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Dr Julian Conejo

Visiting Professor at the Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine. Philadelphia, USA.
Specialist in Prosthodontics from the Universidad Intercontinental, Mexico City, Mexico.
D.D.S. from the Universidad Latina. San Jose, Costa Rica.

Single appointment full ceramic anterior restoration: chairside CAD/CAM technology.

11217 Views - Sep 2016

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Succes rates of full ceramic restorations on endodontically treated teeth is lower than over vital teeth due to limited healthy tooth structure.
A case report of a full ceramic restoration elaborated with chair side CAD/CAM technology in one single appointment is presented on a severely compromised non-vital tooth is presented.

Img. 1 - Initial extraoral image. Patient presents with tooth no. 1.2 severely damaged.
Img. 2 - Initial intraoral image. Tooth 1.2 is endodontically treated with a resin bonded fiber post without ferrule effect.
Img. 3 - Shade selection is performed before the restorative procedure to prevent teeth dehydration and color alteration.
Img. 4 - A resin core build-up was performed utilising the existing post due to its intraradicular length and because it was adhesively bonded.
Img. 5 - After tooth preparation for a full ceramic crown, an intraoral scan was performed.
Img. 6 - The restoration was designed with the CEREC 4.4 software.
Img. 7 - A polychromatic feldspathic block was selected due to its high translucency and aesthetics.
Img. 8 - After milling, the restoration was tried-in and a stain and glaze was applied.
Img. 9 - Final extraoral image after adhesive cementation.
Img. 10 - Facial image of the patient after concluding the restorative procedure in 1 single appointment.



With proper material selection, and adhesive techniques, single unit ceramic restorations can be elaborated with chair side CAD/CAM technology in one single appointment.



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  2. Abdel-Azim et al. J Prostate Dent 2015;114:4.

  3. Giordano R, Materials for chairside CAD/CAM-produced restorations. JADA 2006;137:14-21.

  4. Edelhoff, Daniel, et al. Minimally invasive treatment options in fixed prosthodontics. Quintessence international 47.3 (2016): 207.

  5. Magne, P. et al. J Prosthet Dent 2015;114:574-579


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