Technique

A Case Treated by Direct-Indirect Form

May 03, 2022

As part of a year-long celebration to mark BISCO's 40th anniversary, we asked dentists to submit their best cases featuring BISCO products. We hope this case continues to inspire you and your team!  To view all the cases selected and published click on BISCO's BEST: Cases to Inspire You

Case Study: A Case Treated by Direct-Indirect Form
The goal was to give the patient function and harmony as well as to match the centrals.

Courtesy of Mario Hernández, DDS

Case Description: This is a case treated by direct-indirect form, evaluating the possibility to rehabilitate the central incisal, giving back function and harmony, and matching the centrals. The amount of dental tissue and the leakage presented when removing the restoration was considered. The restorative work would include crown and post removal, ?berglass and core buildup reconstruction, and crown placement. Treatment was carried out using the best materials on the dental market, including those from BISCO. 

Initial picture shows inequality of the color between centrals.

Figure 1: Initial picture shows inequality of the color between centrals.

X-ray taken prior to treatment.

Figure 2: X-ray taken prior to treatment. 

Crown removal

Figure 3:Crown removal. 

Removal of the half-crown with the post.

Figure 4: Removal of the half-crown with the post. 

Hernandez5

Figure 5: The tooth without a restoration. 

CBCT scan without the restoration.

Figure 6: CBCT scan without the restoration. 

Absolute isolation.

Figure 7: Absolute isolation. 

Reconstruction made with fiberglass.

Figure 8: Reconstruction made with fiberglass. 

Guided reconstruction.

Figure 9: Guided reconstruction. 

Reconstruction with Core-Flo DC Lite.

Figure 10: Reconstruction with Core-Flo DC Lite.

Shade matching.

Figure 11: Shade matching. 

Try-in

Figure 12: Try-in.  

Shade matching with the restoration and evaluation with the ceramist.

Figure 13: Shade matching with the restoration and evaluation with the ceramist.

eCEMENT Milky Bright was used to bond the final restoration.

Figure 14: eCEMENT Milky Bright was used to bond the final restoration.

The final result.

Figure 15: The final result.

Tags: Core-Flo DC Lite, eCEMENT, Universal Primer