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Pierre Dimitrov

@pierre_dimitrov

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@dentaconsult_dc @bio_emulation @bio_emulation_bg

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Tooth wear master 🦷

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By @nico.squicciarini
@pierre_dimitrov
Educational content for training purposes 📍

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TIP CLINICO FOTOGRÁFICO ✅

Cuando realizamos alguna prueba de color es importante 2 cosas:

▶️ Estandarización fotográfica: programación de la cámara igual para ambas fotos, la misma distancia y mismo ángulo de flashes.

▶️ La posición de colocación del colorímetro tiene que ser estar al mismo nivel del diente que tomarás el color, si este está más adelante o más atrás nos puede dar como resultado un color equivocado.

Cuando trabajamos alta estética estos detalles marcan la diferencia al momento de la toma de color o alguna corrección para el laboratorio.

A tomarlo en CUENTA! 🫵🏽🫵🏽🫵🏽

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CRACKS & IMMEDIATE DENTIN SEALING (IDS)

Protocole clinique avant l’empreinte :

1) Dépose des anciennes restaurations
2) Sablage à l’oxyde d’alumine (50 µm)
3) Mordançage à l’acide orthophosphorique
4) Procédure adhésive : Clearfil Universal Bond
5) Application du composite fluide : Clearfil Majesty Flow Super Low

Restauration: Overlay en Disilicate de lithium
Laboratoire: @dentalconceptnice @gindl06 @licia_antonicchio

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CRACKS & IMMEDIATE DENTIN SEALING (IDS)

Protocol before impression:

1) Removal of existing restorations
2) Air abrasion with 50 µm aluminum oxide
3) Phosphoric acid etching
4) Adhesive procedure: Clearfil Universal Bond
5) Application of flowable composite: Clearfil Majesty Flow Super Low

Final restoration: Lithium disilicate Overlay
Lab: @dentalconceptnice @gindl06 @licia_antonicchio

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IDS emerged more than 20 years ago from a logical idea: bond to freshly cut dentin before contamination occurs and before beginning the indirect restorative workflow.
Today, it is no longer supported by logic alone. Laboratory evidence, long-term clinical studies, and accumulated clinical experience reinforce its benefits: preservation of tooth structure, protection of the dentin–pulp complex, improved adhesive performance, and more biomimetic, minimally invasive, and predictable restorative dentistry.
Research should continue, but the question should no longer be limited to whether IDS works. We need to discuss how to perform it correctly, improve our training, and adapt the protocol to each adhesive system, dentin substrate, and clinical situation.
More than two decades ago, it was a promising concept.
Today, it is an evidence-supported technique.
Now, we must practice it more often, teach it better, and execute it with precision.
More research should continue. Responsible clinical adoption should not stop.
And we leave one question open:
What is the future of IDS in increasingly efficient digital dentistry, where the interval between scanning and bonding an indirect restoration may be less than 20 minutes?
Will IDS continue to offer meaningful advantages? Is immediate dentin sealing still necessary in a same-day workflow?
Don’t miss our next post—we will examine the evidence and answer this question. #ImmediateDentinSealing #IDS #OptiBondFL #AdhesiveDentistry #BiomimeticDentistry RestorativeDentistry MinimallyInvasiveDentistry IndirectRestorations DentalAdhesion EvidenceBasedDentistry DigitalDentistry SameDayDentistry ClinicalDentistry DentalEducation NewGenerationDentistry

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👌Всички от wish list ще имат възможността да се запишат и да вземат местата си за конференцията за Повишено зъбно изтриване – 07.11.2026г. Хотел Милениум .
✌️Остават налични и още няколко места, които не с резервирани.
📞 0887813060

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Sealing freshly cut dentin before beginning the indirect workflow may improve bond development, reduce postoperative sensitivity, protect the adhesive interface and preserve the substrate from contamination.
In this publication, science, clinical experience and biological reasoning converge to explore immediate dentin sealing with two-bottle self-etch adhesives.
We focus on two systems:
• Clearfil SE Bond 2—the classic two-step self-etch adhesive. • G2-BOND Universal—a two-bottle universal adhesive that, according to the available evidence, we recommend using in self-etch mode on dentin.
Although their clinical sequences may appear similar, their chemistry and architecture are not identical. Consequently, each step—surface preparation, primer application, solvent evaporation, hydrophobic bond application, light curing and resin coating—must be adapted to the individual system.
The goal is not to impose one universal protocol, but to optimize each material according to its composition, manufacturer’s instructions and the best evidence currently available.
Similar sequence. Different materials. Individual execution.
Which two-bottle adhesive do you use for immediate dentin sealing—and why?
@javier_pedreira98 · @gusribas.odonto · @drvanessa_dds · @pierre_dimitrov · @dr.rogeriomarcondes
#ImmediateDentinSealing #IDS #SelfEtchAdhesive #AdhesiveDentistry #BiomimeticDentistry ResinCoating IndirectRestorations EvidenceBasedDentistry

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Layered or single shade team? 👀

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Shape is more important than shade! 🦷✨

Finishing and polishing composite restorations doesn’t have to be complicated. My simplified protocol (which I’ve adopted from my dear friend and mentor @javiertapiaguadix ) uses just two rubber wheels, a couple of burs, and a single brush.

🔹 Refine the shape first. Define the outlines and line angles to create the right perception of tooth shape and size.

🔹 Pre-polish and polish. Diacomp Plus Twist (medium and fine grit) helps achieve smooth transitions and a natural gloss.

🔹 Recreate the texture. For younger teeth, carefully sculpt lobes, grooves, and perikymata. For mature teeth, soften the prominent areas to reproduce natural wear corresponding to the aging of the tooth.

🔹 Finish with gloss. A goat-hair brush and diamond polishing paste provide the final shine.

The secret? A simple, controlled protocol, attention to morphology, and the right finishing details. Because natural-looking restorations are about more than just shade—they’re about shape, texture, and gloss.

#CompositeRestorations #RestorativeDentistry #DentalEsthetics #gcachord #MinimallyInvasiveDentistry

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⏳ ОСТАВАТ САМО 10 МЕСТА!
Ако до сега се обмисляли, то сега е момента да се възползвате от последната възможност да се включите в семинара за Повишено зъбно изтриване – 07.11.2026г. Хотел Милениум на специална цена от 360 € с ДДС!
Местата са ограничени, а записването е към своя финал!
📅 Дата: 7 ноември 2026 г.
📍 Място: Grand Hotel Millennium Sofia
💶 Цена: 360 € с ДДС
📞 Запазете своето място още днес: 0887 813 060

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DENTAL WORLD CONFERENCE AND EXHIBITIONS DAY 1 🇭🇺
Special thanks to @pierre_dimitrov 🔥 for sharing knowledge, experience, passion and more ❤️

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Dental World 2026 was the first time for me as chairman of the Esthetic Symposium. After several years, of attending, lecturing, and doing demos/hands-ons it is definitely a special feeling to be part of the team and influence the decisions being made. The Esthetic Symposium was probably the highest level yet. With clinicians from all over the world showing the highest level of dentistry. It was fun learning from them, chatting with them, and seeing them do their magic on stage. Thank you to all of them for elevating the level of the conference.
Next year we’ll try to one-up this event. It will be tough…but as I always say: “If it were easy it would not be us doing it.” See you next year! 🌍🔬#dentalworldexpo

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