines at detecting bacterial presence during prep, ensuring clean sites for optimal osseointegration and fewer complications. This all-in-one diagnostic tool uses dual wavelengths: white light for transillumination to spot fractures and defects, and blue-violet fluorescence (405 nm) to highlight active biofilm, plaque, calculus, and bacteria linked to peri-implantitis and other infections. It’s rechargeable for a full week of use, features one-button operation with auto shut-off, and is easy to integrate into daily exams for precise, non-invasive detection. By catching contaminants early in implant preparation, it helps prevent failures and promotes better healing—making it a game-changer for proactive care. Explore it at here today!

Wool Waste to Oral Health Wonder

A recent King’s College London breakthrough uses sheep-derived keratin to naturally restore tooth enamel and stop cavities in their tracks. This protein, which is extracted from wool scraps that are basically going to waste, acts like a smart biomaterial that could change the world of regenerative dentistry.

How Keratin Works Its Magic: Key Findings

• • When mixed with saliva, keratin attracts minerals like calcium and phosphate, forming a crystalline scaffold that rebuilds enamel and creates a protective coating stronger than traditional methods.
  • It outperforms fluoride by completely stopping demineralization in early-stage caries, reducing sensitivity and preventing further erosion.
  • Eco-friendly and cost-effective, this approach repurposes wool byproducts, paving the way for integration into toothpaste or professional gels.

Embracing Natural and Regenerative Dental Trends

This all fits right in with the push toward more natural and regenerative options, giving us a safer bet than the usual fillings or resins that can wear out over time. For dental professionals and informed patients alike, it represents a shift toward preventative, sustainable care.

Excited About Natural Enamel Fixes?

In the meantime, discover how our MicroLux2 transilluminator or MicroLux DW can spot enamel issues early and enhance patient outcomes. Explore them at addent.com now!

Harnessing Nature’s Stress Response to Revolutionize Oral Health

The Hidden Threat: Understanding Oral Biofilm and Plaque

Plants may not have teeth, but their natural defenses could revolutionize how we fight one of dentistry’s toughest foes: biofilm. These slimy bacterial communities aren’t just a nuisance, they’re the root cause of plaque buildup, cavities, gum disease, and even links to broader health problems like heart disease and diabetes. Drawing inspiration from the plant kingdom, where flora have evolved clever ways to fend off microbial invaders, scientists are tapping into a hidden superpower that might make biofilm prevention as simple and natural as brushing.

Oral biofilm, also known as plaque, is a sticky film of bacteria that forms on your teeth and gums. Microorganisms attach to surfaces using hair-like structures called fimbriae. Once the fimbriae are anchored in place, microorganisms build a slimy matrix to shield themselves from antibiotics and cleaners. This plaque buildup is not only difficult to remove, it fuels infections, tooth decay, and even systemic health issues.

What if we could prevent biofilm from building up in the first place? Scientists at the University of California, Riverside have uncovered a game-changing natural compound from plants that disrupts biofilm formation.

What researchers discovered

When under stress, plants naturally produce a metabolite called MEcPP (methylerythritol cyclophosphate) which helps protect them from biofilm formation.  Researchers have identified that MEcPP works by boosting the fimE gene in bacteria, which acts as an “off switch” for fimbriae production. Without the fimbriae, microorganisms cannot attach to surfaces and build biofilm.

Key discoveries from the research:

• Plant stress response: MEcPP builds up in damaged plants to prevent biofilm accumulation at wound sites
• Bacterial impact: In lab tests on E. coli, MEcPP halted biofilm formation, with visualizations showing dramatic reductions in biofilm mass
• Genetic screening: Over 9,000 bacterial mutants were tested to confirm fimE as the key target

What comes next?

While challenges like scaling up production remain, this plant-bacteria connection opens doors to innovative, natural defenses against biofilms. Imagine routine dental products infused with MEcPP for effortless protection.

In the meantime, AdDent Inc. has cutting-edge tools, like our MicroLux DW, to combat biofilms and keep your patients’ smiles healthy today!

