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Indirect Bonded Restorations. Part 2: Building the Biobase: IDS, DME and Fibre-Reinforcement

1 hour 5 minutes 1.0 hr CPD/CE

The second lecture in Dr Amir Ghanem's series builds the biobase, the reinforced foundation that receives the indirect restoration. He works from air-particle abrasion and deep margin elevation through immediate dentin sealing to fibre reinforcement with Ribbond and everX.

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Lecture preview A short clip from the full 1 hour 5 minutes lecture
About this lecture

Indirect Bonded Restorations. Part 2: Building the Biobase: IDS, DME and Fibre-Reinforcement

The second lecture in Dr Amir Ghanem’s indirect bonded restorations series is devoted to building the biobase. He begins with air-particle abrasion, explaining why the goal is to compact and modify the smear layer rather than remove it, and reviews the evidence on powder, water, distance, pressure, angulation and duration. Dr Ghanem then covers deep margin isolation techniques, before detailing immediate dentin sealing with gold-standard adhesives and deep margin elevation. The lecture closes with fibre reinforcement, comparing Ribbond, everX and ThinkX and showing how fibres increase the chance of a failure being restorable.

What you'll learn

Learning Aims & Objectives

Understand why air-particle abrasion is used to modify rather than remove the smear layer, and select the powder, pressure, distance, angulation and duration that protect bond strength and the pulp.
Apply deep margin isolation and elevation techniques, including Tofflemire, reel and matrix-in-matrix approaches, copper bands, and the 0.5 to 1 mm elevation limit.
Learn the immediate dentin sealing and immediate pre-endodontic dentin sealing protocols, including adhesive selection, solvent evaporation, prolonged light curing and resin coating.
Compare Ribbond, everX and ThinkX for fibre reinforcement, and identify where to place them to gain crack arrest, stress mitigation and favourable failure.
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Your lecturer

Meet Dr Amir Ghanem

Dr Amir Ghanem

Dr Amir Ghanem

Syria

Dr Amir Ghanem is a biomimetic restorative dentist and lecturer based in Syria, with a clinical focus on adhesive dentistry, fibre reinforcement and the restoration of structurally compromised teeth. He earned his Doctor of Dental Surgery (DDS) from Damascus University in 2021 and has since dedicated his work to minimally invasive, evidence-based restorative dentistry. He serves as a senior lecturer…

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