Creating a Color Blend for Class V’s

2,655 views

Introduction to the case

Creating a color blend for Class V’s can be frustrating. Give this technique a try. As an added bonus you will realize a stronger bonded restoration.

Using SureFil SDR flow as the first layer over the entire surface of the prep creates a low stress strong bond to dentin. The SureFil also creates a semi translucent layer which is covered by the Filtek Supreme Ultra “Body” layer. The result is a blended composite that reflects light much like the surrounding tooth structure. If the color is off, the result will still look respectable.

(more…)

The “Poor Man’s” CEREC Crown

Introduction to the case

I posted this technique before but wanted to show it with a little more detail: link to technique.

#3 has distal decay, existing large MO filling, separate buccal and lingual amalgam fillings and some ugly looking cracks. Tooth is periodontally involved and is also unopposed. What do you do for this tooth? In my view it’s only value is for esthetics unless she opts to restore the bottom. Considering that and the perio, I hate to recommend an expensive crown. I would also hate to try an MODBLXYZ filling. This is the perfect scenario for the poor man’s cerec crown.

  • 1. Preop dual arch impression.

  • 2. Remove all decay and old restorative – in this case that didn’t leave me with much othere than a few thin cusp tips.

  • 3. Prep for full coverage staying supra G where possible and preparing a nice readable should margin and smooth edges- much like a cerec prep.

  • 4. Using the impression, place dual cured composite (I use Injectafill) in the tooth site just as you would to make temporary.

  • 5. Remove at exactly 1:30 sec.

  • 6. Allow to self cure or hit it with light.

  • 7. Trim as you would a temp- gotta get this part right becaus this is the definitive restoration. You can leave a little excess buccal and lingual as you’ll have access to finish the margins.

  • 8. Try in and verify fit.

  • 9. Sandblast internal.

  • 10. Bond as you would any other composite/all ceramic crown.

  • 11. Clean excess, finish margins, adjust occlusion (shouldn’t be much to adjust given that it is identical to their original tooth.

(more…)

Full Arch Implants – Welded Conometric Case

Bill Schaeffer

BDS MBBS FDS RCS MRCS

The Implant Centre

2,329 views

Introduction to the case

Nothing new in the technique here – this is just one of my standard welded conometric cases. It just turned out nicely so I thought I’d post it. The plan is to remove the lower molar and all the upper teeth and to place some implants lower left and upper jaw.

The only tough decision I had was whether to do this case as a hybrid (pink and white) or as a socket-fit bridge (just white).

The patient has lost quite a lot of vertical height of bone – but not evenly – so I decided to go with the nice and simple hybrid. I have just added his PAs from Monday’s review and integration check. These are from two months after implant placement and loading.

(more…)