The multi-luting concept: a new approach to facilitate the adhesive luting of multiple indirect restorations.

Bonded indirect restorations can be difficult to lute in an accurate position due to the lack of preparation geometry. Furthermore, while the use of a rubberdam has been proven to be the best technique for providing the most efficient conditions for adhesive luting, its use often requires the use of secondary clamps, which do not allow the operator to lute more than two prosthetic pieces at the same time. The multi-luting concept is a pragmatic approach that of- fers the possibility to deliver several, if not all restorations, to be bonded at the same time, thus ensuring their correct positioning.

Therapeutic strategy for cracked teeth.

The management of cracked teeth represents a difficulty because their diagnosis is complex and there is no consensus concerning their treatment. The present article explains this pathology within enamel and dentin and also focuses on the clinical consequences of crack development in dental tissue. As cracks have both biologic and mechanical implications, a complete review of the literature on the subject has enabled the development of a comprehensive diagnostic approach to identify cracked teeth and optimize their management. The elements of diagnosis are the bite test, transillumination, the pulp sensitivity test, the periodontal test, radiologic examinations, removal of existing restorations, and the use of quantitative light-induced fluorescence. Finally, the management of biologic and mechanical imperatives relating to the treatment of cracked teeth has allowed the proposal of a reliable and reproducible therapeutic strategy based on two pillars: the arrest of bacterial infiltration using immediate dentin sealing, and the limitation of crack propagation using relative cuspal coverage. In this article, the proposed clinical protocol is explained through the use of a decision map and is illustrated by a clinical case example.

[The perenity of the indirect bonded restorations : the «no-finishing concept¼]. / Pérennité des restaurations indirectes collées : « the no-finishing concept ¼.

Over the past 30 years, the development of adhesive techniques has reduced the biological cost of bonded indirect restorations (in/onlays and veneers). However, the procedures for bonding to dental tissue are still more demanding than those for conventional cemented prostheses. One of the keys to the durability of indirect adhesive restorations is their ability to prevent bacterial plaque from adhering to their surface. With this in mind, this article describes a clinical protocol for obtaining the smoothest possible prosthetic margins, without resorting to conventional finishing and polishing techniques, which are tedious and time-consuming.

The secrets of isolation in the cervical area / Isolation et lésions cervicales. Stratégie et solutions cliniques

It is often presumed that, since its introduction in 1864, the use of rubber dam in multiple dental procedures has increased. However, its use is not as widespread as one might expect. There still seem to be many obstacles that prevent clinicians from adopting it as a standard of care. Furthermore, it appears very difficult to scientifically prove the impact of its use on the final outcome of a given procedure. The fundamental idea of isolating the operatory field and preventing contamination is simple; the practical execution of it is more demanding. In this article, the authors not only focus on the essential criteria for predictable isolation, they also present an isolation strategy that can be translated into a step-by-step procedure. It is suggested that by adopting this strategy, clinicians can eliminate the most commonly experienced obstacles and optimize the full potential of isolation, even in extremely difficult clinical situations.

Precision and security in restorative dentistry: the synergy of isolation and magnification.

It is often presumed that, since its introduction in 1864, the use of rubber dam in multiple dental procedures has increased. However, its use is not as widespread as one might expect. There still seem to be many obstacles that prevent clinicians from adopting it as a standard of care. Furthermore, it appears very difficult to scientifically prove the impact of its use on the final outcome of a given procedure. The fundamental idea of isolating the operatory field and preventing contamination is simple; the practical execution of it is more demanding. In this article, the authors not only focus on the essential criteria for predictable isolation, they also present an isolation strategy that can be translated into a step-by-step procedure. It is suggested that by adopting this strategy, clinicians can eliminate the most commonly experienced obstacles and optimize the full potential of isolation, even in extremely difficult clinical situations.