Lab-grown teeth could offer alternative to fillings and implants – Jess Thomson

When it comes to regrowing teeth, several big players come to mind: sharks, crocodiles, even elephants can regrow their molars up to six times. But after replacing our baby teeth, we humans only have one set. If we ever damage or lose a tooth, we have to rely on artificial filings or implants. But what if people could regrow their teeth like sharks? No more implants or fillings needed, just natural replacements. This may sound like science fiction, but groundbreaking advancements may soon bring lab-grown teeth into reality.

Stem Cells in Hydrogel Environments

Scientists at King’s College London, working with Imperial College London, have made a key discovery for growing teeth in a lab. A team of researchers led by Xuechen Zhang have found a way to grow mini-teeth, or tooth organoids, using a special soft, jelly-like material called a hydrogel. This new hydrogel replicates the natural extracellular matrix and is the ideal environment for teeth to grow on their own in vitro. The hydrogel allows stem cells to communicate with each other, sending signals that cause those stem cells to differentiate into enamel, dentin, and pulp cells.

Global Innovations Sparking Hope for Tooth Regrowth

This isn’t just wishful thinking or a one-off case either. Similar advances are popping up worldwide: Japanese scientists are trialing a drug to regrow teeth by 2030, and Tufts University even grew human-like teeth in pigs!

While we probably won’t be regrowing endless rows of replacement teeth like sharks anytime soon, it’s a promising move toward more natural dental solutions. For now, AdDent Inc. is here with innovative products to keep smiles strong until this future arrives.

Turning Floss into Flu Defense

When it comes to flu shots, many people, especially children, dread the annual prick. But what if vaccination became as easy as flossing your teeth? No more injections needed, just a simple oral routine for protection. This innovative idea is moving closer to reality thanks to recent scientific breakthroughs

Researchers have developed a specialized dental floss coated with vaccine components like inactivated viruses and proteins. Applied along the gum lines, it leverages the highly permeable pocket between teeth and gums to deliver the vaccine directly into the body, sparking a strong immune response.

Testing the Floss Vaccine Concept

In mouse studies, animals flossed every two weeks over 28 days survived a lethal influenza dose, showing antibodies in saliva, feces, and bone marrow for long-lasting defense. 

Early human tests with dye-coated floss reached the gums in about 60% of attempts, proving feasibility but highlighting the need for better consistency.

This needle-free approach could be a game-changer for kids terrified of shots, making vaccines painless and routine. Challenges like overcoming oral barriers remain, but the potential for easy, at-home use is exciting.

But did you know AdDent Inc has a product perfect for children’s mini mouths? Be on the lookout for our next email with great deals and tips for those with pediatric patients!

Injection molding has been used in manufacturing for over 150 years, and the concept has recently been introduced into dentistry.

Dental injection molding is a restorative technique that involves injecting a low-viscosity composite resin into a transparent silicone matrix (or stent) created from a wax-up or digital mock-up. This method produces highly aesthetic, minimally invasive restorations, particularly for anterior teeth, diastema closure, and full-arch composite veneers. The silicone matrix helps shape the composite resin, ensuring a predictable and natural-looking outcome.

For achieving a better and stronger dental restoration, it is preferrable to use a heavily filled composite rather than a flowable composite. Warming the composite resin before injection molding improves its flow, reduces micro-leakage, and helps ensure a more reliable restoration. This technique involves heating the composite to a specific temperature, such as 60° C (140° F), to lower its viscosity, making it easier to inject into a mold.

How it Works – Quick Overview

1. Heating the Composite: The composite resin is typically preheated in a special warming device to a temperature between 54° C and 68° C (129° F and 154°F), depending on the specific material and manufacturer instructions.

2. Injection Molding: The warmed composite is then injected into a clear silicone matrix, which has been adapted to the tooth preparation.

