This is the last week of 2011 and the blog is now over six months old. It has been a true joy to write the posts, and is one of my greatest learning endeavors as I strive to share information that has value each and every day as we practice dentistry. I thought it appropriate to look back over the last six months of posts and see what were the most popular. These trends on what posts were viewed the most, shared most often of social networking sites, and generated the most comments will focus my energy in the coming months as I look for new content. If you have topic areas you would like to see more focus on I want to hear them, so reach out to me on via social media or leave a comment here as I read every one. This week I will be looking at the top five most viewed posts and anything new I can add to that content.
So without any further wait the fifth most read post of 2011 was “Immediate Dentin Sealing” on August 29. In this post I looked at a technique I first learned from Dr. Pacal Magne to utilize dentin adhesive and seal the freshly cut dentinal tublues as soon as the prep was complete. This technique is designed to minimize pulpal trauma due to bacterial infiltration during the temporization phase. In addition the thought is to maximize dentin bond strengths by creating the hybrid zone on freshly cut, uncontaminated dentin. There are particular ways this will alter your technique for final impressions and temporization due to the presence of the dentin adhesive and its resulting air inhibited layer. SInce posting this entry I attended the Society for Color and Appearance meeting. At that meeting Dr. Avishai Sadan, Dr. Silas Duarte and Dr. Jin Ho Phark presented interesting new research on our ability to bond to this hybrid layer when we are ready to place the final restoration. They looked at multiple different approaches and found significant variation in our ability to create an adequate bond for the final restoration. For me this information simply means there is more to learn and I will stay tuned as researchers and clinicians look at this technique and evaluate its validity.
The original post can be found at the following link: https://leeannbrady.com/restorative-dentistry/immediate-dentin-sealing