{"id":968,"date":"2011-07-01T22:42:53","date_gmt":"2011-07-01T22:42:53","guid":{"rendered":"http:\/\/phosdev.com\/todaysveterinarypractice\/?p=968"},"modified":"2022-02-18T18:33:32","modified_gmt":"2022-02-18T18:33:32","slug":"bonded-sealant-application-crown-fractures","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/dentistry\/bonded-sealant-application-crown-fractures\/","title":{"rendered":"Bonded Sealant Application for Crown Fractures"},"content":{"rendered":"<p><a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2016\/04\/T1107C02.pdf\"><img decoding=\"async\" class=\"alignleft size-full wp-image-9886\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/pdf_button.png\" alt=\"pdf_button\" width=\"110\" height=\"27\" \/><br \/>\n<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>For uncomplicated crown fractures with no radiographic evidence of disease, bonded sealant application can:<\/p>\n<ul>\n<li>Resolve sensitivity<\/li>\n<li>Block infection<\/li>\n<li>Improve aesthetics<\/li>\n<li>Smooth the tooth to decrease plaque accumulation, delaying periodontal disease.<\/li>\n<\/ul>\n<p>This is a simple procedure that every veterinary hospital should offer. Clinics with dental radiology and a high-speed drill system can equip themselves with the light curing gun and bonded sealant kit (dentalaireproducts.com) for approximately $500. This will treat about 50 teeth, after which refills should drop the cost to about $2 per tooth.<\/p>\n<hr \/>\n<p><strong>Editor\u2019s Note<\/strong>: This article was originally published in July 2011. Please use this content for reference or educational purposes, but note that it is not being actively vetted after publication. For the most recent peer-reviewed content, see our <a href=\"https:\/\/todaysveterinarypractice.com\/issue-archives\/\">issue archiv<\/a>e.<\/p>\n<hr \/>\n<h2>\u00a0Practice Points<\/h2>\n<div>\n<p>\u2022 Use fluoride-free pumice for polishing to avoid interference with future acid etching.<sup><span style=\"font-size: small\">1<\/span><\/sup><\/p>\n<p>\u2022 Bonding systems that combine the etch with the bonding agents may not be strong enough.<\/p>\n<p>\u2022 The patient can eat and drink normally following restoration with bonding agents.<\/p>\n<div class=\"orange-box\">\n<h2>Tooth Preparation<\/h2>\n<p><a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-12.jpg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-3606 aligncenter\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-12-300x247.jpg\" alt=\"Figure 12\" width=\"300\" height=\"247\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-12-300x247.jpg 300w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-12.jpg 364w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><strong>1<\/strong>.Scale and polish the surface of the tooth being treated. Remove any unsupported or damaged enamel with a fine diamond bur or white stone.<\/p>\n<p><a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-13.jpg\"><img decoding=\"async\" class=\"size-medium wp-image-3607 aligncenter\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-13-300x229.jpg\" alt=\"Figure 13\" width=\"300\" height=\"229\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-13-300x229.jpg 300w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-13.jpg 393w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\u00a0<a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-14.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3608 aligncenter\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-14-300x247.jpg\" alt=\"Figure 14\" width=\"278\" height=\"229\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-14-300x247.jpg 300w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-14.jpg 365w\" sizes=\"(max-width: 278px) 100vw, 278px\" \/><\/a><\/p>\n<p><span style=\"line-height: 1.5\"><strong>2.<\/strong> Smooth the area to be bonded with either progressively fine sanding disks mounted on a mandrel and powered by a slow-speed handpiece (A) or a fine-diamond bur on a high-speed handpiece (B).<\/span><\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"orange-box\">\n<h2>Acid Etching<\/h2>\n<p>This step is performed with a 37% phosphoric acid. The purpose is to remove all impurities from the tooth surface and slightly demineralize the surface. This will lead to increased surface area for bonding.<sup>2<\/sup><\/p>\n<p><a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-15.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3609 aligncenter\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-15-300x225.jpg\" alt=\"Figure 15\" width=\"300\" height=\"225\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-15-300x225.jpg 300w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-15.jpg 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><strong>1<\/strong>.\u00a0Place the supplied acid on the tooth surface and let sit for 10 to 30 seconds.<\/p>\n<p><a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-16.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3610 aligncenter\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-16-300x225.jpg\" alt=\"Figure 16\" width=\"300\" height=\"225\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-16-300x225.jpg 300w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-16.jpg 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><span style=\"line-height: 1.5\"><strong>2<\/strong>.