Dentaltown April 2018 - 45

4. Typically, at the fi rst step, when you etch, it is best to etch enamel
only, avoiding covering the dentin on the pulpal floor. This is tough to
do, but better for a single system. Those are the main points that are
common areas of trouble. You should not need a liner at all with your
system. ■
1/23/2018

mattcosta
I'd say the most common cause of postop sensitivity
Member Since: 07/02/09
with adhesive dentistry is bond contamination due to
Post: 46 of 176
lack of isolation. Rubber dam is best, Isolite or similar
is minimum requirement in my opinion. I do not use bases/bioactives/desensitizers, and haven't for the past seven years. ■
1/24/2018

I disagree. It's bad technique. ■

John Kanca
Member Since: 06/21/03
Post: 47 of 176
1/25/2018

John, isn't poor isolation one component of bad
technique? ■

RubinsteinDDS
Member Since: 08/15/07
Post: 48 of 176
1/25/2018

It could be, but I mean the technique of actually
placing the adhesive. ■

John Kanca
Member Since: 06/21/03
Post: 49 of 176
1/25/2018

eeznogood
In the case of the OP, it seems like based on his
Member Since: 02/23/06
description, Dr. Kanca's guess seems the right one.
Post: 50 of 176
The OP does not seem to be following instruction adequately. So, it is more likely bad technique than it is bad isolation. ■

1/25/2018

jpc36
I've used a pile of bonding systems over the years
Member Since: 05/10/02
and honestly never had sensitivity from basic fillings. I
Post: 59 of 176
confess that my first-ever CE in private practice was a
full day by Dr. Kanca. After you listed your technique, it seems you're not using
enough bonding agent for long enough. Follow the directions posted above to
the letter, and your world will change dramatically. ■
1/25/2018

austindoc2
My thoughts also. I used total etch, mainly to scrub
Member Since: 05/15/03
out the grime and get the enamel etched. Then placed a
Post: 62 of 176
buttload of Clearfil SE bonding agent on multiple times
with light evaporation between coats, and sensitivity just was not any sort of an
issue for me. I never worried about sensitivity, period. Five to seven teeth per
week would have driven me nuts. ■
1/25/2018

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45


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Table of Contents for the Digital Edition of Dentaltown April 2018

Dentaltown April 2018 - Intro
Dentaltown April 2018 - Cover1
Dentaltown April 2018 - Cover2
Dentaltown April 2018 - 1
Dentaltown April 2018 - 2
Dentaltown April 2018 - 3
Dentaltown April 2018 - 4
Dentaltown April 2018 - 5
Dentaltown April 2018 - 6
Dentaltown April 2018 - 7
Dentaltown April 2018 - 8
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Dentaltown April 2018 - Cover3
Dentaltown April 2018 - Cover4
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