|
|
Click on photos to enlarge.
Post Buildup Tooth #24
Tooth #24
broke off flush to the gingiva. The tooth had many restorations around
the cervical over the years. A root canal completed the week before.
It took ten minutes to set up the rubber dam. The tooth was
completely isolated. There was no worry about sublingual gland saliva
contamination. The Greater Curve was tight against the mesial, lingual, and
distal margins of the tooth. The tooth well boxed in. Easy access from the
labial is apparent. Below was the sequence of isolation:
-
The band
shortened with scissors at each end.
-
The band
placed around the tooth and pulled tight against the lingual. I place
triad gel into the mesial embrassure, and held the band against the margin
of the tooth with an explorer while my assistant cured the gel. The
same process was done to the distal margin.
-
Triad gel
placed to secure the ends of the band. This stabilized the setup.
-
Rubber dam
placed cuspid to cuspid. The rubber dam had a simple long slit from
cuspid to cuspid. No individual holes made!
-
Gaps in the
dam sealed with "paint on dam" composite labial and lingual.
 |
The band burnished against
the adjacent contacts with a finishing bur to create a smooth transition
from band to tooth. |
 |
This photograph is the tooth
prior to cut back.
Sequence of the buildup:
- Pentron fiber post cemented with Panavia.
- Bottom 2/3 rd’s of the buildup DenMat’s
A3 True Vitality.
- Incisal 1/3 rd Kerr’s A2 Premise.
|
 |
Band removed in one
piece. After breaking contact with metal spatula. |
| |
|
Labial View
Incisal View |
|
|
The patient wears an
upper denture. This will be the final restoration. There is no
ferrule to provide crown retention.
Post Buildup Tooth #6
 |
Patient has limited finances. She
has many other dental concerns, but for now she “wanted the gap in her
smile fixed”. |
|
|
Isolation provided
by rubber dam with Greater Curve band held in place with Clear Triad
gel. Over grown labial gingiva removed with Soft Tissue Trimmer by Axis
Dental. Post space prepared. Contact areas have been “rubbed in” with
football finishing bur. |
 |
Metal spatula breaking
bonded contact.
Sequence of buildup:
-
Pentron
fiber post cemented with Panavia.
-
DenMat's A2
True Vitality provided the the bulk of the core. True Vitality is a
Dual Cure, and works like a Core Paste. It is malleable but stiff
enough not to slump.
-
Kerr's A2 Premise
veneered the labial surface.
|
| |
|
Final Buildup
Final Buildup
1 Month Later |
|
|
Final restoration
removed from all occlusal interferences. The patient understands this
is not a strong tooth. The patient is happy she does not need to wear a
removable partial denture.
|