3. Curing: The injected composite is the light-cured, hardening and bonding it to the tooth surface.

Click here for a more in-depth look at the technique

Warming Benefits for Injection Molding

• Improved Flow: Warming the composite makes it more fluid, allowing it to flow more easily into the mold and into the intricate areas of the tooth preparation
• Reduced Micro-leakage: The improved flow and adaptation of warmed composite can lead to a better seal, reducing the risk of micro-leakage, which is the passage of fluids and bacteria into the tooth cavity.
• Improved Adaptation: Warmed composite can conform more closely to the tooth surface, resulting in a more accurate and esthetic restoration.
• Reduced Extrusion Force: Warming can significantly reduce the force needed to dispense the composite, improving ergonomics and reducing fatigue for the dentist
• Enhanced Aesthetics: By allowing for better adaptation and filling of intricate areas, warming composite can contribute to more esthetically pleasing restorations.

Warmed Composite for Injection Mold – A Demonstration
– Dr. Marc Geissberger, DDS

All Warmed Up

In essence, warming composite for injection molding is a technique that enhances the flow, adaptation, and durability of composite restorations, leading to more predictable and esthetic results.

Keep an eye out for our next email where we highlight our best warming products for injection molding procedures.

The use of different types of X-rays in dentistry comes with specific limitations.

Conventional bitewing radiography:

Accurate detection and diagnosis of carious lesions are essential for implementing the most effective caries management strategies. Among the various diagnostic aids available, bitewing radiographs are considered the gold standard for identifying proximal carious lesions.

Pitfalls and complications
• Bitewing radiography does not help detect caries on smooth surfaces (buccal and lingual).
• Changes in X-ray projection can cause some carious lesions to falsely appear as ‘progressing’ or ‘regressing’.
• Ionizing radiation is a major pitfall of bitewing radiography and limits its repeatability and application in young children.
• Bitewing radiography poses a risk of under-detection for early proximal lesions.
• Bitewing radiography carries an increased risk of underestimation of lesion extension in occlusal lesions.

Panoramic X-ray:

A panoramic X-ray does not provide precise, detailed information about each tooth or soft tissue, such as muscles. It is generally utilized as an initial evaluation of the bones and teeth. Due to the curvature of the mouth, the panoramic X-ray may sometimes produce a slightly blurry image, making it impossible to accurately measure the teeth and jaw.

Cone Beam CT:

While cone beam computed tomography (CBCT) has quickly become popular in dentistry, it does have several drawbacks. These issues may stem from the “cone-beam” projection geometry, detector sensitivity, and contrast resolution. Artifacts, noise, and insufficient soft tissue contrast can compromise the clarity of CBCT images. Additionally, CBCT units generally have less soft tissue contrast compared to conventional CT machines.

Dental veneers are small and fragile. When loaded with luting cement, they can easily chip, crack, or be dropped. It can be challenging to handle thin veneers and crowns, which increases the risk of them being dropped on the floor accidentally swallowed by the patient.

Options for ensuring accurate positioning of veneers for bonding are limited. The frustration of veneers slipping from fingers or shifting during curing can be challenging for practitioners.

Handling Veneers – An Overlooked Step

The procedures for placing delicate porcelain or composite veneers have been thoroughly documented over the years. However, one aspect of the process that seems to have been overlooked in both research and clinical studies is the careful transportation of a veneer that is filled with luting cement or warmed composite. Ensuring precise alignment and placement during this transfer from the work area to the tooth structure is crucial.

Current Tools and Their Limits

The sticky applicator stick is the most commonly used tool for handling veneers. While these sticks can hold a veneer in place, the do not allow for using pressure to secure the veneer. One company offers a Veneer Placement tool that connects to a high-volume oral evactuation (HVE) system. Neither of these options allow you to easily tack cure the veneer to the prepared tooth.

A Better Way?

Is there an option between the simple sticky applicator stick and the more complicated system attached to the HVE? Yes! The answer is in our next email newsletter! Click here to subscribe to our newsletter.

Everyone has a role to play when it comes to oral cancer – Fiona Ellwood & Emma Riley

Key points:

• Up to 25% of oral cancer cases have no associated significant risk factor
• The incidence of oral cancer has risen by 49% over the past ten years
• Although oral cancers have been most common in the over 55 age group, more are being seen in the younger age groups
• The five-year survival rate has hardly improved in the last few decades due to late detection

Oral Cancer Screening Resources for Dental Professionals

Screening every patient for oral cancer is an essential, life-saving step. Learn from some of our best content on the role of dental professionals with oral cancer and screening—in April and the whole year through. – Elizabeth S. Leaver

The Art of Shade Selection in Dentistry– Ryan Shaffer

Most dentists identify as scientists rather than artists. But dentistry, particularly cosmetic and restorative practices, requires today’s clinicians to tap into their inner Michelangelo. That rings especially true in shade selection.

