54
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CERECDOCTORS.COM
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QUARTER 1
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2016
C A S E S T U D Y
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B Y D A N I E L VA S Q U E Z , D . D . S .
case presentation:
A 56-year-old female patient presented with a discolored composite anterior tooth that she wanted
restored (Fig. 1). During examination, it was determined that the adjacent anterior tooth, which was slightly crooked and had
large composites due to a repair, should also be restored (Figs. 2a-2b). I recommended that both front teeth be restored for optimal
esthetics and function. Having access to leading CEREC technology and reliable VITA products made the one-day restoration possible.
One-day Anterior Restoration
Using VITATriLuxe Forte
Starting With a Single Tooth; Finishing With an Anterior Cosmetic Result
TREATMENT PLANNING AND PREPARATION
The material I chose to restore the case was VITABLOCS TriLuxe
forte ceramic blocks. The machinable ceramic blocks were chosen
for their quality, four-layer dimensional esthetics for anterior
chairside restorations, and for their high level of individualiza-
tion. The unique characteristic of this block offers proven clinical
reliability and allows for efficient production and reduced design
time; thus making it the ideal solution for this case.
creating a detailed digital models (Fig. 6). At this time, the teeth
are checked for shade using the VITA Easyshade V digital shade
matching system (Fig. 7). Due to the position of the anterior teeth,
a light, 3-D-Master 1M2C colored shade proved to be the best
choice. Both restorations were then centrally aligned (Fig. 8).
The restorations were then milled in a CEREC MCXL milling
unit (Sirona Dental Systems). The anterior teeth were designed
and milled (Fig. 9).
Fig. 1: A 56-year-old female patient presented with a discolored
composite anterior tooth
Figs. 2a- 2b: During examination, it was determined that the
adjacent anterior tooth, which was slightly crooked and had large
composites, should also be restored
Using the CEREC Omnicam Scanner with CEREC 4.4 software
(Sirona Dental Systems), I created a prescription by choosing the
BiogenericCopydesigntechnique,andbychoosingtheVITATriLuxe
forte material (Fig. 3). A detailed digital impression following good
scanning protocol was taken to scan the pre-op (Fig. 4).
I proceeded with tooth preparation, following the principals
of a CAD/CAM restoration: smooth and round angles and by
managing the soft tissue using retraction cord for a better view of
the toothmargin (Fig. 5). Following the tooth preparation, a digital
impression was taken from the preps, antagonist and buccal bite,
