amazing video! thank you for posting this doc!

@BiomimeticDentistry

4 жыл бұрын

My pleasure!

Brilliant, that's a channel worth subscribing to!!

@BiomimeticDentistry

3 жыл бұрын

Welcome aboard! Thank you!

Great Video Dr. thanks a lot

@BiomimeticDentistry

4 жыл бұрын

Most welcome!

Thank you for this amazing video doc

@BiomimeticDentistry

Жыл бұрын

My pleasure! Glad you enjoyed it.

very informative video , so thankful

@BiomimeticDentistry

4 жыл бұрын

Glad it was helpful! Thank you

Matt Nejad is the best!

@BiomimeticDentistry

2 жыл бұрын

you got me blushing my man - MN

It was amazing to demonstrate it for us thanks😍

@BiomimeticDentistry

2 жыл бұрын

😊

Thank you Very informative

@BiomimeticDentistry

3 жыл бұрын

Glad it was helpful!

Thank you very very much

@BiomimeticDentistry

3 жыл бұрын

You are welcome

Brilliantly explained. Thank you

@BiomimeticDentistry

2 жыл бұрын

You are welcome! Glad you liked it!

Awesome explanation !! Really like your educational videos. Maybe you can dim the music a little more?

@BiomimeticDentistry

4 жыл бұрын

Noted!

in the case of vital crown treatment, do you apply flowable resin as an immediate dentin sealing process?

What do you use for temporary until next appoimtment?

Doctor can i use ever x in this step?as a flowable base?

What is the maximal thickness of the block out part, the biobase? Max 1 mm?

Very informative thank you so much! What about bonding to enamel is it delayed to the cementation visit? also do you refresh the surface before cementing?

@BiomimeticDentistry

3 жыл бұрын

Yes and yes. Thank you.

Awesome video doc! Do you know if GI or RMGIs are still best practice for lining direct restorations? I have seen images showing how the GIs form a super hard/well bonded hybrid layer with dentin and am wondering if you know how that bond compares to immediate dentin sealing?

@BiomimeticDentistry

Жыл бұрын

They are definitely not best practice! Check out my level one course: www.nejadinstitute.com/online-course/restorative-level-i/ It will help understand all this more thoroughly

very informative video, can we use 7th generation universal bond for the IDS doc?

@BiomimeticDentistry

2 жыл бұрын

You can but its not recommended.

❤️❤️❤️❤️❤️❤️❤️god blees

Thanks doc, why are you using flowable for ids and not apx?

@BiomimeticDentistry

3 жыл бұрын

Im not using flowable for IDS, its for resin coating. The APX is for your restorative foundation

Hi Dr., Can any adhesive system be used for IDS no matter if single or multi components? And don't you loose the temporary in cases like the shown prep because not enough wrapping or undercuts present? I have such experience...:/ Best regards!!

@BiomimeticDentistry

3 жыл бұрын

Hey. I don't recommend using any adhesive system. 4th and 6th generation agents are preferred. If you are interested, take a look at my online course at www.nejadinstitute.com. I cover provisionals, materials, and all the techniques and the price is lower than ever.

What about the use of chlorhexidine to deactivate the MMP enzymes?

@BiomimeticDentistry

2 жыл бұрын

This adhesive does that through the functional monomer MDPB.

Dr Nejad. What if after IDS n composite build up: i decided I had put too much composite for undercuts( i will try not to) and would like to refine the shape n angles in prep wall again. What would be my protocol? Thanks

@BiomimeticDentistry

3 жыл бұрын

Lightly prep and finish but try not to re-expose the dentin. Also check out my Level I online course here: www.nejadinstitute.com/online-course/restorative-level-i/ It covers a lot of these details and its really comprehensive.

Fantastic video. What is then your protocol for bonding your ceramic restoration to the tooth which has been sealed?

