All Posts

12 Minutes to Pain Relief and Cosmetic Nirvana

Dr. Brian Gray – Washington, DC

The challenge:  My referring endodontist’s office manager, Jen, is in for a hygiene visit and has a sensitive tooth.  I just sent two emergency patients to their office, causing a bit of chaos – so she needs to get back there ASAP.  Of course, her treatment is free because we love her and her office and the fact that they see our patients on short notice.  Jen has meticulous hygiene and regular recare but a nagging abfraction lesion on the facial of #11, which has cold and tactile sensitivity.  Worse yet, she told me about it last time and we kind of blew it off (You know, the “shoemaker’s kids” syndrome).

So, how can I numb her up, place a composite that looks highly esthetic, and get her back to work in the most efficient and effective way I know how? Easy. I’m even going to take photos during the entire restoration and still get it done in less than 15 minutes using Tokuyama Dental’s new OMNICHROMA composite. The first truly UNIVERSAL ONE-SHADE COMPOSITE.

  1. 20 seconds: Pre op photo. I anesthetized Jen in the hygiene chair with Mepiviciane 4%, no epi.  Note the Carbocaine injection site delivered during prophy.
    Brian Gray fig2
  2. 20 seconds: Place moderate bevel with fine diamond.
  3. 20 seconds: MicroAirAbrasion (Danville, PrepStart), with Zekrya Gingival Protector (DMG America (Zenith)), for superior bond strength and no gingival trauma.Brian Gray fig4
  4. 60 seconds: Full etch and rinse.Brian Gray fig5Brian Gray fig6Brian Gray fig7
  5. 90 seconds: Gluma desensitizer (Kulzer), Tokuyama Universal Bond (Tokuyama Dental), air dry. Bond requires no agitation or curing light!

     

  6. 60 seconds: OMNICHROMA placement. Note the white-opaque color - no worries, it will cure to match the adjacent tooth structure.Brian Gray fig8
  7. 30 seconds: Light cure.Brian Gray fig9
  8. 60 seconds: 13 fluted carbide (Brassler), smooth and contour.
    Brian Gray fig10Brian Gray fig11
  9. One minute: Polish with Enhance (Dentsply Sirona) and PoGo (Dentsply Sirona) system.Brian Gray fig12Brian Gray fig13
  10. One minute: Admire the restoration. Take some more photos.

     

    Brian Gray fig14 Brian Gray fig15

     

  11. Two more minutes admiring that new composite, WOW! No time spent on shade selection, easy placement, great polishing, durable stuff, reliable company. Alright, you go Tokuyama, we are loving your OMNICHROMA!
  12. OK everyone, back to work. We’ve got patients to treat. And we better order more OMNICHROMA because we are using it all the time!

Brian Gray, DDS maintains a fee for service cosmetic restorative practice in Washington, DC.

Related Posts

Stress Free Implant Crown Screw Access Hole

The beginnings of my implant journey I have been surgically placing and restoring dental implants for over twenty years. During this time, the industry has exploded with new inventions and materials, and I have adapted to these drastic changes with improved workflows and techniques.

Healthful Living in a Stressed-Out Anxious World

There are so many drivers of stress, and it literally becomes a new normal in navigating life for the majority of individuals. While some people manage stressors better than others, it’s concerning that anxiety disorders are the most prevalent mental health condition in the U.S., and a leading cause of disability.1

Women in Dentistry: Beyond the Chair

As a woman practicing in dentistry, you have the added pressure to always be extraordinary, to live up to the expectations set by those before you. Expectations that were built in a world in which you were not always granted a seat at the table, nor could you always freely share your voice. So much progress has been made since then as women have paved their own pathway through the dental field. We, at Tokuyama Dental America, are incredibly proud of all the women in dentistry and especially those that we have the pleasure of working with. To best honor their work and unique experiences, we asked a few key opinion leaders to share their story, along with the challenges they face in a once male-dominated profession.