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Problems and Fixes for Layering Anterior Composites

clinical figure illustrating advanced dental treatment results and procedures

Via: Dawn Wehking / speareducation.com

When I first implemented layered anterior composites into my practice, I would frequently finish a case and think to myself, “Oh gawd, this looks terrible.” It took me a while before I figured out why my restorations were not turning out like I had planned. As I practiced, I noticed a few common themes with my technique and eventually learned how to correct my mistakes.

In this article, I share the lessons I learned with the hope to save you a lot of time and heartache. I’ve found that layering anterior composites make me happy. And isn’t life just better when your schedule is stacked with the procedures that make you happy?

From choosing the wrong shade to trying to get too fancy, let’s review the most common reasons anterior composites don’t turn out quite right, what happened clinically, and how to fix them. The best part is you don’t have to start over completely.

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Low-Risk vs. High-Risk Dentistry

dental porcelain bridge restoration used for tooth replacement in modern dentistry

Let us consider the profession. Dentists come in many different forms: cosmetic dentists, prosthodontists, periodontists, orthodontists, endodontists, general practitioners, oral surgeons, implantologists, pediatric dentists, and others. It is difficult for the public to differentiate one from the other, and moreover, a general practitioner (GP) can perform most dental procedures if well trained. Let us look at it this way: when a patient goes to the hospital, he or she is directed to a specialist in the part of the body that has the problem. That specialist is usually highly trained and has the resources in his or her department to treat that part of the body. You will never see a medical GP operating on a patient’s heart or an orthopedic surgeon operating on a patient’s brain.

Miguel Stanley

Like the body, the oral cavity should be seen as consisting of parts: hard tissue, soft tissue, nerves, bone, teeth, mechanics, and muscles. A myriad of problems can occur in the oral cavity. You can have biological issues such as infections, mechanical issues such as fractures or abrasions, and of course, your teeth create one of the most important things connected to our emotions: the smile. So why should we expect a GP to solve all these problems?

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3D Printing in the Dental Lab

3D Systems NextDent 5100 printer used for dental manufacturing and prosthetics

According to a recent report by market intelligence group CONTEXT, dentistry makes up over one fifth of the end market for professional polymer 3D printers (5,000 USD upwards). The accessibility of desktop machines and the resolution of resin-based technologies have earned additive a solid user base in the dental community. It’s why early on in the fight against COVID-19, we saw a UK based network of 13,000 dentists with access to 3D printers – thought to be one of the largest concentration of machines outside of the engineering sector – rally together to apply its temporarily redundant resources for the production of PPE.

So, with the dental 3D printing market poised to reach 9.5 billion USD by 2027, it’s no surprise that 3D printer manufacturers are investing heavily in this area, whether through dedicated business units or partnerships with device manufacturers.

Applications for 3D printers in the dental lab or office are extensive. “We print implant models, crown and bridge models, all that fun stuff,” Oscar Buenrostro, Model Shop, Milling & 3D Printing Supervisor for California-based dental solutions provider DenMat, recently told TCT. “We use it for pretty much every product we have in the lab.”

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EvoDRIVER Mobile App

framed dental driver component used in dental implant and prosthetic systems by Atlanta Based Systems

Would you like to know when cases get delivered to your customers, the name of the person who accepts those cases and be able to capture their signature? Would you like for your drivers to have access to real-time deliveries and pickups, including any pickup/delivery notes?

ABS has developed the EvoDRIVER Mobile Application so that the local delivery drivers for your lab can see all pending deliveries and pickups on their route. Those drivers also have the ability to get notified whenever a delivery or pickup is added from EvoDATA. The driver can enter notes, flag the deliveries as “complete,” and even get the recipient’s signature. With Evolution Dental Lab Management Software, qualified Users at the lab can manage their drivers’ routes and see updated statuses and information for those cases. ALL IN REAL-TIME!

FEATURES OF THE EVODRIVER APP ARE AS FOLLOWS:

  • View Real-Time Deliveries & Pickups
  • Manage Routes
  • Capture Customer Signatures
  • “Complete” Deliveries & Pickups
  • Receive Notifications When Added
  • Add/View Notes

EvoTECH Mobile Application

iPhone showing EvoTech dental technology application used for digital workflow and dental lab management at Atlanta Based Systems

A technician’s ability to be productive is a major key to a dental lab’s success. Atlanta Based Systems, through our lab management software, Evolution, has offered EvoTOUCH and EvoBARCODE as a way for technicians to move cases through production.

Now we would like to introduce the EvoTECH mobile application; our newest addition for technicians to be able to access case information and record their productivity. The app can be downloaded on any iOS or Android device directly through the app stores.

The EvoTECH App continues the innovative tradition of Atlanta Based Systems as a way for cases to continue to flow through the production process by giving technicians the ability to have case information right at their fingertips; therefore, helping to increase productivity.

FEATURES OF THE EVOTECH APP ARE AS FOLLOWS:

  • Time Clock
  • Case Check In / Check Out
  • Case Information
  • View Notes
  • Image View & Attach
  • Metal Weight Entry
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