Decision Making for Anterior Composites - PDP211

How far should you extend composite resin? When does edge bonding become a composite veneer? How do you decide where to finish the restoration? And most importantly, how do you avoid that dreaded yellow-brown stain line that can form on anterior resins?

These are just some of the burning questions tackled in this episode with my guest, Dr. Mahmoud Ibrahim (IG: @drmoidental). We dive deep into the artistry and engineering of  decision-making in anterior composites.

Protrusive Dental Pearl: use a zirconia primer which contains 10-MDP (e.g. Monobond, Z-Prime Plus) on the intaglio of crowns to enhance bond strength, even with conventional cements like GIC. This low-risk, high-reward tip improves retention, especially for teeth with limited height. Incorporating a zirconia primer can significantly improve outcomes without switching to resin cement.

Key takeaways:

- Choosing between edge bonding or veneers is not a black-and-white decision.

- The height of contour is key in cosmetic dentistry.

- Seamless transitions between composite and tooth are pivotal.

- Aesthetic considerations vary based on individual cases.

- Material choice is influenced by patient risk factors.

- Layering techniques enhance the natural appearance of teeth.

- Patient previews are essential for managing expectations.

- Thickness of composite affects durability and aesthetics.

- Understanding angles is key to successful restorations.

- Not all patients require the same approach to bonding.

Highlights of this Episode:

0:00 Introduction

02:43  Protrusive Dental Pearl

04:49 Personal Anecdotes and Health Goals

09:37 Anterior Composites: Edge Bonding vs Veneering

16:00 Importance of Finishing Composite Correctly

17:09 Understanding the Height of Contour

18:36 Importance of Layering in Dental Procedures

21:35 Choosing the Right Materials for Layering

23:56 Importance of Layering in Dental Procedures

27:14 Challenges and Solutions in Composite Layering

32:31  The Marshall Hanson Method

36:29 Mockups and Wax-Ups: Planning for Success

43:03 Treatment Considerations

This episode is eligible for 0.75 CE credits via the quiz on Protrusive Guidance. https://protrusive. co.uk/ultimate

This episode meets GDC Outcome C - Maintenance and development of your knowledge and skills within your field(s) of practice.

AGD Subject Code: 250 OPERATIVE (RESTORATIVE)DENTISTRY (Direct restorations)

Aim: To enhance clinicians' understanding and decision-making in anterior composite restorations, focusing on when edge bonding transitions to a veneer, optimizing aesthetics and functionality, and minimizing common challenges such as staining and occlusal complications.

Dentists will be able to -

1. Understand the key factors that influence the transition between edge bonding to full veneers.

2. Apply guidelines for minimum composite thickness and bonding angles to enhance durability and aesthetic outcomes.

3. Identify high-risk patients and tailor material choices, layering techniques, and bonding approaches to individual needs.

If you loved this episode, make sure to watch Composite Veneers vs Edge Bonding – Biomimetic Dentistry with George The Dentist – PDP075: https://protrusive. co.uk/075