Predicta Core from XL to XS size core build-ups

Rebuilding large abutments is always a challenge.
Both for the management of the adhesive surfaces and for the layering of the material because we have to reconstruct a lot of lost dental material.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.1
An abutment entirely lacking the coronal part.
In this scenario, we decided to cement the post with another cement. We can decide to rebuild the coronal component with Predicta Core anyway.

styleitaliano style italiano predicta core
styleitaliano style italiano predicta core
styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.2
We will exploit of Predicta Core in its capability of keeping its shape, thus we will employ the stackable in order always to be able to rebuild in one addition.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.3
With just one move, we rebuild the entire coronal abutment.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.4
As soon as it is ready, one should notice the material’s optimal texture when in contact with the burr, it looks like composit.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.5
In this case for the radicular component we used another type of cement for the posts and for the coronal component Predicta Core. Surely this is a more complicated approach, an example to remember that the less material is used, the simpler our dentistry life will be. Remember to always simplify.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.6
Reconstruction of dyschromic abutment, Predicta Core has excellent opacity.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.7
Reconstruction completed briefly!

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.8
Reconstruction with Predicta Core of a abutment with little retentions in the canals, with no post.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.9
We decide to place just one post in the abutment, but to exploit the first millimeters of the mesial canals in order an even bigger retention of the reconstruction material.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.10
We put Predicta Core in all the canals, we place the post in the distal one, after being treated with adhesive and correctly shortened.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.11
We proceed by building the coronal component, always with the same material.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.12
In a few minutes, we are done with the build-up.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.13
With smaller teeth with very narrow cavities it is definitely easier to use the same material on the entire reconstruction. We begin by choosing the post and measuring it.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.14
We then proceed treating the post, the cavity and the canal adhesively. We then inject Predicta Core.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.15
We will rebuild everything with just one material.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.16
Occlusal vision, from the left: adhesive, Predicta Core in the canal, and post in place.

styleitaliano style italiano clinical case Directa Dental Parkell Predicta Core bioactive dual-cure core build up material resin composite

Fig.17
Lateral and occlusal vision of the finished pre-prosthetic reconstruction.

Conclusions

Use a self / photo curing material that avoids wasting time during the stratification, allows us to concentrate on the other prosthetically important phases such as: the management of the abutment, preparation of the abutment and relining of the provisional. Clinical phases that in a very compromised tooth will be more complex and will require more attention from us.
Simplifying steps helps us focus and invest more time on the most difficult ones.

styleitaliano style italiano predicta core
styleitaliano style italiano predicta core

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