Today's Veterinary Practice

JUL-AUG 2011

Today's Veterinary Practice provides comprehensive information to keep every small animal practitioner up to date on companion animal medicine and surgery as well as practice building and management.

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PRACTICE STEP BY STEP PEER REVIEWED Bonded Sealant Application for Crown Fractures Brook A. Niemiec, DVM, FAVD, Diplomate AVDC F or uncomplicated crown fractures with no radiographic evidence of disease, bonded sealant application can: UÊ,iÃolÛiÊÃinÃiÌiÛiÌÞ UÊ loVkÊinviVÌion UÊ m«ÀoÛiÊ>iÃÌhiÌiVà UÊ-mooÌhÊÌhiÊÌooÌhÊÌoÊ`iVÀi>ÃiÊ«l>µÕiÊ>VVÕmÕl>Ìion]Ê `il>Þin}Ê«iÀio`onÌ>lÊ`iÃi>Ãi° ÃhoÕl`ÊovviÀ°Ê /hiÃÊiÃÊ>ÊÃim«liÊ«ÀoVi`ÕÀiÊÌh>ÌÊiÛiÀÞÊÛiÌiÀin>ÀÞÊhoëiÌ>lÊ liniVÃÊÜiÌhÊ`inÌ>lÊÀ>`iolo}ÞÊ>n`Ê>Êhi}h-ëii`Ê `ÀillÊ ÃÞÃÌimÊ V>nÊ iµÕi«Ê ÌhimÃilÛiÃÊÜiÌhÊ ÌhiÊ li}hÌÊ VÕÀin}Ê }ÕnÊ >n`ÊLon`i`Ê Ãi>l>nÌÊkiÌÊ ­`inÌ>l>iÀi«Ào`ÕVÌðVom®Ê voÀÊ >««ÀoÝim>ÌilÞÊ fxää°Ê/hiÃÊÜillÊ ÌÀi>ÌÊ >LoÕÌÊxäÊ ÌiiÌh]Ê >vÌiÀÊ ÜhiVhÊÀivillÃÊÃhoÕl`Ê`Ào«ÊÌhiÊVoÃÌÊÌoÊ>LoÕÌÊfÓÊ«iÀÊÌooÌh°ÊÊ TOOTH PREPARATION A B PRACTICE POINTS r Use fluoride-free pumice for polishing to avoid interference with future acid etching.1 r Bonding systems that combine the etch with the bonding agents may not be strong enough. r The patient can eat and drink normally following restoration with bonding agents. 1 44 Scale and polish the surface of the tooth being treated. Remove any unsupported or damaged enamel with a fine diamond bur or white stone. 2 Smooth the area to be bonded with either progressively fine sanding disks mounted on a mandrel and powered by a slow-speed hand- piece (A) or a fine-diamond bur on a high-speed handpiece (B). Today’s Veterinary Practice July/August 2011

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