\u00a0After the prescribed time, rinse the tooth surface thoroughly for 20 seconds. Insufficient rinsing will leave residual acid in the dentinal tubules and result in sensitivity.<\/span><\/p>\n<p><a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-17.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-3611 aligncenter\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-17-300x225.jpg\" alt=\"Figure 17\" width=\"300\" height=\"225\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-17-300x225.jpg 300w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-17.jpg 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p><strong>3<\/strong>. Dry the area lightly. Do not desiccate, as this may weaken bond strength.<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"orange-box\">\n<h2>Bonding Agent<\/h2>\n<p>Bonding agents are available in many different formulations that offer the ability to do the procedure in a 1- or 2-step process. The 1-step options combine the primer and bonding agent in 1 bottle (eg, ONE-STEP, bisco.com). The 2-step products utilize separate primer and bonding agents (eg, Scotchbond Multi-Purpose, 3M.com).<\/p>\n<p>A.<a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-18.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-3612\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-18-300x225.jpg\" alt=\"Figure 18\" width=\"242\" height=\"182\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-18-300x225.jpg 300w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-18.jpg 400w\" sizes=\"(max-width: 242px) 100vw, 242px\" \/><\/a>\u00a0B.<a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-19.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-3613\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-19-187x300.jpg\" alt=\"Figure 19\" width=\"121\" height=\"194\" \/><\/a>\u00a0C.<a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-20.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-3614\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-20-300x225.jpg\" alt=\"Figure 20\" width=\"237\" height=\"178\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-20-300x225.jpg 300w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-20.jpg 400w\" sizes=\"(max-width: 237px) 100vw, 237px\" \/><\/a><\/p>\n<p><strong>1.<\/strong> The bonding agent should be applied in a very thin layer (A). After 10 seconds, it is air thinned\/dried for 15 seconds (B). Finally, it is light cured with an intense blue light for 10 seconds (C). To prevent eye\/lens damage, view the light through an appropriate filter.<\/p>\n<p>A.\u00a0<a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-21.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-3615\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-21-300x225.jpg\" alt=\"Figure 21\" width=\"300\" height=\"225\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-21-300x225.jpg 300w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-21.jpg 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>\u00a0B.\u00a0<a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-22-e1431456683363.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-3616\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2011\/07\/Figure-22-e1431456683363-300x225.jpg\" alt=\"Figure 22\" width=\"300\" height=\"225\" \/><\/a><\/p>\n<p><strong>2.<\/strong> If a 1-step bonding agent is used, a layer of unfilled resin (eg, Fortify, bisco.com) should be applied to the bonding agent to add strength and smoothness to the restoration (A). The resin is placed over the 1-step bonding agent and light cured for 10 seconds (B).<\/p>\n<\/div>\n<h2><span style=\"line-height: 1.5\">CONTINUING EDUCATION<\/span><\/h2>\n<p>While this article makes the procedure look simple, improper technique can destroy the teeth you are trying to repair. There are nuances that cannot be learned without hands-on training. This training is available in San Diego (vetdentaltraining.com), Santa Barbara (sbvdtc.com), and Colorado Springs (vetdentalclasses.com).<\/p>\n<p>In addition, keep in mind that these are generalized directions. Please refer to the manufacturer\u2019s instructions for the specific product you use.<\/p>\n<p><span style=\"line-height: 1.5\">\u00a0<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; For uncomplicated crown fractures with no radiographic evidence of disease, bonded sealant application can: Resolve sensitivity Block infection Improve aesthetics Smooth the tooth to decrease plaque accumulation, delaying periodontal disease.<\/p>\n","protected":false},"author":1,"featured_media":1907,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":1475,"footnotes":""},"categories":[386],"tags":[13],"class_list":["post-968","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-july-august-2011","tag-peer-reviewed","column-features","clinical_topics-dentistry"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Bonded Sealant Application for Crown Fractures | Today&#039;s Veterinary Practice<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta 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