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    Why making strong bonds efficiently makes a big difference

    How using a 5th-generation technique in bonded restorations can cut down on unnecessary chair time and provide numerous benefits to patients and doctors alike.

    Dentistry is a great profession. Few career choices offer opportunities or possibilities almost from the moment in time the practitioner breaks into the real world after graduation. Of course, with that freedom comes responsibility. And, unfortunately, that responsibility is frequently one that requires incredible attention to detail as well as the mindset that you may have to troubleshoot as you wade into it.

    This month I’m going to wade into a situation that can be, depending on a variety of factors, either incredibly satisfying or incredibly frustrating. For this month’s article, I’m going to be dealing with one particular piece of the bonding restorative puzzle. We’ll come back to this subject in future articles, although we won’t be doing this in a monthly type of series.

    This month, let’s discuss why, as a practicing dentist, I choose to use a 5th-generation bonding technique.


    First of all, we are inundated with “techniques” in our profession. A 4th-generation technique means the following:  in a 4th-generation technique, there is a total etch with phosphoric acid, followed by a dentin primer application, followed by the application of a separate bonding agent. This works well and provides very good bond strengths of the material to the tooth. The only drawback is the extra step of primer.

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    A 5th-generation technique utilizes a formula wherein the dentin primer and the bonding agent are both part of the same chemical. The result is a bonding formula in which a bonding agent and primer are applied in a single step. The bond strength is very close to that of a 4th generation, but it eliminates a step which speeds up the restorative process. This win-win situation means a faster experience for the patient while cutting down the amount of chair time utilized by the dental team.  

    While, in this article, I’m not going to go into great detail on elimination of sensitivity (that’s a subject we’ll cover in a future edition of Technology Evangelist), I do want to take a little time here to discuss the subject of “cutting down the amount of chair time” that I mentioned in the previous paragraph.

    If you’ve read my articles here in Dental Products Report or on my blog (http://blog.denticle.com), or have attended any of my lectures, you’ll hear me discuss the concept of efficiency. To me, the idea of efficiency is a pretty simple one. I love utilizing technology and other principles to make procedures go faster. For me, it isn’t about speeding things up to cram more patients into my schedule so that I can make more money; on the contrary, it’s about two other very important things. So, I’d like to explain why “efficiency” is so very important to me and why. Why, when it comes to dentistry, efficiency matters—and matters big time.

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    Dr. John Flucke
    Dr. John Flucke is in private practice in Lee’s Summit, Mo. He also serves as technology editor for Dental Products Report magazine and ...


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