Integrating science and art is essential when selecting the right shade for a patient’s bridge or permanent restoration. Restorations must be functional and aesthetically pleasing, blending seamlessly with the patient’s natural teeth.

Here are tips for selecting the right shade.

The Subtle Art of Selecting The Perfect Shade

Selecting a new shade for dental treatment involves several factors that may be out of the control of both the patient and the dentist. One key consideration is the patient’s desired outcome and what is realistically achievable. This process is crucial and can incur significant costs for everyone involved. The results can affect not only the patient’s appearance but also their confidence and social life. An incorrect shade can be very noticeable, making the patient’s smile appear unnatural.

When choosing a shade, the dentist has to consider the: Material being used / Shade of the patient’s skin / Color of their gums / Color of their natural teeth / Eye color / Hair color

Gum disease and diabetes – Ernie Mundell
“Recent research has shown that diabetes is not only a major risk factor for periodontitis but that the relationship between the two conditions is bidirectional, meaning they both influence and exacerbate one another,” said Dr. Anton Sculean, chair of periodontology at the University of Berne in Switzerland.

Oral Health and Alzheimer’s Risk – Alzheimer’s Association
Gum disease (gingivitis) has been linked to a higher risk of heart disease, but a recent study (published Jan. 23, 2019, in Science Advances) says that the bacteria that cause gingivitis also may be connected to Alzheimer’s disease.

Scientists have found that this species of bacteria, called Porphyromonas gingivalis, can move from the mouth to the brain. Once in the brain, the bacteria release enzymes called gingipains that can destroy nerve cells, which in turn can lead to memory loss and eventually Alzheimer’s.

Here are 14 Medical Conditions with a Surprising Connection to Oral Health

These conditions include Diabetes, Heart Disease and Stroke, Kidney Disease, organ transplant, Head and Neck Cancer Radiation, and Sjogren’s  Syndrome. Rheumatoid Arthritis, Lupus, Parkinson’s Disease, Amyotrophic Lateral Sclerosis, Huntington’s Disease, Opioid Misuse and Addiction, Pregnancy and more.

Evidence-based clinical practice guideline for the pharmacologic management of acute dental pain in adolescents, adults, and older adults: A report from the American Dental Association Science and Research Institute, the University of Pittsburgh, and the University of Pennsylvania – Alonso Carrasco-Labra DDS, MSc, PhD, Deborah E. Polk PhD, Olivia Urquhart MPH, more

When managing acute dental pain, there are several reasons to consider alternatives to opioids. First, evidence suggests that opioids may not be the best approach to managing what is often inflammation-related acute dental pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) would target the source of the pain, whereas opioids would not. Relying on opioids to manage acute dental pain can have unintended negative consequences.

Conclusions

Nonopioid medications represent first-line therapy when managing acute dental pain consecutive to tooth extraction(s) (simple, surgical) and the temporary management of toothache. There is a beneficial net balance in favor of using nonopioid medications compared with prescribing opioid medications.

THE Biggest Challenges with Veneers – by Dr. William Linger, DDS, MAGD

Dental veneers are custom coverings bonded to the outer surface of teeth, primarily to enhance their color, size, and shape. However, issues can arise that may lead to dissatisfaction or damage post-installation. Explore significant challenges associated with veneers.

Expert tips and tricks for veneer cementation – Prof. Paulo Monteiro, DMD, MSc

Veneer cementation can be challenging and requires attention to detail. Use these extra tips to help you master this procedure from try-in to final cure – and produce incredible results with confidence.

