Predictable restorative dentistry requires more than just selecting the right materials, says Jennifer Derse, DDS. It involves creating repeatable clinical systems that allow dentists and their teams to concentrate on the procedure rather than unnecessary variables.
It’s a philosophy Derse has developed throughout her more-than 20-year career spanning cosmetic dentistry, private practice ownership, and dental-group leadership. After receiving advanced clinical training through the Kois Center, Derse practiced in Scottsdale, Arizona, before establishing a private practice in Denver. She later co-founded Espire Dental, serving as Chief Clinical Director and helping the organization grow to multiple locations while mentoring clinicians and working with executive leadership. Today, through Derse Dental Strategy, she provides consulting and coaching to private practices.
Her emphasis on systematic, reproducible dentistry helps inform her choice of adhesive. Derse adopted All-Bond Universal® (BISCO) after learning about it through John Kois. “I love predictability and have a big passion for systems,” she says. “Systems streamline my practice and make life easier to work as a team with my assistants.”
All-Bond Universal is a single-bottle, light-cured adhesive containing the functional monomer MDP. It is indicated for direct and indirect restorations and can be used with total-, selective-, or self-etch techniques. The universal adhesive’s formulation is also compatible with light-, dual-, and self-cured restorative materials without requiring a separate activator.
That versatility is particularly valuable to Derse because it reduces the number of materials and decisions incorporated into restorative workflows. “I have seen situations in the past where doctors use, say, eight different materials for the same procedure. Even if that process has a data-driven reason, it is more likely to fail because there are more points in the process that require someone to make a decision. Making the steps easier and reducing error makes products like All-Bond Universal stand out,” she says.
One demanding application is veneer cementation. Derse uses air abrasion followed by enamel etching and application of All-Bond Universal. BISCO reports a film thickness of less than 10 µm, an important consideration for complete seating of indirect restorations. The adhesive also has minimized water content, allowing residual water to be evaporated during air drying.
Derse also uses the adhesive for direct restorations and employs total-etch for enamel veneer preparations and selective-etch when preparations extend into dentin. Her experience has reinforced her confidence in the material: “Bond strength has been great. I haven’t experienced any bond failures,” she attests.
As adhesive dentistry continues to evolve, Derse sees value not simply in adding new materials, but in making sophisticated restorative protocols easier to execute consistently. For clinicians, universality may therefore mean more than procedural flexibility: It can provide a framework for standardizing adhesion across procedures, reducing opportunities for error, and helping the entire restorative team work more predictably.
Jennifer Derse, DDS
Founder, Practice Coach, and Lead Consultant, Derse Dental Strategy
BISCO
800-247-3368
