HANDBOOKS

HANDBOOKS:

There are three technique Handbooks under construction, summarizing the procedures that Dr. Walford has developed over 44 years of practice and 16 years of teaching.

WHY I AM WRITING THESE HANDBOOKS.

We have many problems in composite dentistry. Most DDSs are placing composites without continuity in conceptual integrity, scientific justification, or full awareness of the breadth of relevant parameters in product selection. This is not their fault. It is almost impossible to do otherwise.

I did not set out to be a study club mentor. I wanted to join an existing group. But I could not find an operating study club in my home province of British Columbia, Canada, nor in the adjacent province of Alberta. British Columbia has a very diverse network of over 75 study clubs but at that time, and to this day, none confine  their interest to composite resin technique. in fact nowhere in Canada at that time was there a vigorous composite study club; this may still be the case.  I looked south through the states of Washington, Idaho, Oregon and California, but all my inquiries terminated in dead ends.

So, in the face of this frustration, in 2003 I founded an operating study club, performing restorations on live patients. We opened discussion and explored current practices in resin restoration, and began to penetrate the world of impartial reviews, subscribing to the prominent  review organizations,viz.,  Reality Research, Clinican’s Report, and The Dental Advisor.

Soon after I began building a website, which eventually grew to 400 pages, supporting my teaching. I published spreadsheets and warehoused scientific references. I took my procedural conclusions to my local dental school, the Canadian lecture circuit, was invited to jointhe Canadian Academy of Restorative Dentistry and Prosthodontics www.cardp.ca  became an online mentor for the BC Dental Association, lectured nationally at dental society meetings and published articles. In this period my expertise grew as I invented procedures, clarified concepts, codified approaches to treatment,evaluated products, and became the mentor I earlier wanted to meet. The fruits of this you now see on this site.

Nothing much has changed over the past 16 years in the composite resin field; we face the same  shortcomings and difficulties.

  • Standard of care remains inconsistent
  • scientific underpinnings lack continuity
  • products are over-marketed with frequent unsubstantiated claims
  • academia remains in turmoil
  • clinicians practice in cottage-industry style with little consistency from practice to practice.

LOOKING FOR REDEMPTION

I have taken an extraordinary amount of time and effort to find effectiveness in the composite realm,  for these 16 years, presenting to over 4000 dentists over this period. In doing live clinics, demonstrations, inventing devices, originating techniques, and assembling a large website and putting in the hours necessary for mastery, I have found it a rewarding but unrequited pastime. Little has changed within the system in the past decade to alter the playing field. Yes, today our resins are better, lights are stronger, curing times have reduced, adhesives are better, perhaps more comfortable postoperatively, matrixes and other adjuncts have improved. But the foundations of the field remain muddy.

In the Handbook of Composite Excellence I have revised all the GV Black procedures explicitly for composite resin, and I also present a method for a new class of treatment for worn or eroded incisors, Incisal Attrition.  This handbook aims to collect all the expertise leading to restorations that are a source of pride, which meet the expectations of the public and government overseers, which deliver lifespan comparable to amalgam, but which additionally restore the strength of the tooth to a far higher level than amalgam with esthetic sophistication.

Direct restorations are usualy less destructive and invasive than most laboratory procedures because there is no need for “draw”. These restorations meet both the traditional goals of restorative dental treatment and new goals that are within reach when using the composite paradigm.

TRADITIONAL GOALS OF DENTISTRY

  1. To conserve tooth structure
  2. To maintain the occlusion
  3. To prevent further breakdown of the clinical crown
  4. To protect the periodontal tissue
  5. To preserve the comfort and vitality of the pulp

SETTING THE BAR HIGHER: NEW GOALS OF COMPOSITE DENTISTRY

  1. To preserve and promote the appearance of the patient
  2. To avoid systemic ill-health
  3. To deliver treatment without emotional or physical trauma
  4. To respect the economic well-being of the patient

It is a tall order, but it is do-able, I’ve done it, as have many others when following the same principles, so let’s get going.