Case 160 | The Award 2017 | Mexico

Case 160 | The Award 2017 | Mexico

Dr. Alex Arana Murillo / Dr. Jesus Medina Archundia

Interdisciplinary Adhesive Rehabilitation – Minimally Invasive

ALL CLINICAL CASES

_1 _2

Initial situation of the patient

_3

Situation of the posterior upper teeth _4

Situation of the posterior lower teeth _5

Lateral view shows edge to edge position of the anteriors as well as inverted incisal plane. _6

Lower Anteriors

_7

Inticial situation upper and lower multiple restorations and loss of tooth structure.

_8

Anterior teeth after orto treatment to improve position, overbite and overjet, and better space distribution. A cown lengthening was performed in the 6 anteriors

_9

Complete adittive wax up, with de new Vertical Dimention _10

Frabrication of a clear silicon matrix _11

Silicon matrix to acurately transfer the information from the wax up to a prototype in the mouth

_12

Flowable composite was injected in the matrix to elaborate a prototype _13 _14

Vertical dimention of oclussion was achieved with the posterior prototypes, now there is space for the anterior restorations _15

Lateral view of the posterior prototypes and the space available for the anterior prototype and restorations_16

Lateral view of the posterior prototypes and the space available for the anterior prototype and restorations _17 _18

Prototypes complete in upper and lower _19

Accurate transfer of information from the wax up _20

Prototypes are now ready to test anterior and lateral guidance _21

New Oclussion

_22

Prototypes

_23

Prototypes

_24

Preparations were performed under complette isolation to perform IDS in the end.

_25

Upper and lowwer arch preparations _26

Preparacions were performed with the mock up to preserve as much dental structure as possible _27

Preparacions were performed with the mock up to preserve as much dental structure as possible _28

Preps

_29

Space available for the restorations

_30

Lithium disilicate monolitic restorations

_31

Lithium disilicate monolitic restorations

_32

Lithium disilicate monolitic restorations minimum thickness _33

Try in

_34

Cementation under complete isolation _35

Preparation of anterior Teeth with minimum teeth structure _36

A Mini chamfer was performed in the vestibular aspect. The same inclination of te incisal wear was followed to finish in a vertical finish line in the palatal aspect. A transition from chamfer to vertical was carried out on the proximal aspects. _37

Preparations with minimal reduction to allow insertion axis _38

Alveolar Model

_39

Wax up for Lithium Disilicate final restorations _40

Wax up for Lithium Disilicate final restorations _41

Lithium Disilicate cores

_42

Estratification of the anterior restorations _43

Estratification of the anterior restorations _44

Anterior Restorations finished

_45

Cementattion of anterior restorations _46

Anteriors right after cementation

_47

Anteriors right after cementation

_48

Oclussion right after cementation

_49

Upper and Lowe right after anterior cementation _50

Final Result right after cementation

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Case 160 | The Award 2017 | Mexico ultima modifica: 2017-03-01T17:26:19+00:00 da Team Zerodonto

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