@BiomimeticDentistry

3 жыл бұрын

Good question. Summary: For the tooth, Air abrasion, etch, adhesive, cement with warmed composite. For the restoration: etch, clean, silane, adhesive

Dear Dr, on your delivery day, how does your luting resin cement bond to the fully cured adhesive and flowable composites? Because as far as I know, in direct restoration, composite bonds to the oxygen inhibited layer of previously layered composites. And now with no oxygen inhibited layer, how does the luting cement works in the dentine part. Of course enamel part we still etch and bond on delivery day.

@BiomimeticDentistry

3 жыл бұрын

Good question. It will bond regardless but there are ways to make it bond better. There are several important steps you need to take. I cover this protocol in my courses at www.nejadinstitute.com and now the prices are even cheaper and the courses are super informative. Take a look.

Amazing For crowns that not transmit light through it like zirconia , how to ensure that the bond on the tooth is fully cured without disturping the fitting of the crown when we bond zironia with mpd and resin cement ?

@BiomimeticDentistry

2 жыл бұрын

I don’t recommend zirconia. Check out my Level I course because it covers this in great detail!! www.nejadinstitute.com/online-course/restorative-level-i/

I have questions! Is the resin coating step absolutely necessary? Is there still an air-inhibited layer if we just seal with adhesive? Is resin coating possible for a full coverage crown prep?

@BiomimeticDentistry

3 жыл бұрын

There are different techniques for veneers and full coverage crowns that I cover in my courses. Its possible to resin coat some crown preps but not all depending on the reduction/ restorative space. Take a look at my Level 1 online course here: www.nejadinstitute.com/online-course/restorative-level-i/ I cover all these details and it helps a lot to have all the different scenarios covered. Just lowered the price too and there is a lot included in that course.

Which flowable composite did you use?

@BiomimeticDentistry

3 жыл бұрын

This was Majesty Flow.

What does a lower modulus of elasticity(for the resin coating step with flowable) entail? TIA. I will also consult google on this but would like to hear your answer.

@neihgnot8320

3 жыл бұрын

I just realized there is also modulus of resilience, but apparently flowable has a higher modulus of resilience compared to conventional 'packable'.

@BiomimeticDentistry

3 жыл бұрын

shrinkage stress of a material is essentially equal to the modulus of elasticity x strain (shrinkage volume). Lowering the modulus lowers the shrinkage stress. Hope that helps. Best-MN

Thank you. What is the final restoration in this case?

@BiomimeticDentistry

2 жыл бұрын

Bonded ceramic onlay!

Hello Dr. I have a question. Does't the solvent evaporate from the adhesive? for you answer, thank you so much...

@BiomimeticDentistry

2 жыл бұрын

You need to know your bonding system. This bonding system has no solvent in the adhesive (6th generation) but many do. There is no solvent to evaporate. The best bonding systems do not have a solvent in the adhesive but in the first component (primer or self-etching primer). I have a great online course that covers a lot of techniques, if you are interested, here is the link: www.nejadinstitute.com/online-course/restorative-level-i/

Thank you Dr. for sharing. Is immediate Dentin Sealing beneficial for root canal treated teeth as well? Or it's done for vital teeth only?

@BiomimeticDentistry

Жыл бұрын

Yes, it is ideal for all restorative dentistry.

@siumingyeoh6583

Жыл бұрын

@@BiomimeticDentistry for teeth which will be endodontically treated, is it advisable to do IDS to the access cavity dentin prior To irrigation wt naocl? Naocl may reduce bond strength of dentin?

Which primer and adhesive did u use doc

@BiomimeticDentistry

3 жыл бұрын

This demonstration was with SE Protect Bond By Kuraray

can you do biomimetic to a tooth that has been root canal already?

@BiomimeticDentistry

3 жыл бұрын

Yes you can! The emphasis is to protect the tooth from needing a root canal, but yes, even root canaled teeth are treated with the biomimetic approach and it is just as important. Often times, this is the important intervention point that can prevent loss of the tooth over the next 5-20 years. Best- MN

Amazing I read that vaseline will affecting the future bonding of the ceramic restoration as it is not easily remove , so usage of glycerin as separating medium under temporaty is more safe , right ?

