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            cerecdoctors.com
          
        
        
          
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            quarter 4
          
        
        
          
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            2012
          
        
        
          
            of the existing tooth. It can be seen here
          
        
        
          
            by overlaying the preoperative model
          
        
        
          
            over the restoration designs.
          
        
        
          
            Figs. 22-26: A closer look at the designs
          
        
        
          
            frommultiple angles ( following page)
          
        
        
          
            shows the restorations are well
          
        
        
          
            integrated into the arch form and
          
        
        
          
            occlusion.
          
        
        
          
            Fig. 27: The restorations are now sent to
          
        
        
          
            the milling chamber to be fabricated.
          
        
        
          
            At this time, the teeth are isolated for
          
        
        
          
            endo treatment with rubber dam and
          
        
        
          
            OpalDam to seal the exposed areas.
          
        
        
          
            Both #28 and #29 were single canals and
          
        
        
          
            shaped to a size #40.06 using K3 XF
          
        
        
          
            files in the TriAuto ZX. They were then
          
        
        
          
            obturated using a single matched cone
          
        
        
          
            technique with EndoRez sealer.
          
        
        
          
            Figs. 28-30: During this time, the
          
        
        
          
            restorations were tried in (hence the
          
        
        
          
            split-dam technique) and my assistant
          
        
        
          
            stained/glazed the restorations.
          
        
        
          
            Figs. 31-33: The restorations were again
          
        
        
          
            verified to fit, and the internal was
          
        
        
          
            micro-etched, conditioned and silaned.
          
        
        
          
            The teeth were prepared for bonding
          
        
        
          
            with OptiBond XTR (Self-Etch two-
          
        
        
          
            bottle system) and cemented with
          
        
        
          
            Anchor resin build-up/cement. The
          
        
        
          
            access and restorations were seated in
          
        
        
          
            a single step.
          
        
        
          
            conclusion
          
        
        
          This entire visit was completed in two-
        
        
          and-a-half hours, and allowed ample time
        
        
          to ensure excellent outcomes and check
        
        
          double hygiene without feeling rushed.
        
        
          This type of efficient, productive appoint-
        
        
          ment simply isn’t possible without
        
        
          CEREC single-visit dentistry. I encourage
        
        
          you to take a serious look at CEREC with
        
        
          Omnicam and realize the benefits for
        
        
          your practice and patients.
        
        
          
            For questions and more information,
          
        
        
          
            Dr. Agarwal can be reached at
          
        
        
        
          
            .
          
        
        
          
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            A g a rwa l