Air Particle Abrasion!
Images of Sandblasted teeth look cool but does it ACTUALLY improve clinical outcomes?
What are the indications? When is it genuinely critical to use?
More pragmatically, are there any decent alternatives eg. roughening with a bur?
Air particle abrasion, a technique used to prepare tooth surfaces for bonding, has sparked considerable debate among professionals. This episode discussed its effectiveness, implications, and best practices with Dr. Veronica Pereira de Lima.
https://youtu.be/oTGQBTyuY-k
Watch PDP190 on Youtube
Protrusive Dental Pearl:
Two advantages of slicing off a corner of the rubber dam are:
Anterior Dam Stabilization: By flossing the cut piece through the front teeth, it acts as a makeshift wedge, securely fastening the dam in place without the need for traditional wedjet.
Simplified Orientation: This technique aids in aligning the rubber dam properly, streamlining the entire setup process for more efficient dental work.
Check out ‘Quick and Slick Rubber Dam’ online course (on-demand) only available via the Ultimate Education Plan on Protrusive Guidance
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
00:44 Protrusive Dental Pearl
04:16 Dr. Verônica Pereira de Lima Introduction
07:07 Journey of Dentistry in Brazil
08:34 Academia vs Clinical Practice
09:20 Journey about PhD and Work Surrounding Air Particle Abrasion
11:12 Importance of Air Particle Abrasion to Clinical Dentistry
15:57 Health Concerns Regarding Air Abrasion Particles
18:10 Air Abrasion Contraindication
20:13 Size of the Microns - Clinical Guidelines
22:25 Pragmatic Approaches in Clinical Practice
24:28 Cojet as an Air Abrasion Particle
27:37 Improper Use of Air Abrasion
30:07 Air Abrasion Guidelines Regarding Different Ceramics
31:40 Alternatives to Air Abrasion
33:29 Dr. Veronica’s Personal Guidelines - Air Abrasion Protocol and Unit
40:27 Learning with Dr. Veronica
Access the CPD quiz either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content.
If you love this episode, be sure to watch Immediate Dentine Sealing Tutorial Part 1 – PDP173
Click below for full episode transcript:
Jaz's Introduction: Air particle abrasion for the restorative dentist. How important is it? Hello, Protruserati. I'm Jaz Gulati and welcome back to the Protrusive Dental Podcast. In this episode, I'm joined by Dr. Veronica Pereira de Lima.
Jaz's Introduction:She was the lead author and a systematic review in 2020 that looked into air particle abrasion and the significance for improving dentine bonding. Some of the key questions that we cover in this episode are how important actually is it? What micron of sand and which sand should we be using? Is there any benefit of CoJet? CoJet is like this sand with silica embedded into it.
Does that really make a difference? And ultimately at the end of the podcast, we will answer the question. If you don't have it at the moment, are you really missing out? And the answer actually might surprise you.
Dental PearlEvery PDP main episode, I give you a Protrusive Dental Pearl. Today's pearl, very fitting with air particle abrasion, because when do we use air particle abrasion? Well, we use it a lot when it comes to adhesive dentistry. And for adhesive dentistry, rubber dam isolation is often favourable. Now, I'm no rubber dam police, but I'm an avid user of rubber dam. And the tip I want to pass on to you today is, are you using things like Wedjet? You know, those stretchy silicon type strings that you use to anchor your rubber dam?
And the terminal tooth for example, you're using a clamp on the molar and then all the way to an incisor, maybe you're using like a Wedjet or something to secure your rubber dam. Well,
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