@BiomimeticDentistry

Жыл бұрын

I have no problem removing the vaseline with air abrasion. 15 years and counting.

Thanks doc. No need to air dry the bond?

@BiomimeticDentistry

2 жыл бұрын

With the bonding agent shown, no but it depends on what you use for sure. In general, the ones I recommend do not air thin or dry because that would make the results ineffective but with some systems you must evaporate solvent in the bond.

so doctor, with this technique most of the restoration is bonded to the composite (flowable & packable)? because the exposed tooth only enamel and the rest is now composite

@BiomimeticDentistry

2 жыл бұрын

Sort of. The restoration is bonded to your composite, which is bonded to your dentin. It is a laminated structure, just like the DEJ adheres enamel to dentin. Of course, the enamel as well.

What is the advantage of indirect here instead of just building up to completion with direct composite?

@BiomimeticDentistry

2 жыл бұрын

There are a lot of advantages. Large direct restorations do not recover the stiffness and strength of teeth fully. Polymerization stress, stiffness, modulus of elasticity, and durability long-term will be limited. Cuspal coverage direct restorations can be acceptable but are by no means optimal.

Can this be done effectively with a 5th generation bonding system ?

@BiomimeticDentistry

Жыл бұрын

Yes but the technique varies and the performance of 5th gen is not optimal compared to 4th and 6th.

Thanks Dr Nejad for this information post. I apologise for my question as this topic is new to me. On some links I see other people doing IDS only after they have done block out of undercuts and deep areas. Is that the same in effectiveness?? Assuming if I have done IDS but decided to retouch the prep floors n walls ( eg too much build up of cr on deep areas or too much comp resin on undercuts areas , should I redo ids again??? Thanks

@BiomimeticDentistry

3 жыл бұрын

My pleasure. That would be a very bad technique. First seal. Then block. Not the other way around.

@pingc4646

3 жыл бұрын

@@BiomimeticDentistry thank you . Appreciate your reply.

any concern with smear layer?

@BiomimeticDentistry

3 жыл бұрын

No concern. Totally aware of it and the simple answer is no, not with the right materials and protocol.

Hey Dr. WHAT IF we don’t have glycerin?

@BiomimeticDentistry

3 жыл бұрын

Then use pumice to mechanically remove the un-polymerized surface layer. All the Best- MN

If I use the fourth or fifth generation of Bond, do I have to etch with 37% phosphoric acid? Is it for enamel and dentin and how long does it last? Before applying the bond

@BiomimeticDentistry

10 ай бұрын

I only recommend 4th and 6th. If you use 4th generation (total-etch) then of course you would need to etch otherwise it wouldn't work.

How can I contact you for a consultation for replacing my silver fillings. Where are you located?

@BiomimeticDentistry

2 жыл бұрын

Hi Naimah. Sorry for the delay. I am in Beverly Hills/West Hollywood, CA. Website: HNSdentistry.com Online consults: drmattnejad.youcanbook.me

was the tooth etched before these steps ?

@BiomimeticDentistry

2 жыл бұрын

No. This is a 6th gen adhesive so the primer is self-etch b

how to remove the temporary restoration then?

@BiomimeticDentistry

2 жыл бұрын

There are many provisional techniques. This is covered in my online Level I course: www.nejadinstitute.com/online-course/restorative-level-i/

Your work makes me think that the dentists I've been seeing may have bought their diplomas.

@BiomimeticDentistry

Жыл бұрын

Hahaha. There are different types of dentists and a huge variety of results!

question : What is the lifespan of such method ?

@BiomimeticDentistry

7 ай бұрын

Very high!

Sir my age is 16 and i have two teeth in big cavity And i want to do biomimetic restorative Can it's last a lifetime 😞

@BiomimeticDentistry

Жыл бұрын

Its possible but even permanent teeth end up having problems during your lifetime and your personal conditions, oral care & hygiene, professional maintenance, etc. make a huge impact on how long it will last. Best - MN