Dr. Didier Dietschi Dr. Dr. Jason Smithson Dr. DR. JOHN F. WESTON DR. JOHN F. MODERN, NO-PREP DIRECT RESIN MODERN, Useful Posterior Composite Steps Composite Posterior Useful y r New Posterior & Anterior Composite Techniques & Anterior Composite Posterior New vol. 27 issue 3 vol. Cosmetic Dentist Cosmetic of 2011 al n a l l f Jour Journal of CosmetiC Dentistry Volume 27 • number 3 fall 2011 www.aacd.com E.MAX CRANHAM ad - JCD - SEPT:Layout 1 8/23/11 3:20 PM Page 1 ® x a m . e IPS “MY ALTERNATIVE TO PFM’S” John Cranham, DDS Clinical Director, Dawson Academy My clinical success is living proof of what science is telling the dental industry about IPS e.max lithium disilicate. It has the strength, durability and esthetics for a lasting smile. theworldspeaksemax.com ramic all ce d u nee all yo 100% CUSTOMER SATISFACTION G U A R A N T E E D ! ivoclarvivadent.com Call us toll free at 1-800-533-6825 in the U.S., 1-800-263-8182 in Canada. ©2011 Ivoclar Vivadent, Inc. IPS e.max is a registered trademark of Ivoclar Vivadent. A PuBLIcation Of ThE AmericAn AcAdemy of cosmetic dentistry vol. 27 issue 3 Journal of Cosmetic Dentistry EDITORIAL REVIEW BOARD Pinhas Adar, MDT, CDT, Marietta, GA Naoki Aiba, CDT, Monterey, CA Editor-In-chIEf Edward Lowe, DMD, AAACD Gary Alex, DMD, AAACD, Huntington, NY Vancouver, BC, Canada, [email protected] Edward Pat Allen, DDS, PhD, Dallas, TX MAnAgIng Editor Tracy Skenandore, [email protected] Elizabeth M. Bakeman, DDS, FAACD, Grand Rapids, MI Editorial AssIsTAnT Denise Sheriff, [email protected] Oliver Brix, MDT, Kelkheim, Germany Christian Coachman, DDS, CDT, Sáo Paulo, Brazil ART DIREcTOR Lynnette Rogers, [email protected] Michael W. Davis, DDS, Santa Fe, NM gRAPhIc DEsIgnER Elizabeth Kiracofe, [email protected] Gerald E. Denehy, DDS, Iowa City, IA EDITORIAL cOnsuLTAnT Juliette Kurtz, [email protected] Newton Fahl Jr., DDS, MS, Curitiba-PR, Brazil MAnuscript Hugh D. Flax, DDS, AAACD, Atlanta, GA DevelopmenT LIAIsOn Allison DiMatteo, MPS, [email protected] David A. Garber, DMD, Atlanta, GA MEMBERshIP Ronald E. Goldstein, DDS, FACD, FICD, Atlanta, GA AnD MARkETIng DIREctor Michael DiFrisco, [email protected] Dan Holtzclaw, DDS, MS, Austin, TX Steve D. Hoofard, CDT, AAACD, Hermiston, OR AdvertisIng AnD sPOnsORshIP DIREctor Of StrategIc PartnERshIPs Jeff Roach, [email protected] Nelson Y. Howard, DDS, AAACD, San Marcos, CA Ronald D. Jackson, DDS, FAACD, Middleburg, VA cOnTRIBuTIng EDITORs Michael J. Koczarski, DDS, AAACD, Woodinville, WA Scott W. Finlay, DDS, FAGD, FAACD, Arnold, MD John C. Kois, DMD, MSD, Seattle, WA Julie M. Gillis, DDS, AAACD, Grand Junction, CO Gerard Kugel, DMD, MS, PhD, Boston, MA James H. Hastings, DDS, AAACD, Placerville, CA Trevor R. Laingchild, RDT, AAACD, Burlington, ON, Canada James H. Peyton, DDS, FAACD, Bakersfield, CA Ernesto Lee, DMD, Bryn Mawr, PA Nelson A. Rego, CDT, AAACD, Santa Fe Springs, CA David A. Little, DDS, San Antonio, TX Gregory B. Wright, DDS, FAACD, Southlake, TX Robert A. Lowe, DDS, Charlotte, NC Frank J. Milnar, DDS, AAACD, St. Paul, MN EDITORIAL MIssIOn Ricardo Mitrani, DDS, MSD, Mexico D.F., Mexico The mission of the Journal of Cosmetic Dentistry is to educate AACD members, as well as other Michael T. Morris, CDT, FAACD, Lexington, KY professionals in the field, on the art and science