Some dentists disagree with the use of Caries Detector Dye in Restorative dentistry. They say that they are experienced enough to know what is infected dentine and affected dentin. However, this episode might change your perspective— CCD can be an incredibly useful tool to provide objective data and increase your bond strengths!
In this episode, Dr. Germán Dorgan spoke to us about caries detection dye and helped us understand how to use it properly. He also shared the evidence base behind this test and how to interpret the data that you get by using it.
https://youtu.be/L8fScyRTet0
Check out the full episode here
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Protrusive Dental Pearl: How can you remove the appropriate amount of caries to get the best bond strengths possible WITHOUT risking removing too much dentine and causing a pulp exposure: Use your perio probe and measure key landmarks. Measure 5mm from the cusp tip and 3mm from the adjacent marginal ridge - do not remove caries beyond this point. As a guide, this will help you not expose the pulp so you achieve very clean dentine for highest bond strengths, without worrying about 'when to stop'.
How to measure caries removal extent using a Periodontal probe and dental landmarks
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
1:20 Protrusive Dental Pearl4:27 Dr. Germán Dorgan Introduction7:32 Caries Detector Dye9:40 Rationale behind Caries Detector Dye15:14 When should you use Caries Detector Dye? 19:49 Literature for reliability of CDD22:19 Difference between color gradient of caries detector dye 23:28 Caries removal guidelines using caries detector dye30:22 Additional Literatures and Top tips
Check out the 3-day course about Biomimetic Dentistry with Sami Sherif, Germán Dorgan, David Alleman, and Davey Alleman. Hosted by Get Bonded and Stay Bonded on March 3, 4 and 5, 2023
Check out the literature mentioned by Dr. Germán Dorgan
Contemporary-concepts-in-carious-tissue-removal-A-reviewDownload
A-systematic-approach-to-deep-caries-removal-end-points-The-peripheral-seal-concept-in-adhesive-dentistryDownload
PHYSIOLOGICAL-RECALCIFICATION-OF-CARIOUS-DENTINDownload
Bonding-of-self-etch-and-total-etch-adhesives-to-carious-dentinDownload
You might also enjoy another Biomimetic Episode: I Can’t Believe This Sticks – EXTREME BONDING EXPOSED with Dr. David Gerdolle
Click below for full episode transcript:
Jaz's Introduction: Is CARIES DETECTOR DYE, BS? Like I know lots of dentists who've seen it and they think this is just a fad. This is as useful as those photos of people holding cucumbers between their teeth.
Jaz's Introduction:Is there actually any sign or useful applications because caries, as some colleagues would say, I just use my high magnification, my good lighting and my probe.
I don't need a fancy dye to tell me if I got caries or not. I'm experienced enough to know that I've removed caries. Now, you know what? I kind of felt that way. I was like, do I really need a dye? I'm think I'm pretty good at moving caries and too fair. Since I've been using it, it's kind of confirmed that I'm pretty good at removing caries.
Okay. I'm happy to say that I'm proud enough to say that. However, one in five, one in six times I see a pink haze where it shouldn't be. You'll find out what that pink haze means in this episode, but it's really useful objective data. So we'll speak to Dr. Germán Dorgan, all about caries deck to die, how to actually use it properly. What is the evidence space behind it, and how to interpret the data that you get by using it.
Hello, Protruserati. I'm Jaz Gulati and welcome back to the Protrusive Dental Podcast. If you're new to the podcast, welcome, it's great to have you. Protrusive Dental Pearl:Every episode,
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