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today GNYDM 25 Nov

exhibitors38 Greater New York Dental Meeting — Nov. 25, 2012 By Howard S. Glazer, DDS, FAGD, FASDA n That’s not a spelling error in the title. I have intentionally spelled it to mimic the name of the non-runny, non-flowable resin material I will discuss. Resin dentistry has come a long way since the early days of silicates. Both patients and dental profession- als have demanded restorative mate- rials that are functional, durable, versatile and esthetic. Imagine, if you will,amaterialthatisabase,linerand restorative all in one tube. Shofu has developed just such a product: Beautifil Flow Plus. This new flowable resin is a sculptable, non-flowing resin available in two formulations: F00 and F03. Those designations mean that it flowed zero millimeters when an amount was placedonapadandheldverticallyfor one minute. Similarly, the F03 flowed only 3 mm during one minute. Both formulations contain the proprietary giomer chemistry and S-PRG fillers, which release and recharges fluoride like a glass ionomer. The giomer chemistry is impor- tant. Giomers have an anti-plaque effect by providing a smoother sur- face when photo-cured. Furthermore, they aid in the reinforcement of tooth structure by forming an acid-resist- ant layer as well as helping to rem- ineralize dentin. Recently, the ADA published the results of an eight-year giomer study, done at the University of Gainesville in Florida, that showed no secondary caries, no restorative failures, no post-op sensitivity and a 95 percent retention of luster on the restoration. Beautifil Flow Plus stays where it is placed and does not require a more traditional composite resin to be placed on top to complete the restoration as some bulk fills do. It is approved for all cavity preparation classification. There are nine shades for F00, including an opaque, incisal and bleach white. For F03, there are 12 shades, including a unique A0.5, “milky” and cervical shade. Once photo-cured, the materials are about 95 percent finished and polished, and a very high gloss can be achieved using the One Gloss and Super Snap Singles polishing systems (Shofu). As you will see in the cases that follow, Beautifil Flow Plus is a very useful product that allows us to emphasize our artistic ability in the art and science of dentistry. Case I The patient is a 33-year-old male who has neglected his dental hygiene for several years and has a history of chewing gum and parking it in his cheekwhenonthetelephoneorfocus- ing on his work. Henowpresentswithseveralareas ofseverecervicalerosion.Thesewere successfully restored using a #35 inverted cone carbide and SmartBur II # 4 round (both SS White) and then BeautiBond and Beautifil Flow Plus F03 A03 opaque shade and then F00 shade A3. Fig. 1: Pre-op photos of the lower left first and second premolars and first and second molars showing cer- vical decay. Fig. 2: Post op of the lower left first and second premolars and the lower left first molar. Case II The patient is a 63-year-old male with a history of sucking on lemons. The upper right cuspid enamel has been eroded, and the patient had mild sensitivity. The canine was restored using a #34 inverted cone bur (SS White), and the restoration was per- formedwithBeautiBondandBeautifil Flow Plus F00 shade A30 Opaque and A3. Fig. 3: Pre-op photo of the upper right cuspid. Note the large area of enamel erosion. Fig. 4: Post-op photo of the upper right cuspid. Erosion restored with “invisible” margins. Case III The patient is a 42-year-old male who fractured the upper right central inci- sor opening a package. The tooth was restored using a Fissurotomy bur (SS White) to create the enamel bevels and BeautiBond and Beautifil Flow Plus F00 A2. Fig.5: Pre-opphotooftheupperleft central incisor fracture. Fig. 6: Post-op photo of upper left central incisor. No-flow flowables for ‘Beautifil’ restorations About the author Howard S. Glazer, DDS, FAGD, FACD, FICD, FASDA, FAAFS, is a past presi- dent of the AGD and former assistant clinical professor in dentistry at the Albert Einstein College of Medicine in Bronx, N.Y. He is the deputy chief forensicdentalconsultanttotheOCME- NYC. Named as one of the “Leading Clinicians in Continuing Education” by Dentistry Today, he lectures and publishes internationally on the sub- jectsofcosmeticdentistryandforensic dentistry. Here at the GNYDM Today from 10 to 11 a.m. in aisle 5000, room 3, Dr. Howard Glazer will present “Baby Boomers Can Be Beautifil!” as part of the DTSC Symposia. In his ses- sion, he will discuss the various uses of Beautifil Flow Plus and Beautifil II relative to their properties and clinical usage. For more information about Beautifil Flow Plus and Beautifil II, stop by the Shofu Dental booth, No. 3207. 5 Fig. 1: Pre-op photos of the lower left first and second premolars and first and second molars showing cervical decay. (Photos/Provided by Dr. Howard S. Glazer) 5 Fig. 2: Post-op of the lower left first and second premolars and the lower left first molar. 5 Fig. 5: Pre-op photo of the upper left central incisor fracture. 5 Fig. 3: Pre-op photo of the upper right cuspid. Note the large area of enamel erosion. 5 Fig. 4: Post-op photo of the upper right cuspid. Erosion restored with ‘invisible’ margins. 5 Fig. 6: Post-op photo of upper left central incisor.