of cosmetic dentistry. We will endeavor to Carlos A. Munoz, DDS, MSD, Buffalo, NY do this by publishing well-researched, peer-reviewed articles accompanied by high-quality, Thomas W. Nabors lll, DDS, AAACD, Nashville, TN comprehensive clinical imagery. The objective is to enhance readers’ knowledge and skills while showcasing the latest cosmetic techniques and procedures. The Journal of Cosmetic Dentistry W. Peter Nordland, DMD, MS, La Jolla, CA will strive to help readers become better clinicians, so they can offer their patients the best— Paul S. Petrungaro, DDS, North Oaks, MN and most responsible—treatment possible. Gary M. Radz, DDS, Denver, CO Christopher D. Ramsey, DMD, AAACD, Jupiter, FL Nelson A. Rego, CDT, AAACD, Santa Fe Springs, CA AAcD OffIcE Dwight G. Rickert, CDT, AAACD, Indianapolis, IN chIEf ExEcuTIVE OffIcER Ed Simeone Robert G. Ritter, DMD, Jupiter, FL 402 West Wilson Street, Madison, WI 53703 Matthew R. Roberts, CDT, AAACD, Idaho Falls, ID Jean-François Roulet, DDS, PhD, Schann, Liechtenstein 800.543.9220 • 608.222.8583 Henry Salama, DMD, Atlanta, GA fax 608.222.9540 • [email protected] • www.aacd.com Maurice A. Salama, DMD, Atlanta, GA Michael R. Sesemann, DDS, FAACD, Omaha, NE Michael Sonick, DMD, Fairfield, CT Advertising: 800.543.9220 • 608.222.8583 or [email protected] Rhys D. Spoor, DDS, AAACD, Seattle, WA Editorial: 800.543.9220 • 608.222.8583 or [email protected] Thomas T. Teel, DDS, Fort Wayne, IN Thomas F. Trinkner, DDS, AAACD, Columbia, SC Eric Van Dooren, DDS, Antwerp, Belgium Marcos A. Vargas, DDS, Iowa City, IA Dennis J. Wells, DDS, AAACD, Brentwood, TN Journal of Cosmetic Dentistry 3 Journal of Cosmetic Dentistry • fall 2011 • Volume 27 • number 3 A peer-reviewed publication and member benefit of the AACD Features 40 Visually Speaking Eating from the Banana Leaf v Jason Smithson, BDS, DipRestDent RCS(Eng) 50 Clinical Cover Story conservative, simple, Efficient! v 104 John F. Weston, DDS, FAACD 62 Myths vs. Realities Indirect Posterior Tooth-colored Restorations v Jose-Luis Ruiz, DDS Gordon J. Christensen, DDS, MSD, PhD 74 20 Tips for using glass Ionomers v Daniel H. Ward, DDS 112 40 82 Advances in composite Restorations v Robert A. Lowe, DDS, FAGD 92 creating Optimum composite Restorations v Hugh D. Flax, DDS, AAACD 104 Additive feldspathic chips: A strong choice v Joshua Polansky, MDC Barry Polansky, DMD 112 composite Resins in the smile frame (CE article) v Didier Dietschi, DDS, PhD 128 AAcD self-Instruction 50 continuing Education v 130 Members’ Exchange “Pearls” for Placing Posterior composites v CE Amanda N. Seay, DDS Columns CREDIT 130 Advertising Index 8 Editor’s Message 10 Up Front help us give You Ethics and Economics of Take advantage of free CE! What You need! composite Resin Edward Lowe, DMD, AAACD Restoration v Ronald E. Goldstein, DDS 4 Fall 2011 • Volume 27 • Number 3 77640-AACDJ Fall 11.indd 1 9/20/2011 3:26:38 PM Journal of Cosmetic Dentistry • fall 2011 • Volume 27 • number 3 A peer-reviewed publication and member benefit of the AACD Departments 12 Behind the Smile 28 Accreditation Essentials - A Trendsetting smile v Clinical Case Type IV John F. Weston, DDS, FAACD (Class IV Fracture) Treating a fracture 14 Speaker Spotlight–DC 2012 using Direct Resin v Interview with Kristi A. Crispin, DMD Dr. graeme