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A few years ago, you were nice enough to advise me about a camera for the office and I am very happy with the one I purchased thanks to your advice, so thank you. For the past few years, I have seen your columns and advice in the dental magazines and I am interested in your technique for seating a set of veneers. I am currently using 35% etch w/ Prime & Bond and Variolink to bond them. I have been experiencing some post-op sensitivity and would like to eliminate that if possible. I am interested in trying Brush&Bond™ for my bonding procedures and veneers, and was wondering what you thought. Can Brush&Bond be used for veneers and is etching required with the product? What is the best technique to seat them? Also, how is Brush&Bond with composites? I currently use Clearfil SE Bond with no-etch and occasionally have some sensitivity, but not much. I would like to have as close to zero post-op sensitivity as possible. Any advice you could give me would be greatly appreciated. Thanks again for your help!
Views: 1137 Created: 10/14/2010 20:32 Last Updated: 10/14/2010 20:32


I'm glad the camera recommendation worked out. 

To answer your question, in a recent article found in Parkell Today (“Diastema Management with Veneers”), I made mention of my long time use of Brush&Bond for delivering veneer cases. Its film thickness is just right and its ability to prevent sensitivity has made it the mainstay bonding agent for everything in my office.

Typically, I etch my veneer preps for 10 seconds, more as a detergent rather than for the etch. I then coat the teeth with Brush&Bond, air thin, and cure. For luting cements, I will use either Cosmedent's Insure or Kerr's Nexus 3. This combination seems to have eliminated sensitivity with rare exception. (Sometimes a borderline tooth will be sensitive no matter what you put on it.)

And yes, all of my composite restorative work is secured with Brush&Bond. My office adopted the earlier generation of Touch& Bond (before the catalyst was in the little purple brush) and adopted Brush&Bond when it became available some five-to-six years ago. Strange to say, but it changed the way we did dentistry. Be prepared to do much less endodontics as hot teeth following restorative procedures virtually disappear. Our endo needs fell so dramatically that we more or less phased it out of our practice. True pulpitis is now managed by our local endodontist. Interestingly, we don't seem to miss the distressed phone calls or the stalled files that had a tendency to louse up the schedule. If you'd like a thorough covering of my approach to porcelain veneers, I recently published a cosmetic webinar called “Essential Anterior Dentistry”. It's on DVD now and can be found via the link on my web site: www.drgoldsteinspeaks.com. I've gotten lots of nice feedback on it. It's a compilation of my full-day cosmetics seminar and has some video on it that shows four veneers being luted using the rapid cementation approach and Brush&Bond.