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Multilink’s AB bonding protocol. The
restoration was bonded into place, and
excess cement was removed. A Cavitron
was used to assure the finished margin
was clean and smooth.
The patient was given post-operative
instructions and scheduled for a follow-
up examination and photographs (Figs.
15-20).
Conclusion
Whether or not we consider ourselves
comfortablewith these types of cases, the
truth is that we, as clinicians, are all faced
with them
1
— and our patients trust that
we will know what to do. In my personal
opinion, IPSe.maxCADlithiumdisilicate
and the use of digital technology have
made managing the complexities and the
esthetic demands inherent in this type of
restorative dentistry not only much more
predictable,
9
but much less stressful.
Taking advantage of the advancements
that allow us to customize a restoration
chairside,
10
or to digitally mirror-image
a contralateral tooth to help it appear
to blend it with the natural dentition,
are immense time-savers and facilita-
tors of the predictability that we are all
after. They help us achieve the successful
results that will ultimately please our
patients and grow our practices.
For questions and more information,
Dr. Hanson can be reached at
.
| | |
H a n s o n
Fig. 15: Retracted view of the patient
prior to treatment
Fig. 16: Retracted postoperative view with
the completed IPS e.max CAD crown
Fig. 17: Close-up of the patient prior to
treatment
Fig. 18: Close-up postoperative view of
the completed restoration
Fig. 19: Retracted occlusal view of the
patient prior to treatment
Fig. 20: Retracted postoperative occlusal
view with the completed crown
References
1. Olson BJ. Restoration of a fractured central incisor.
Compend Contin Educ Dent.2012;33(3):196-200.
2. Baltzer A. All-ceramic single-tooth restorations:
choosing the material to match the preparation,
preparing the tooth to match the material. Int J
Comput Dent.2008;11(3-4):241-56.
3. Tysowsky GW, The science behind lithium disilicate: a
metal-free alternative. Dent Today.2009:28(3):112-113.
4. Poticny D, Potincy J, Klim J. CAD/CAM in-office
technology innovations after 25 years for predictable,
esthetic outcomes. J Am Dent Assoc.2010;141:55-95.
5. Culp L, McLaren EA. Lithium disilicate: the
restorative material of multiple options. Compend
Contin Educ Dent.2010;31(9):716-20, 722, 724-5.
6. Rekow ED, Erdman AG, Riley D, Klamecki B. CAD/
CAM for dental restorations – some of the interesting
challenges. IEEE Trans Biomed Eng.1991;38(4):314-8.
7. CERECMC XL. Operating instructions. (2009).
[Brochure]. Sirona Dental. Charlotte, NC.
8. Fasbinder DJ. The cerec system: 25 years of chairside
cad/cam dentistry. J Am Dent Assoc.2010;141 Suppl
2:3S-4S.
9. Miyazaki T, Hotta Y, Kunni J, et al. A review of dental
cad/cam: current status and future perspectives from
20 years of experience. Dent Mater J.2009;28(1):44-56.
10. Christensen GJ. In-office CAD/CAMmilling of
restorations. J Am Dent Assoc. 2008;139(1):83-85.
Whether or not we
consider ourselves
comfortable with
these types of cases,
the truth is that we,
as clinicians, are all
faced with them.
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