before and after
April 12, 2022
Dr. Carlo Arcara, DDS, PhD

Clinical Case: Indirect Posterior Restorations: different materials, different finishing lines, one cement.

Using 3M™ Scotchbond™ Universal Plus Adhesive and 3M™ RelyX™ Universal Resin. Cement

About the Case

Posterior restorations are challenging: many different materials can be used, direct or indirect. In this clinical case, a young patient had a debonded crown on second upper premolar and two failed restorations in first upper molar and first upper premolar. When we face multiple restoration, indirect approach should be considered. Adhesive partial restorations were made of lithium disilicate and crown of full-contour zirconia. Different materials, different indications but only one cement for all was used.

Initial situation

Initial situation and field isolation with rubber dam.

Preparation

First molar amalgam and first premolar composite removal and cleaning of cavities.

3D printed view

CAD/CAM lithium disilicate partial restorations in 3D printed model.

Application of adhesive

Upper molar and upper premolar partial restorations adhered.

Preparation ready for bonding

Preparation of finish line on upper second premolar.

bite-wing radiograph

Full-contour zirconia crown in two different views.

Pretreatment sandblasting with 30 µm Al2O3, cleaning with ethanol and 3M™ RelyX™ Universal Resin Cement application.

Result after cementation.

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