Foto Sign/Logo of University
1
® Before After Foto Material and method Discussion and conclusion As the lower teeth are not visible during normal function, the decision was made firstly restore the upper teeth for aesthetical reasons. The upper anterior teeth were restored using Ceram∙X ® duo+ Nano Ceramic restorative from DENTSPLY. Firstly, the impressions were taken and diagnostic wax-up was made. The wax-up was used to form a silicone matrix. The shade was selected using VITA shade guide (E3 for enamel, D3 and D4 for dentine). The teeth were restored one by one. Enamel surface was roughened with fine diamond burs and etched with phosphoric acid. An XP BOND ® total- etch dental adhesive was used. The restorations were finished with fine diamond burs and polished with Pogo™. Using the Ceram∙X ® duo+ nanohybrid composite an aesthetically satisfying result was achieved. Handling of the composite material was remarkably easy and convenient. Ceram∙X ® duo+ provides a wide variety of shades, which can be combined to achieve optimal coloration. Name: Tuuli Vellend 4th year student Professor: Dr. Mare Saag University / Country: University of Tartu / Estonia A before picture is mandantory. Please insert here your picture. After picture is mandantory. Please insert here your picture. Step 1-8 pictures are not mandantory. You are allowed to delete not used frames. Step 1-8 pictures are not mandantory. You are allowed to delete not used frames. Step 1-8 pictures are not mandantory. You are allowed to delete not used frames. Initial status: Severely worn upper and lower teeth. Final result: Worn upper teeth 13-23 were restored with balanced occlusion. Step 1-8 pictures are not mandantory. You are allowed to delete not used frames. Step 1-8 pictures are not mandantory. You are allowed to delete not used frames. Step 1-8 pictures are not mandantory. You are allowed to delete not used frames. Step 1-8 pictures are not mandantory. You are allowed to delete not used frames. Occlusal view of eroded and worn upper teeth. Step 1 Step 2 Step 3 Step 4 Palatal walls of teeth 11 and 21 were restored using enamel shade E3 with silicone matrix taken from wax-up. Ceram•X ® duo+ dentine shade D3 and D4 were used on central incisors to mimic natural mamelons. Step 5 Step 6 Step 7 Step 8 The teeth were finished with fine diamond burs and polished with Pogo™. On lateral incisors and canines the labial surface was covered with enamel shade E3. Dentine mamelons on teeth 12 and 22 were restored with dentine shade D4. Enamel shade E3 was selected to build palatal walls on teeth 12 and 22. Introduction to the case A 65-year-old male patient presented with severely worn teeth and expressed a wish to improve their appearance. There was a history of tooth grinding and he complained of acid reflux but had not sought for medical advice. The treatment plan included improvement of vertical dimension of occlusion and direct veneering on upper anterior teeth. The wax-up was carried out by the contestant herself.
Transcript of Foto Sign/Logo of University
®
Before After
Sign/Logo
of UniversityFoto
Material and method
Discussion and conclusion
As the lower teeth are not visible during normal function, the
decision was made firstly restore the upper teeth for aesthetical
reasons.
The upper anterior teeth were restored using Ceram∙X® duo+ Nano Ceramic restorative from DENTSPLY. Firstly, the
impressions were taken and diagnostic wax-up was made. The wax-up was used to form a silicone matrix. The
shade was selected using VITA shade guide (E3 for enamel, D3 and D4 for dentine). The teeth were restored one by
one. Enamel surface was roughened with fine diamond burs and etched with phosphoric acid. An XP BOND® total-
etch dental adhesive was used. The restorations were finished with fine diamond burs and polished with Pogo™.
Using the Ceram∙X® duo+ nanohybrid composite an aesthetically satisfying result was achieved. Handling of
the composite material was remarkably easy and convenient. Ceram∙X® duo+ provides a wide variety of
shades, which can be combined to achieve optimal coloration.
Name: Tuuli Vellend 4th year student
Professor: Dr. Mare Saag
University / Country: University of Tartu / Estonia
A before picture is mandantory.
Please insert here your picture.
After picture is mandantory.
Please insert here your picture.
Step 1-8 pictures are not mandantory.
You are allowed to delete not used
frames.
Step 1-8 pictures are not mandantory.
You are allowed to delete not used
frames.
Step 1-8 pictures are not mandantory.
You are allowed to delete not used
frames.
Initial status:
Severely worn upper and
lower teeth.
Final result:
Worn upper teeth 13-23 were
restored with balanced occlusion.
Step 1-8 pictures are not mandantory.
You are allowed to delete not used
frames.
Step 1-8 pictures are not mandantory.
You are allowed to delete not used
frames.
Step 1-8 pictures are not mandantory.
You are allowed to delete not used
frames.
Step 1-8 pictures are not mandantory.
You are allowed to delete not used
frames.
Occlusal view of eroded and worn
upper teeth.
Step 1 Step 2 Step 3 Step 4
Palatal walls of teeth 11 and 21 were
restored using enamel shade E3 with
silicone matrix taken from wax-up.
Ceram•X® duo+ dentine shade D3 and
D4 were used on central incisors to
mimic natural mamelons.
Step 5 Step 6 Step 7 Step 8
The teeth were finished with fine
diamond burs and polished with
Pogo™.
On lateral incisors and canines the
labial surface was covered with enamel
shade E3.
Dentine mamelons on teeth 12 and 22
were restored with dentine shade D4.
Enamel shade E3 was selected to build
palatal walls on teeth 12 and 22.
Introduction to the caseA 65-year-old male patient presented with severely worn teeth
and expressed a wish to improve their appearance. There was
a history of tooth grinding and he complained of acid reflux but
had not sought for medical advice.
The treatment plan included
improvement of vertical dimension of
occlusion and direct veneering on
upper anterior teeth. The wax-up was
carried out by the contestant herself.