Red and Green Fluorescence from Oral Biofilms – Catherine M. C. Volgenant, Michel A. Hoogenkamp, Bastiaan P. Krom, Marleen M. Janus, Jacob M. ten Cate, Johannes J.de Soet, Wim Crielaard, Monique H. van der Veen

Examinations done with Near UV (NUV) at 405nm light on surfaces where active biofilm or calculus is present, allows for identification and removal. Consequently, the visualization and elimination of active biofilm may be a key preventive method to restore the balance in the biofilm to prevent further development of disease.

Pre-heating of high-viscosity bulk-fill resin composites: Effects on shrinkage force and monomer conversion. Journal of Dentistry – Taubock Tobias T, Tarle Zrinka, Marovic Danijela, Attin Thomas

Clinical significance: Composite pre-heating significantly reduces shrinkage force formation of high-viscosity bulk-fill and conventional resin composites, while maintaining or increasing the degree of monomer conversion, dependent upon the specific composite material used.

Effect of pre-heating resin composite on restoration microleakage – Warren C Wagner, Mert N Aksu, Ann-Marie L Neme, Jackson B Linger, Frank E Pink, Stephen Walker

Results: Preheating the composite resulted insignificantly less microleakage at the cervical margins than the flowable liner and control.

Art and Science of Shade Matching
Mariya Khalid, BDS, FCPD & Mohammad Ali Chughtai, BDS, MHPE

Shade selection is a crucial step in restorative procedures. Its goal is to create restorations that match the patient’s existing dentition and look aesthetically pleasing. This article discusses the clinical challenges that can make proper shade selection difficult, categorizing these challenges into factors related to the dentist, the environment for shade matching, the materials used for selection, and the patient. A checklist and a form for shade selection have been developed to prevent oversights and improve communication between dentists and laboratories, ultimately leading to better, more aesthetically pleasing restorations.

Overcoming Shade Challenges – Masking a dark preparation for a brighter smile – Sung Bin Im, MDC, CTD, BS and Jae Seon Lim, DDS, FACP, CDT

Tooth discoloration can occur due to several factors, such as natural aging, trauma, prenatal conditions, dental procedures like endodontic therapy, dental restorations, and consumption of food dyes, beverages, and tobacco. These internal and external factors can greatly affect tooth color, so it’s important to consider cosmetic improvements when requested by the patient carefully.

Restoring teeth with dark underlying tooth structures can be quite challenging. Ensuring both optimal aesthetics and patient satisfaction without compromising dental health requires a comprehensive approach.

Biofilm affects every aspect of dentistry.

Biofilm is an ever-present risk that impacts the entire spectrum of oral health, with its most common manifestation being dental plaque. However, biofilm is omnipresent across most other significant areas of reactive dental treatment, increasing infection risks in peri-implantitis, periodontitis, and endodontic disease in the oral cavity. Understanding biofilm and how it forms is vital in taking control of the situation.

In this eBook collection, we have researched and presented information on biofilm for easy review.

• Volume 1: Biofilm and what it effects
• Volume 2: Can Biofilm be visualized?
• Supplemental: Use of Fluorescence-Aided-Identification Technique

Download each eBook by clicking the buttons below:

Why are my hands and wrists hurting, and what can I do to relieve the pain?

Occupational hazards to dental staff – Jamshid Ayatollahi, Fatemah Ayatollahi, Ali Mellat  Ardekani, Rezvan Bahrololoomi, Jahangir Ayatollahi, Ali Ayatollahi, and Mohammad Bagher Owlia

Hand/wrist complaints among dentists and especially dental hygienists are highly prevalent. Hand/wrist complaints follow low back disorders and result in a significant higher chronicity than any other complaint.

Carpal tunnel syndrome – an occupational hazard facing dentistry – Sagar Abichandani, Saquib Shaikh, and Ramesh Nadiger

Hamann et al. stated that repetitiveness of work, forceful exertions, mechanical stress, posture, temperature and vibration are ergonomic risk factors associated with CTS. These risk factors are present for dentists as contact stress over the carpal tunnel may be caused by dental instruments, and wrists may be held in awkward positions for prolonged periods.

