Page 36 - DP Vol 20 No 5_Neat
P. 36

COSMETIC SECTION














           Fig 10
           Fig 10-11: Laboratory work


                                                                   Fig 11














           Fig 12.1: Mandibular preparations








                                                                   Fig 12.2: Digital design for mandibular teeth



                                                                   followed by scrubbing bonding agent (Gluma bond, Universal) and
                                                                   air drying but not light curing. The tooth surface was air abraded
                                                                   after removing the  temporaries and treated with  phosphoric acid
                                                                   (15  seconds –total  etch)  followed by  scrubbing  bonding  agent  for
                                                                   20 seconds, air drying but not curing. The anterior veneers were
           Fig 13                                                  bonded with RelyX veneer – light cured cement (tack cured followed
                                                                   by complete cure) and posterior table tops were bonded with u 200
                                                                   RelyX resin cement.
                                                                     The  same  procedure  was  repeated  for  the  mandibular  teeth  in
                                                                   terms of preparation & bonding.

                                                                   OCCLUSION CHECK
                                                                   The patient’s static and dynamic occlusion was checked. Anterior
                                                                   and canine guidance were confirmed as stable. The chewing pathway
           Fig 14                                                  was assessed to ensure uniform contacts on the functional cusps.
                                                                   Shimstock (Bausch) was used for a final check, ensuring it passively
           Fig 13-14: Laboratory work, Mohit Suryavanashi – Precision Dental   slid in the anteriors while holding in the posteriors.
           Studio
                                                                   A night guard for nighttime wear and oral hygiene instructions were
                                                                   provided to the patient.
           BONDING PROTOCOLS
           The intaglio surface of the veneers and table tops were treated with   CONCLUSION
           hydrofluoric acid (4.5% for 20 seconds) followed with phosphoric acid   In my opinion, e.max offers many advantages for full-mouth
           to remove insoluble salts. Silane was coated and allowed to evaporate   rehabilitation. Its high translucency allows natural light transmission

           36  Dental Practice I November-December 2024 I Vol 20 No 5                                   Continued on Page 38
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