56
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CERECDOCTORS.COM
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QUARTER 2
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2015
in this recurring section of themagazine
, we share a sample of conversations occurring online:
A New York-based dentist seeks advice on best practice for restorations planned for a teenager involved in
ortho work. CEREC users weigh in on the merits of minimal prep versus no prep, hybrid versus composite. Read
on and have a think for yourself — what would you do?
D I S C U S S I O N F O R U M
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Compiled fromwww.cerecdoctors.com/discussion-boards/view/id/35929
KARYN HALPERN
| Port Jefferson Station, N.Y.
How do you restore your peg lateral cases?
What materials have you had most success with?
Prep versus no prep?
I have a case I am planning on a teenager completing ortho
now and would love to see pics of other peg CEREC cases.
Thanks in advance for sharing!
ROBERT SALNICK
| Waukesha, Wisc.
I do not have any photos. The only thing I can
tell you is I am a Bluecam user with 4.2 software,
and I have great success with Biogeneric design when doing
anteriors. I would suggest minimal prep that has a shoulder
with at least 1.0 mm space for porcelain, and I would use
e.max making sure there is enough porcelain thickness on
the rest of the tooth for the strength of porcelain. I then stain
and glaze to the best of my ability to get shade match. If the
porcelain would look good without stain, then I do not stain.
Good luck. I also scan with the tip of the scanner pointing
toward the lingual using small steps with my Bluecam. I do
not know how to do this with Omnicam.
SCOTT MORTON
|
San Luis Obispo, Calif.
I rarely use a no-prep approach to peg laterals, I
use a minimal prep approach placing necessary
margins. I like using e.max and Empress Multi, and neither
of these mill well without a solid margin that prevents chip-
ping. I start these cases by directly bonding composite to the
laterals and contouring as perfect as possible, then letting the
patient walk for a week or two, checking function/occlusion
and esthetics. At that point, it turns into a rather simplistic
Biocopy case.
How Do You Restore Peg Lateral Cases?
Ortho Is Complete. NowWhat?
RICH ROSENBLATT (Faculty)
| Highland Park, Ill.
Karen, I have done my last few with hybrids
when on kids. I can do it basically no prep and
also, if they chip them (as all kids tend to do) I can repair
with composite. Done about four and all are holding up well.
Three with LAVA Ultimate and one with Cerasmart.
BOB CONTE
| Warwick, R.I.
I usually do a
little prep to help
with seating. This case was
e.max LT. A little bulky ...
KARYN HALPERN
Thanks guys for
the feedback!
Do you give specifics to the orthodontist on how to posi-
tion the peg laterals prior to restorative tx?
Bob — case looks beautiful! How old was this patient? Any
chance you have the .rst file too? Would be interested in the
margination and design.
Is there any reason/rationale to wait until patient is done
growing to place ceramic restoration (i.e. e.max)?
