Protemp bicuspid

View of the initial situation. Marco, 35 years old, presents an old infiltrated restoration on 1.2 and has the desire to improve his aesthetics.

Protemp bicuspid 3M style italiano indirect restoration

Fig.1
The initial situation with old PFM crown in the second right upper premolar and old amalgam restoration in the first right upper premolar.

Protemp bicuspid 3M style italiano indirect restoration

Fig.2
X-Ray with a periodical lesion on the second upper premolar.

Protemp bicuspid 3M style italiano indirect restoration

Fig.3
Situation after removal of the old crown already “de-cemented”.

Protemp bicuspid 3M style italiano indirect restoration

Fig.4
Caries on the distal margin after build up removal.

Protemp bicuspid 3M style italiano indirect restoration

Fig.5
Surgical exposition of the margin.

Protemp bicuspid 3M style italiano indirect restoration

Fig.6
Check for the biological width.

Protemp bicuspid 3M style italiano indirect restoration

Fig.7
New endo treatment within suturing.

Protemp bicuspid 3M style italiano indirect restoration

Fig.8
Old crown provisionally adapted.

Protemp bicuspid 3M style italiano indirect restoration

Fig.9
Situation after 2 weeks.

Protemp bicuspid 3M style italiano indirect restoration

Fig.10
Removal of the old crown, ready for the build-up and new provisional crown.

Protemp bicuspid 3M style italiano indirect restoration

Fig.11
Preoperative Rx where you can see the quality of the new end treatment.

Protemp bicuspid 3M style italiano indirect restoration

Fig.12
Isolation with rubber dam (clamp 212 SA).

Protemp bicuspid 3M style italiano indirect restoration

Fig.13
Canals preparation with calibrated burs.

Protemp bicuspid 3M style italiano indirect restoration

Fig.14
Final cleaning with subsonic instruments.

Protemp bicuspid 3M style italiano indirect restoration

Fig.15
Etching of the existing coronal dentin and enamel (where present).

Protemp bicuspid 3M style italiano indirect restoration

Fig.16
Rinsing for 20 second.

Protemp bicuspid 3M style italiano indirect restoration

Fig.17
Application of Scotchbond Universal.

Protemp bicuspid 3M style italiano indirect restoration

Fig.18
Light cure for 20 sec.

Protemp bicuspid 3M style italiano indirect restoration

Fig.19
Fiber posts and Relyx Unicem with end tip ready.

Protemp bicuspid 3M style italiano indirect restoration

Fig.20
Filling the canal with Relyx Unicem.

Protemp bicuspid 3M style italiano indirect restoration

Fig.21
Insert fiber posts and light cure for 20 sec.

Protemp bicuspid 3M style italiano indirect restoration

Fig.22
The final view with 2 posts.

Protemp bicuspid 3M style italiano indirect restoration

Fig.23
Application of bulk fill flow, we fill the old preparation to reinforce the stump.

Protemp bicuspid 3M style italiano indirect restoration

Fig.24
testo sotto immaginePreparation under rubber dam to better evaluate the finishing line. In surgical cases we use vertical prep.

Protemp bicuspid 3M style italiano indirect restoration

Fig.25
After removing the rubber dam, here the new situation.

Protemp bicuspid 3M style italiano indirect restoration

Fig.26
Choosing the better size of Protemp Crown.

Protemp bicuspid 3M style italiano indirect restoration

Fig.27
Bicuspid S

Protemp bicuspid 3M style italiano indirect restoration

Fig.28
We prepare the Protemp crown and reline it with ProtempGarant.

Protemp bicuspid 3M style italiano indirect restoration

Fig.29
X-Ray.

Protemp bicuspid 3M style italiano indirect restoration

Fig.30
View of the second right upper premolar and new direct restoration Filtek Universal A3 on the first right upper premolar.

Protemp bicuspid 3M style italiano indirect restoration

Fig.31
Lateral view immediately after cementation with papilla still in the maturing phase.

Conclusions

When you have to treat a tooth with multiple problems doesn’t mean that you have to lose time. With new materials, it’s possible in 3 single appointments to finalize the case in a good way without stress and with total patient satisfaction that at the end of the story is the goal in our profession.

Bibliography

1) SILVA, M. A.; VITTI, R. P.; SINHORETI, M. A.; CONSANI, R. L.; JUNIOR, J. G.; TONHOLO, J. Evaluation of the Surface Roughness and Microleakage of Dental Composites Exposed to Different Beverages. J Contemp Dent Pract, New Delhi, v. 16, n. 10, p. 800-804, 2015
2) Ereifej NS, Oweis YG, Eliades G. The effect of polishing technique on 3-D surface roughness and gloss of dental restorative resin composites. Oper Dent. 2013 Feb;38(1):E1-12.
3) Kamonkhantikul K, Arksornnukit M, Takahashi H, Kanehira M, Finger WJ. Polishing and toothbrushing alters the surface roughness and gloss of composite resins. Dent Mater J. 2014;33(5):599–606.

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