Chapter 1: Basic principles of adhesion.
History.
Basic principles
- Surface - clean
- Substrate – enamel, dentine
- Operator
.
Pulp biology and the hydrodynamic theory.
The concept of Biomimetics.
Principles of bonding to dentine/Hybridisation.
Etching / bonding to enamel.
Glass ionomer as a method of dentine bonding.
Chapter 2: General principles employed in adhesive dentistry.
Properties of resin composite materials, significance of filler loading, resins used etc.
New low shrink resins.
Cavity preparation - Significance of resistance form in adhesive dentistry.
The operator effect in adhesive dentistry – isolation, knowledge, limitations, technique sensitivity.
Principles of light curing.
Light cure vs chemical cure.
Finishing and polishing.
Chapter 3: Direct placement resin composite restorations for anterior teeth.
.
Materials – hybrid composite vs small particle vs microfilled vs nanofilled,.
Placement - Build up/layer or not?.
Resin composite in treatment of tooth wear.
Chapter 4: Direct placement resin composite restorations for posterior teeth.
.
Indications and contraindications, advantages and disadvantages.
Materials – hybrid composite vs small particle vs packable.
Cavity design – minimal!.
Bevel margins.
Avoiding stress in posterior composite restorations – the nature of polymerisation shrinkage, ramped cure, pulsed activation, awareness of the Configuration Factor, layering, significance of white lines, new low shrinkage resins.
The use of flowables to reduce leakage at the gingival margin.
The glass ionomer sandwich technique – advantages and disadvantages.
Placement techniques, matrices – achieving a good contact, instruments, shade choice.
Advantages and disadvantages of posterior composite restorations.
Longevity, and factors influencing it.
Repairing failed restorations.
Core build ups.
Adhesive restorations for the endodontically-treated tooth.
Chapter 5: Indirect restorations.
Properties of luting materials.
Principles of luting.
Advantages of resin luting.
Bonding to ceramic – dentine-bonded crowns and inlays, veneers, resin-retained bridges, overlays, resin crowns.
Fibre posts, fibre reinforced resin-retained bridges.
All-ceramic bridges (e.g.LAVA).
Longevity.
Crown lengthening as a means of increasing retention.
Repairing fractured crowns (Cojet:3M ESPE).
Repairing fractured restorations.
Chapter 6: The future?.
Low shrink composite.
Improved technique sensitivity.
The post-amalgam age.
Teaching posterior composite in dental schools
