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What is layering composite and does it matter if dentist uses a had microscope when working on a tooth?

i recently went to a dentist.. more than 25yrs of experience in cosmetic, implant denistry. very meticulous.. my first dentist recently had no updated technology just a chair.. 6 yrs of experience.. however, the more experience dentist says i layer my composites, not sure what he meant by that. and also, when doing a crown i use my microscope head piece.

do dentist use headpieces and does it matter if one doesnt?
Poster
  • Male | 36 years old
October 14, 10:39 AM

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Featured Answer

1 UpVoted this answer
There are different techniques for placing a composite restoration which is also known as white filling on a tooth, The layering technique means the doctor is placing the material in small increments instead of a whole thing at a time this way he is trying to reduce empty spaces, post setting expansion of material which can create more postoperative discomfort.

When the Dr mention he use a microscope to look at the tooth or doing a procedure he is trying to say that he uses magnification either with head loops or with a real microscope we this days use to do root canal. By doing this he can see the teeth better and even see details that can not be capture just by normal eye vision. This also will lead to teeth preparations with less margins of errors and with better final results. This patient's dentist is applying what is recommended for good dentistry but I feel he doesn't need to explain this to his patients is just a way of selling himself.
Maritza Garcia
Maritza Garcia, DDS
Dentist in Orlando, FL
Level: Candidate (1)
October 20, 06:04 PM
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1 UpVoted this answer Colt Riley, DDS Dentist, Houston
Layering composites equates to adding small amounts of the polymer/filling material and curing it to a set state. All dentists should do this, especially with larger and deeper fillings. In regards to the "microscope head piece", maybe he was referring to loupes or a magnification device a practitioner may use similar to a magnifying glass. They are common place nowadays. Hopefully that helps.
Arvind Petrie
Arvind Petrie, DMD
Dentist in Tacoma, WA
Level: Contributor (13)
Website: Petrie Advanced Dental
October 14, 10:28 PM
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1 UpVoted this answer
The essence of these techniques is similar: recreate lost tooth structure layer by layer using composite materials of different opacities. Some of the techniques are rather complex, using numerous shades and layers, making them difficult to learn and use in daily practice. layer by layer. We believe that special attention has to be paid to restoring the enamel layer. If you prepare the tooth with wide bevels on the labial and palatal surfaces (black imaginary preparation line) around two thirds of the restoration volume would be constituted of enamel. Enamel determines the value of the dental shade, being lighter (higher value) or darker (lower value), while the dentine determines the hue and chroma of the dental shade. Enamel becomes darker as individuals age, so it is necessary to have several translucent composite shades that can mimic the ageing enamel.
Anthony Rwaga
Anthony Rwaga, DDS
Dentist in Gaithersburg, MD
Level: Master Contributor (53)
Website: https://plus.google.com/107358216061791932275/
October 14, 04:54 PM
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Layering the composit is a technic of placing two or more layers of the same or similar composits to decrease the strain place on the tooth when the composit is cured. Curing means shinning the intense light on the tooth and composit such that the polymerization reaction takes place..This results in a small percentage of shrinkage. Layering decrease the effect of the shrinkage. Magnification is routine in most dental schools and dental practices now days. Seeing what we are doing is good.
Gary F. Alder
Gary F. Alder, DDS
Dentist in River Forest, IL
Level: Top Contributor (39)
November 16, 07:52 PM
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Layering is critical for any deep restoration, and it is important for most restorations of composite. The two things to make sure is to avoid voids in the restoration and to make certain that the curing light is calibrated and the light tip is not cracked. This can and should be regularly checked with a light meter. These are by far more important factors than if someone needs glasses or loupes.

Many practitioners use loupes in certain procedures and they are a big asset to any practice.

Best of luck, Brian
Brian L. Kirkwood, DDS
Brian L. Kirkwood, DDS, DDS
Dentist in Greenfield, IN
Level: Master Contributor (53)
October 30, 01:25 AM
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Best is if your dentist does use some sort of magnification when treating your mouth. dentists deal with 1/2 millimeter spaces, to give you the best results, using loops and magnification as a cosmetic dentist is a MUST!

As far as layering composite, It is much better than bulk adding the composite for dental bonding procedure.

You will get a more natural result !
Anthony A Mobasser
Anthony A Mobasser, DMD
Dentist in Los Angeles, CA
Level: Key Opinion Leader (113)
Website: http://www.celebritydentist.com
October 28, 09:05 PM
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Layering of composites means that the dentist places thinner layers of composite over each other when building the restoration. The opposite of that technique would be to use one thick layer.

Some dentists use headpieces. Just like any tool, a head piece can be effective if you need it. Some dentists do not need a head piece because they have other tools.
Laji J. James
Laji J. James, DDS
Pediatric Dentist in Houston, TX
Level: Master Contributor (55)
Website: Dr. James Pediatric Dentistry
October 28, 08:20 PM
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Generally a microscope or loupes help the dentist see what he is doing with more clarity and he can be more critical in the detail of his work! Layering of composites is just one of many techniques used to produce a more lifelike restoration!
Michael L. Green
Michael L. Green, DDS
Dentist in Sacramento, CA
Level: Contributor (14)
October 26, 08:45 PM
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The layering of composite filling material is standard practice. It helps limits shrinkage of the material thereby decreasing sensitivity. As far as the technology goes, every one is different. A younger dentist may not have the funds to invest in all the latest technology. That does not mean they don't do good work, and vice versa. Bottom line go to a dentist you are comfortable with, answers your questions and seems more concerned with your health than their bottom line.
Lisa M. Murray
Lisa M. Murray, DDS
Dentist in Fridley, MN
Level: Top Contributor (42)
Website: Moore Lake Dental
October 23, 02:36 PM
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Composite resin shrinks as it sets, that means that the larger the piece you are curing the more the it will shrink. It can pull away from the walls of the tooth and the tooth will remain sensitive because there will be a gap between the two. I prefer to work with magnification but not everyone does.
Joe Reed
Joe Reed, DMD, MAGD
Dentist in Arlington, TX
Level: Key Opinion Leader (102)
Website: Arlington Dental
October 20, 05:15 PM
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