clinical case coltene – brilliant everglow products · 2020. 8. 7. · everglow, coltene) fifth...
TRANSCRIPT
1
COLTENE
Clinical case COLTENE – BRILLIANT EverGlow products
DR. ORLANDO PAGUAGA PADILLANOVEMBER 2016
Dr. ORLANDO PAGUAGA PADILLADental Surgeon.
Tenured Lecturer of the Department of Restorative Dentistry and Senior Lecturer in Preclinical and Clinical Dental Surgery, Faculty of Dentistry, National Autonomous University of Nicaragua at León (UNAN-León) Director of Art & Science Dental
Close-up of lips in repose Close-up of smile
Photograph in maximum intercuspation using retractors
Photograph with 1:1 magnification ratio Taking a silicone impression of the fractured tooth
Unmodified silicone impression Marking out the final shape on the impression, guides modification using the burr
Assessing the depth, matching against equivalent tooth, after occlusal analysis
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
2
COLTENE
Modified silicone impression High saturation and contrast photograph: chromatic mapping of the equivalent tooth
Shade selection High saturation photograph: assesses the dentine shades
Greyscale photograph: assesses the clarity of the enamel and trans tones (BRILLIANT EverGlow COLTENE)
Etching gel (COLTENE Etchant Gel S) Etching of enamel only: labial and palatal
Complete isolation Labial bevelling Isolation with Teflon before acid etching
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
lla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
lla
SATURATED AREA
BODY AREA
TRANS
INCISAL HALO
3
COLTENE
Cleaning Bonding agent (ONE COAT 7 UNIVERSAL, COLTENE)
Drying and dispensing of bonding agent Rubbing the bonding agent on the etched surface Releasing interproximal contact using a celluloid strip
First layer: Trans (BRILLIANT EverGlow, COLTENE) Second layer: Opaque A1 (BRILLIANT EverGlow, COLTENE)
Third layer: A2/B2 (BRILLIANT EverGlow, COLTENE)
Packing resin into the impression Fitting the silicone impression with resin to the tooth to be restored
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
lla
4
COLTENE
Glycerol and polymerising Smoothing with coarse disc.
Fourth layer at a linear angle: BL Trans (BRILLIANT EverGlow, COLTENE)
Fifth layer: Trans (BRILLIANT EverGlow, COLTENE) Sixth layer: A1/B1 (BRILLIANT EverGlow, COLTENE) only in middle third
Surface smoothed and ready for adding texture The line angles and tooth axis are marked 12-bladed burr: vertical macro texture and horizontal micro texture
Green cup polisher Yellow cup polisher Brush
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
llaD
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
lla
5
COLTENE
CCC
Photograph: Close-up in repose
photograph 1 after polishing photograph 2 after polishing Photograph with retraction
0047
61
05.1
7D
r. O
rland
o Pa
guag
a Pa
dilla
Dr.
Orla
ndo
Pagu
aga
Padi
lla
Dr.
Orla
ndo
Pagu
aga
Padi
lla
Dr.
Orla
ndo
Pagu
aga
Padi
lla
BEFORE AFTER
RESTORATION WITH BRILLIANT EVERGLOW
DR. ORLANDO PAGUAGA PADILLATenured Lecturer of the Department of Restorative Dentistry and Senior Lecturer Preclinical and Clinical Dental Surgery, National Autonomous University of Nicaragua at León (UNAN-León)
CLINICAL CASE – COLTENE PRODUCTS