Restorative Materials Summary

Realtime Real Patient Treatment Videos

Notes on Composite Materials

Here's a breakdown and brief discussion of the materials used in the treatment videos. With as many options as there are out there, it's valuable to know some essential materials to have in your dental toolbelt. These are Bob's essentials.

 

Shofu Dental Beautifil Flow [Plus?]

One of my main go-tos is Beutifil Flow. It is a "Giomer," which is their proprietary name for their glass-particle-reinforced materials. There's plenty to read about this class of materials online. They have high radiopacity, anti plaque effect, and fluoride release and recharge. I have always found it to have excellent physical properties for both strength and aesthetics.  It has great light transmission and fluorescence.   

I've used it as:

a liner or a base

For cervical abfractions

incisal attrition

root caries

Enamel, resin, or porcelain defects

On primary teeth

in temporary/stabilizing restorations

provide sedative component for high-sensitivity areas

 

There are two variations for Beutifil Giomer: 

 

F10: High-flow

It comes in VITA shades and has an opaque and translucent shade. Excellent smooth flow and nicely adapts to narrow or irregular surfaces. It will, however, flow outside of prep confines if proper care isn't taken. 

 

F02: Low-flow

Higher viscosity but still a moderate flowing. It holds shape with minimal slumping, which enables superior surface contouring. It comes in VITA shades, including opaque and a gum shade, and comes with needle tips to enable direct application from the material syringe. 

 

Cosmedent Renamel Microfill Dental Composite

This is my "gold standard" for anterior restorations. I've used it since the 80s and have used it in somewhere between 30-50,000 restorations since I switched to Renamel from DuraFil. 

It has great long-term resistance to wear and plaque, and it's color-stable. It provides an excellent lifelike luster due to its reflective and refractive index.  

I have always appreciated its amazing handling characteristics. It's sculptable and doesn't slump or stick. I used the finger technique that was recommended by its developer, Bud Mopper. 

If necessary, it works well employing a layering technique with an underlying nanohybrid.

 

3M Filtek Supreme Ultra Universal Restorative

Nanohybird. Great universal composite with good basic esthetics. Radiopaque. I like to use it in the posterior and when there is a need for strength in the anterior. I use it in compule form and heated from a composite warmer, which enhances its curability and ease of handling. Its ability to combine and layer with other materials in anterior restorations is something I have always especially appreciated. 

 

SureFil SDR flow+

Radiopaque bulk fill that can be cured up to 4mm. This is a material that has helped me be a more efficient clinician. It adapts so well that it saves me from having to use a liner. Great self-leveling. Excellent adaptation into boxes and the pulpal floor.