Prevalence and risk factors of hand problems and carpal tunnel syndrome among dental hygienists – J A Lalumandier , S D McPhee

Conclusion: The prevalence of hand problems and CTS among dental hygienists was the highest among army dental personnel, with the exception of dental therapy assistants. Risk factors for both hand problems and CTS are multifactorial, and dental hygienists should be particularly aware of those factors that can be prevented.

Research has shown how it improves restorative outcomes for over 20 years!

There is research available that demonstrates why warming composite works, from better adaptation to color stability. The following are just a couple of examples.

Greater Degree of Conversion

The Effect of Temperature on composite Polymerization Stress and Degree of Conversion –Fernando C. Calheiros, Marcia Daronch, Frederick A. Rueggeberg, Roberto R.Braga

Clinical significance: Increasing composite temperature allows for reduced exposure duration and lower polymerization stress (both maximum and final) while maintaining or increasing the degree of conversion.

Reduced Shrinkage/ShrinkageStress

Pre-heating of high-viscosity bulk-fill resin composites: Effects on shrinkage force and monomer conversion.Journal of Dentistry – Taubock Tobias T,Tarle Zrinka, Marovic Danijela, Attin Thomas

Clinical significance: Composite pre-heatings significantly reduces shrinkage force formation of high viscosity bulk-fill and conventional resin composites, while maintaining or increasing the degree of monomer conversion, dependent upon the specific composite material used.

Less Micro-Leakage

Effect of pre-heating resin composite on restoration microleakage –  Warren C Wagner, Mert N Aksu, Ann-Marie L Neme, Jackson B Linger, Frank E Pink, Stephen Walker

Results: Preheating the composite resulted in significantly less microleakage at the cervical margins compared to the flowable liner and control.

Do preheated composites have less shrinkage?
This experiment was done by Professor Allan Grayson, DDS at NYU College of Dentistry.

Objective: To demonstrate the difference in shrinkage between room temperature and preheated composite.

Steps used in the experiment:

1. 1. Cut down anesthetic vials that were sandblasted inside. Bonding agent,(Scotch Bond) applied to the inner glass walls and cured.
   2. Glass vials maintained in a 940 F water bath.
   3. A composite, (3M, Filtek Supreme) was placed in the left vial using a Compex HD dispenser at approximately 1550 F (680 C).
   4. A composite, (3M, Filtek Supreme) was placed in the right vial at room temperature.
   5. Both specimens were approximately 3 mm thick and cured for 20 seconds with a Valo curing light @ 1,500 mw/cm2
   6. A Red-Cote disclosing dye was placed in both vials.

Clinical considerations in restorative dentistry – A Narrative Review
by Shivakumar, Ashwini Tumkur; Kalgeri, Sowmya Halasabalu; Dhir,Sangeeta

Excerpts from the paper:

Restoring the proper anatomy of the tooth and maintaining the health of the soft tissue should be a prime consideration during the restorative procedure. This article reviews the clinical considerations that need to be adopted while restoring a natural tooth and or implant restoration.

Re-establishing the anatomy of the tooth Contact and contours

Establishing interproximal contact is the primary objective of restorative procedures. Ideal Proximal contact acts as a barrier against food impaction and thus contributes to underlying periodontal health. By providing food spillways and facilitating hygienic cleaning.

Improper restoration in the contact area will cause displacement of the teeth, lifting forces of the teeth, rotation of the teeth, deflecting occlusal contact, and food impaction.

Influence of composite resin consistency and placement technique on proximal contact tightness of Class II restorations
by Bas A C Loomans, Niek J M Opdam, Joost F M Roeters, Ewald M Bronkhorst, Alphons J M Plasschaert

Results:  The use of medium- or high-viscosity instead of a low-viscosity composite resin resulted in statistically significantly tighter proximal contacts (p < 0.01). The use of a separation ring resulted in a large, statistically significant increase (p < 0.001) in contact tightness. In contrast, the use of a hand instrument resulted in a small, statistically significant increase in contact tightness (p = 0.017). No statistically significant differences were found when a dead-soft matrix or a sectional matrix was used instead of a Tofflemire (p = 0.159, p = 0.261, resp.).

Conclusion: The use of a separation ring when restoring a Class II composite resin restoration has a greater influence on the obtained proximal