Milicich v David Eshom, DDS, AAACD 34 Examiners’ Observations George Tysowsky, DDS, AAACD Restoring a Tooth to natural form and function v 24 Give Back a Smile™ James H. Peyton, DDS, FAACD getting More Than You Bargained for! v 36 Accreditation Tips Trish Jones, RDH, BSc choosing the Right Tools v James H. Peyton, DDS, FAACD 12 2011 Statement of Ownership, Management and Circulation Statement of Ownership, Management and Circulation, required by Title 39, United States Code 3685. Title of publication: Journal of Cosmetic Dentistry. Date of filing: August 25, 2011. Publication number: 1532-8910, USPS# 10452. Frequency of issue: quarterly. Annual subscription price: members, included in the membership dues; non-members/subscribers, $200.00 (US and Canada), $240.00 (all other countries) by the 14 28 American Academy of Cosmetic Dentistry®, 402 West Wilson Street, Madison, WI 53703. 800.543.9220 OR 608.222.8583. Periodicals postage paid in Madison, WI, and additional offices. Mailing address of publisher: American Academy of Cosmetic Dentistry, 402 West Wilson Street, Madison, WI 53703. County: Dane. Name and address of the Editor: Edward Lowe, DMD, 402 West Wilson Street, Madison, WI 53703. Name and address of the Managing Editor: Tracy Skenandore, 402 West Wilson Street, Madison, WI 53703. Average number of copies each issue during preceding 12 months: Total number of copies (net press run): 7288; mailed outside-county paid subscriptions stated on PS Form 3541: 5924 paid distribu- tion by other classes of mail through the USPS: 7; total paid distribution: 5931; free or nominal rate copies 36 mailed at other classes through the USPS: 75; free or nominal rate distribution: 83; total free or nominal rate distribution: 158; total distribution: 6089; copies not distributed: 1199; percent paid: 97. Number of copies of single issue published nearest to filing date: Total number of copies (net press run): 6477; mailed outside- county paid subscriptions stated on PS Form 3541: 5146; paid distribution by other classes of mail through the USPS: 0; total paid distribution: 5146. Free or nominal rate copies mailed at other classes through the USPS: 17; free or nominal rate distribution outside the mail: 0; total free or nominal rate distribution: 17; total distri- bution: 5163; copies not distributed: 1314; percent paid: 99. I certify that all information furnished is correct and complete. Signed Tracy Skenandore, Managing Editor. AACD Mission stAteMent POSTMASTER: send address changes to: the American Academy of cosmetic dentistry is dedicated to Journal of Cosmetic Dentistry advancing excellence in the art and science of cosmetic dentistry and encouraging the highest standards of American Academy of Cosmetic Dentistry ethical conduct and responsible patient care. 402 West Wilson Street Madison, WI 53703 Peer-reviewed articles are denoted with the following symbol v Statements of fact and opinion are the responsibility of the authors alone and do not imply an opin- ion on the part of the officers of the AACD. Materials may not be reproduced without written permission. Contents© 2011 American Academy of Cosmetic Dentistry® 6 Fall 2011 • Volume 27 • Number 3 What I Expected David_8375X10875_JC1011.pdf 1 8/25/11 3:29 PM Financing as advanced as the care you provide.