International Journal of Cosmetic Dentistry

cover art

Cover Date:
September 2011
Print ISSN:
1754-2766
Vol:
2
Issue:
1

Replacing large failing posterior restorations

Accreditation Case Type 4 (A posterior quadrant showing two or more direct or indirect restorations) BDS Introduction
The dental media often promote cosmetic dentistry to be typified by placement of multiple porcelain veneers. The reality for most dentists and clients is very different. One of the most common requests is for the replacement of existing amalgam restorations. Another reality is that many dentists are not adequately trained in, or wary of the placement of, tooth coloured alternatives. The materials and techniques now exist to allow a tooth coloured restoration to not only be a viable alternative but to be the most predictable and aesthetic long term clinical solution. The patient in this case was a 42year-old female in good health who attended for a cosmetic consultation. She was unhappy with the appearance of her large amalgam restorations. were all showing signs of marginal failure. Routine hygiene was required to achieve perfect dental health. A TMJ and occlusal examination was also undertaken. BioPak vibration analysis confirmed a healthy TMJ and her Class 1 occlusion with canine guidance, no interferences and little wear made her a good candidate for predictable placement of indirect posterior restorations. A full series of photographs were taken and the images discussed with the patient. It was discussed that the use of porcelain inlays would be the most predictable solution. Expasyl was syringed into the interdental regions of the gingival sulcus, left for three minutes and then rinsed off to provide temporary gingival retraction. Impressions were taken with Aquasil low viscosity syringed directly onto the preparations with Aquasil rigid loaded into a stock tray. A stump shade was also recorded and photographed.

Article Price
£15.00
Institution Article Price
£
Page Start
38
Page End
39
Authors
James Russell

Articles from this issue

  • Title
  • Pg. Start
  • Pg. End

  1. Editorial - Everyday dentistry to a standard of excellence
  2. 0
  3. 0

  1. The aesthetic dentist and the worn dentition
  2. 1
  3. 9

  1. Multiple veneers in areorganised occlusion
  2. 10
  3. 15

  1. Treating a discoloured tooth to match an otherwise unrestored dentition
  2. 16
  3. 18

  1. The challenge of central incisors solved by CAD-CAM
  2. 20
  3. 23

  1. Harmonising replacement veneers with the natural dentition
  2. 24
  3. 27

  1. Replacement of unsightly amalgams: direct or indirect?
  2. 28
  3. 32

  1. Direct Posterior resin restorations: everyday dentistry to accreditation standard
  2. 33
  3. 37

  1. Replacing large failing posterior restorations
  2. 38
  3. 39

  1. IJCD Sept11 Orthodontics as an adjunct pp40-44.pdf
  2. 40
  3. 44