DR JULIAN CONEJO

INDIRECT ANTERIORS - COMMUNITY

SINGLE APPOINTMENT FULL CERAMIC

ANTERIOR RESTORATION: CHAIRSIDE
CAD/CAM TECHNOLOGY.

7209 Views - Sep 2016

Succes rates of full ceramic restorations on endodontically treated teeth is lower than over vital teeth due
to limited healthy tooth structure.
A case report of a full ceramic restoration elaborated with chair side CAD/CAM technology in one single
appointment is presented on a severely compromised non-vital tooth is presented.

Img. 1 - Initial extraoral image. Patient presents with tooth no. 1.2 severely damaged.

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CAD/CAM TECHNOLOGY.

Img. 2 - Initial intraoral image. Tooth 1.2 is endodontically treated with a resin bonded fiber post without
ferrule effect.

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CAD/CAM TECHNOLOGY.

Img. 3 - Shade selection is performed before the restorative procedure to prevent teeth dehydration and
color alteration.

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CAD/CAM TECHNOLOGY.
Img. 4 - A resin core build-up was performed utilising the existing post due to its intraradicular length and
because it was adhesively bonded.

Img. 5 - After tooth preparation for a full ceramic crown, an intraoral scan was performed.

Img. 6 - The restoration was designed with the CEREC 4.4 software.
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CAD/CAM TECHNOLOGY.

Img. 7 - A polychromatic feldspathic block was selected due to its high translucency and aesthetics.

Img. 8 - After milling, the restoration was tried-in and a stain and glaze was applied.

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CAD/CAM TECHNOLOGY.

Img. 9 - Final extraoral image after adhesive cementation.

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www.styleitaliano.org - SINGLE APPOINTMENT FULL CERAMIC ANTERIOR RESTORATION: CHAIRSIDE

CAD/CAM TECHNOLOGY.

Img. 10 - Facial image of the patient after concluding the restorative procedure in 1 single appointment.
Conclusions
With proper material selection, and adhesive techniques, single unit ceramic restorations can be
elaborated with chair side CAD/CAM technology in one single appointment.
References

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www.styleitaliano.org - SINGLE APPOINTMENT FULL CERAMIC ANTERIOR RESTORATION: CHAIRSIDE

CAD/CAM TECHNOLOGY.
Walter Renne, et al. Journal of Esthetic and Restorative Dentistry 2015:27(4):194202.
Abdel-Azim et al. J Prostate Dent 2015;114:4.
Giordano R, Materials for chairside CAD/CAM-produced restorations. JADA 2006;137:14-21.
Edelhoff, Daniel, et al. Minimally invasive treatment options in fixed prosthodontics. Quintessence
international 47.3 (2016): 207.
Magne, P. et al. J Prosthet Dent 2015;114:574-579
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