Improving Trust, Value, and Diagnosis with Bioclear Dual Colour Disclosing Solution
On an average clinical day, it can be easy to start a procedure without following the proper steps. First, getting good documentation, and second, making sure the patient sees the value in the procedure, hence getting enough documentation for a third party involved.
In some locations, the third party-payers will request some sort of extra documentation. What is even more important is making sure the patient sees the procedure is in their best interest and feels compelled to receive treatment. Simply let the pictures do the talking.
For this case, the patient had an open contact on the mesial of the lower right wisdom tooth, and their restoration had a structural crack in it. In the preoperative radiograph, the structural crack was not visible (Fig. 1). To satisfy all parties, Bioclear’s Dual Colour Disclosing was used to provide proper documentation.
"I trust you Dr. Clark but it’s also nice to see why I need this procedure".
A key and helpful step was to pre-wedge the tooth (Fig. 2). The prewedging technique with Bioclear diamond wedges is ahttps://gem-3910432.net great technique for Class II restorations and crown preparations. You can see an extra large Bioclear diamond wedge being used to deflect the soft tissue apically and protect the rubber dam. With the help of the Bioclear Diamond wedge and rubber dam, it created a hassle-free environment.
Bioclear’s Dual Colour Disclosing Solution stains biofilm - which cracks are full of - thus creating great documentation for all parties (Fig. 3). The Bioclear Dual Colour Disclosing Solution was used on the tooth to show the severity of the structural crack (Fig. 4).
By demonstrating that there is a structural crack in the composite, it helps to validate the necessity of the procedure to the patient and third party-payers.
Bioclear Disclosing solution is applied to dried teeth and aids in the visualization of biofilm prior to removal. Biofilm removal is an essential first step of the Bioclear Method.
• Improves bonding;
• Allows bonding to uncut enamel;
Allows infinity edge margins.
Interested in learning the Bioclear Method?
Conclusion: It is important to remove biofilm (a buildup of bacteria, plaque, and other debris on teeth) before doing teeth restoration because biofilm can cause tooth decay and gum disease. If biofilm is present, it will continue to grow and cause damage to the restoration, leading to a shorter lifespan of the restoration. Additionally, biofilm can also cause post-operative infections which can be painful and require further treatment. By removing biofilm before doing teeth restoration, the chances of success for the restoration are increased and the risk of complications is decreased.
A preoperative radiograph of the patient tooth shows an open contact but the crack being treated is not visible in the radiograph
We see the tooth has been pre-wedged with the extra-large Diamond wedge which should be part of every class two composite and should be part of every class two crown preparation. The circled area contains the cracked surface composite.
Disclosing solution is applied to a dry unprepared tooth* with a large applicator brush. *tooth displayed in the image is not from this case, but used to show the significance and importance of the Bioclear disclosing solution.
The disclosing solution has been applied, rinsed, and then dried.
Notice that not only you are seeing the biofilm on the tooth, but the structural crack in the composite has become apparent.
Images courtesy of Dr. David Clark
About the Author
David Clark, DDS
David Clark founded the Academy of Microscope Enhanced Dentistry, an international association formed to advance the science and practice of microendodontics, microperiodontics, microprosthodontics and microdentistry. He lectures and gives hands-on seminars internationally on a variety of topics related to microscope-enhanced dentistry. He has developed numerous innovations in the fields of micro dental instrumentation, imaging, and dental operatory design.
This article was originally published in the Clinical Life™ magazine: Spring 2022 edition
Clinical Life™ magazine is a premier periodical publication by Clinical Research Dental Supplies & Services Inc. Discover compelling clinical cases from Canadian and US dental professionals, cutting-edge techniques, product insights, and continuing education events.