Introduction to the case Before After Step 1 : Cavity preparation tooth 12 Step 2 : Restoration of tooth 12 Step 3 : Etching and bonding of 21 and 23Step 4 : Fiber frame establishment Step 5 : Rebuilding the dentine core Step 6 : Rebuilding the enamel layer Step 7 : Shaping and polishing Step 8 : Final result Material and method Discussion and conclusion Pre-operative labial view: Tooth 12 had mesial and distal discoloured restorations, with underlying secondary caries. Mild enamel hypoplasia was noted on the labial surface. Missing tooth 22 left a 9mm space between 21 and 23. Post-operative labial view: Final result 2 weeks after direct adhesive restorations with Ceram•X ™ duo + system. The patient has regained her confident smile. Name: Ng Shay Lee Supervisor: Dr. Shalini Kanagasingam University: Universiti Kebangsaan Malaysia Foto of University Dentine and enamel shade determination was carried out using the Ceram•X ™ duo + shade guide. The existing restorations were removed and cavity preparation was done with a short bevel finishing line. After microbrasion, etching and bonding was applied. The cavity was restored with dentin shade D1 at the mesial, D2 at the distal and enamel shade E2. For the replacement of tooth 22, rubber dam isolation was done. Palatal surfaces of tooth 21 and tooth 23 were etched with 36% phosphoric acid. Then, bonding agent (XP Bond TM ) was applied in an even layer, air blown and light-cured for 20 seconds. The fiber frame was bonded to the teeth surfaces and covered entirely by flowable composite (DENTSPLY Esthet X-Flow TM ) and light-cured. The dentin core of tooth 22 was built-up with Ceram•X ™ duo + , (D2 mesial and D3distal). Incremental layering technique was used. Final layer of enamel shade E2 Ceram•X ™ duo + was applied. The restoration was shaped to the natural contour of the tooth. Enhance ® Finishing and PoGo™ Polishing Systems (DENTSPLY) were used to further smoothen the surface and yield a natural glossy appearance. Palatal and labial views of completed restorations of tooth 12 and replacement of tooth 22. The patient’s anterior dental aesthetics was restored and the phonetic problem was solved. She was very happy with the result. The DENTSPLY Ceram•X ™ duo + system (Shade E2 and D2/3) was used in this case. Replacement of tooth 22 utilized a fiber frame which was made with pre-impregnated fiberglass ribbon (everStick ® Perio). It was attached to the prepared tooth surfaces with flowable composite (DENTSPLY Esthet X-Flow TM ). By using the incremental layering technique, the double translucency of Ceram•X ™ duo + system mimics natural dentine and enamel. The loss of an anterior tooth can affect a patient psychologically and socially, as well as restrict phonation. Treatment options include adhesive bridge, fixed bridge, removable partial denture and implant. A fiber-reinforced composite bridge was provided as an interim restoration as the patient was on the implant waiting list and did not want a partial denture. The Ceram•X ™ duo + system offers a conservative and quick fix to the problem in a single visit. A 34 year-old woman presented with a missing left lateral incisor (22) and discoloured restorations on her right lateral incisor (12). She had lost tooth 22 seven months ago due to extensive caries. The patient was embarrassed to smile due to the missing tooth and also suffered from restricted phonetics. By using pre-impregnated fiberglass ribbon and Ceram•X ™ duo + system, it was possible to achieve excellent aesthetic oral rehabilitation.
Introduction to the case
Mar 23, 2016
Name:Ng Shay Lee. Supervisor:Dr. Shalini Kanagasingam. University:Universiti Kebangsaan Malaysia. Foto. of University. Introduction to the case. - PowerPoint PPT Presentation
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Transcript
Introduction to the case
Before After
Step 1 : Cavity preparation tooth 12 Step 2 : Restoration of tooth 12 Step 3 : Etching and bonding of 21 and 23 Step 4 : Fiber frame establishment
Step 5 : Rebuilding the dentine core Step 6 : Rebuilding the enamel layer Step 7 : Shaping and polishing Step 8 : Final result
Material and method
Discussion and conclusion
Pre-operative labial view:
Tooth 12 had mesial and distal discoloured restorations, with underlying secondary caries. Mild enamel hypoplasia was noted on the labial surface. Missing tooth 22 left a 9mm space between 21 and 23.
Post-operative labial view:
Final result 2 weeks after direct adhesive restorations with Ceram•X™ duo+ system.The patient has regained her confident smile.
Name: Ng Shay LeeSupervisor: Dr. Shalini KanagasingamUniversity: Universiti Kebangsaan Malaysia
Foto of University
Dentine and enamel shade determination was carried out using the Ceram•X™ duo+ shade guide. The existing restorations were removed and cavity preparation was done with a short bevel finishing line.
After microbrasion, etching and bonding was applied. The cavity was restored with dentin shade D1 at the mesial, D2 at the distal and enamel shade E2.
For the replacement of tooth 22, rubber dam isolation was done. Palatal surfaces of tooth 21 and tooth 23 were etched with 36% phosphoric acid. Then, bonding agent (XP Bond TM) was applied in an even layer, air blown and light-cured for 20 seconds.
The fiber frame was bonded to the teeth surfaces and covered entirely by flowable composite (DENTSPLY Esthet X-FlowTM) and light-cured.
The dentin core of tooth 22 was built-up with Ceram•X™ duo+, (D2 mesial and D3distal). Incremental layering technique was used.
Final layer of enamel shade E2 Ceram•X™ duo+ was applied.
The restoration was shaped to the natural contour of the tooth. Enhance® Finishing and PoGo™ Polishing Systems (DENTSPLY) were used to further smoothen the surface and yield a natural glossy appearance.
Palatal and labial views of completed restorations of tooth 12 and replacement of tooth 22. The patient’s anterior dental aesthetics was restored and the phonetic problem was solved.She was very happy with the result.
The DENTSPLY Ceram•X™ duo+ system (Shade E2 and D2/3) was used in this case. Replacement of tooth 22 utilized a fiber frame which was made with pre-impregnated fiberglass ribbon (everStick® Perio). It was attached to the prepared tooth surfaces with flowable composite (DENTSPLY Esthet X-FlowTM). By using the incremental layering technique, the double translucency of Ceram•X™ duo+ system mimics natural dentine and enamel.
The loss of an anterior tooth can affect a patient psychologically and socially, as well as restrict phonation. Treatment options include adhesive bridge, fixed bridge, removable partial denture and implant. A fiber-reinforced composite bridge was provided as an interim restoration as the patient was on the implant waiting list and did not want a partial denture.The Ceram•X™ duo+ system offers a conservative and quick fix to the problem in a single visit.
A 34 year-old woman presented with a missing left lateral incisor (22) and discoloured restorations on her right lateral incisor (12). She had lost tooth 22 seven months ago due to extensive caries. The patient was embarrassed to smile due to the missing tooth and also suffered from restricted phonetics.
By using pre-impregnated fiberglass ribbon and Ceram•X™duo+ system, it was possible to achieve excellent aesthetic oral rehabilitation.
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