5 times more yield with 0 plastic

Natural fibers from certified forestry

Efficient and environmentally friendly production process

It’s so easy to bring sustainability into your practice hygiene. The new disinfection wipes FD 350 green and the dry non-woven wipes FD multi wipes green and FD multi wipes compact green are made from plastic-free natural fibers and are produced in an environmentally friendly way. Yet, they convince with more surface efficiency, new wiping quality and disinfect as reliable as you are used to from DÜRR DENTAL. Environmentally conscious into the future. More at www.duerrdental.com

Any questions? Please contact:

Dürr Dental Middle East, Phone: +968 7194 6652, Mail: middle.east@duerrdental.com

5. WELL-DEFINED INCISAL EMBRASURES In an aged or worn dentition caused by incisal loss of length, the incisal embrasures become smaller or may even disappear. To create a youthful smile these teeth have to be lengthened & the embrasures need to be recreated. The incisal embrasure between the central incisors are the smallest in size & the sharpest in shape. The incisal embrasure between the Centrals & the laterals are relatively larger with a wider angle. The largest incisal embrasure lies between the lateral & the canine.

CASE REPORT:

A 72-year old lady visited our clinic complaining of thinned down & discoloured central incisors .She wanted to restore her two central incisors back to its full length & thickness. On examination her smile had a flat reverse curve due to incisal edge loss. The Central Incisors had thinned down incisal edges, the left central incisor had a discoloured class 3 filling, and the inner chromatic dentin was stained palatally giving the tooth a brownish appearance.

TREATMENT PLAN:

1. Removal & replacement of the old composite restoration in 21.

2. Restoring the thinned enamel & incisal edges in 11, 21 with LiDi laminates of low translucency to match the adjacent PFM restorations

PROCEDURE:.

A digital mock-up was done & shown to the patient using DTS Pro software (Fig8.1) to help her visualise the post-op result in a better way. The same results were transferred in her mouth with the help of a wax mock-up(Fig8.2,8.3,8.4) & the incisal edge position was reconfirmed with the help of phonetics, videos & photos.

0.5 mm depth cuts were made through the temporaries for a conservative prep (Fig9.1), the old Cl3 was replaced & immediate dentin sealing was also carried out at this stage. The prep was modified such that the Cl3 was included in it. This ensures that there is no marginal leakage

& discolouration around the veneer in future. Impressions were made using A silicone putty & light-body with a single step. Both Upper, Lower impressions & an Alu wax bite was sent to the lab and the patient was temporised using the same putty index.

Rubber dam isolation was carried out. The veneers were cleaned thoroughly & stabilised using a putty bed. This was followed by etching the intaglio surface of the veneer with 9%HF for 10-15 secs followed by rinsing & air drying. This was followed by applying a coat of the silane coupling agent.

As the prosthesis was now ready for bonding the intraoral steps for bonding were carried out. 37% phosphoric acid was applied to the tooth surfaces of the central incisors for 20 secs. followed by rinsing thoroughly & the surface was air dried. Universal bonding agent (Single bond universal 3M) was applied & air dried to a thin uniform layer.