Page 24 - DP Vol 19 No 6 pw_Neat

RestoRative section

CASE 3: INLAY WITH CUSPS COVERAGE : EDELWIESS An intraoral scan was done with Vivascan [Ivoclar] (Figure 26, 27).
CAD-CAM BLOCK The CAD/CAM onlay was received from the lab (Figure 28). With
A 62-year-old lady was troubled with multiple attempts of restoring a resin blocks the advantage is that we can receive the restoration un-
large decay on her upper first molar. On clinical examination, it was glazed and custom characterize it as per our requirements. The resto-
seen that the restoration was quite large with open contacts. The me- ration was checked for fit (Figure 29). The tooth was cleaned (Figure
sio-buccal cusp was undermined with caris and needed cusp coverage 30) and isolated with rubber dam (Figure 31).
(Figure 24). The restoration was luted with Multilink N [Ivoclar] (Figure 32,
The cavity was partially built with direct composite, Tetric N Ce- 33). Occlusal check was done with 40micron paper (Figure 34), and
ram and Dentin A3.5. The preparation design was done with cusp adjusted and polished (Figure 35) accordingly. An IOPA was taken
prep of mesiobuccal cusp (Figure 25). for radiographic verification (Figure 36). The restoration was in full
function against a metal crown (Figure 37).

Fig 24: Undermined mesiobuccal cusp Fig 25: Mesiobuccal cusp preparation

Fig 26-27: Intraoral scan done Fig 27 Fig 28: CAD/CAM onlay fabricated in the lab
with Vivascan (Ivoclar)

Fig 29: Restoration checked for fit Fig 30: Tooth cleaned Fig31: Rubber dam isolation done

24 Dental Practice I November-December 2023 I Vol 19 No 6 contd on page 26>>