global ceram-x student case contest 2005/2006 name: audrey hesse, france university: denis diderot...

Global Ceram-X Student Case Contest 2005/2006


Name: Audrey Hesse, FranceName: Audrey Hesse, France

University: Denis Diderot Paris 7University: Denis Diderot Paris 7


Global Ceram-X Student Case Contest 2005/2006Introduction to the caseIntroduction to the case

The patient, aged 29 and a heavy soda drinker, presented with decay on 9

and 10, and abrasion and erosion of all teeth resulting in a loss of vertical dimension. Teeth 7 and 8 contained

old unaesthetic composite restorations.

However, all teeth reacted positively to vitality tests. After instructing the patient on better oral hygiene and dietary habits, a direct

restoration of the anterior teeth using layering techniques to acheive a more aesthetic result was planned. Prosthetic restoration of the

posterior area will be achieved afterwards.



Palatal view of the initial case: Tooth #10 presented with Palatal view of the initial case: Tooth #10 presented with decay. Old unaesthetic composite restorations appeared decay. Old unaesthetic composite restorations appeared on the distal aspect of #8 and on the mesial aspect of #7.on the distal aspect of #8 and on the mesial aspect of #7.

Step 1Step 1



From the wax-up, a silicone guide was designed, allowing From the wax-up, a silicone guide was designed, allowing creation of the palatal and incisal aspects. By removing the creation of the palatal and incisal aspects. By removing the guide, the palatal impression could be observed. guide, the palatal impression could be observed.

Step 2Step 2



Shade A3.5 was selected from the Vita shade Shade A3.5 was selected from the Vita shade guide, corresponding to D3 dentin and E3 enamel guide, corresponding to D3 dentin and E3 enamel on the Ceram-Xon the Ceram-X™™ duo shade guide. duo shade guide.

Step 3Step 3



A rubber dam was placed, followed by removal of A rubber dam was placed, followed by removal of decayed tissue and the old restorations. Diamond decayed tissue and the old restorations. Diamond burs were used for the cavity preparations. burs were used for the cavity preparations.

Step 4Step 4



The XenoThe Xeno™™ III Self-etching Adhesive was applied, air thinned III Self-etching Adhesive was applied, air thinned and light cured. The Ceram-X™and light cured. The Ceram-X™ D3 was placed on the D3 was placed on the silicone guide using an incremental technique.silicone guide using an incremental technique.

Step 5Step 5



The incisal edge was restored with Ceram-X™ E3. The incisal edge was restored with Ceram-X™ E3. Light curing was achieved after removal of the Light curing was achieved after removal of the silicone guide.silicone guide.

Step 6Step 6



The buccal surface was restored using Ceram-X™ D3 The buccal surface was restored using Ceram-X™ D3 followed by Ceram-X™followed by Ceram-X™ E3. The proximal surface was then E3. The proximal surface was then restored using a metallic matrix and wooden wedge.restored using a metallic matrix and wooden wedge.

Step 7Step 7



After finishing with diamond burs, proximal edges were polished After finishing with diamond burs, proximal edges were polished using a sandpaper strip. Final polishing was completed using using a sandpaper strip. Final polishing was completed using EnhanceEnhance®® Finishing cups and Prisma Finishing cups and Prisma®® Gloss Gloss™™ Polishing Paste. Polishing Paste.

Step 8Step 8



BeforeBefore AfterAfter

No sensitivity was observed after treatment and the patient was satisfied. The complexity of this clinical case

benefited from a simplified layering technique using Ceram-X™ in order to obtain a good aesthetic result.

global ceram-x student case contest 2005/2006 name: audrey hesse, france university: denis diderot...

Documents

ceramx d3

ceramx e3

ceramx duo shade guide

initial case

clinical case

silicone guide

vita shade guide

proximal surface