Restoring badly destructed upper first molar as part of a full mouth rehabilitation
Root canal treatment with (periapical lesion & retreatment) + Deep marginal elevation + Overlay preparation done with passion & love
My Surface treatment protocol for the tooth as follows:
- Sandblasting
- Total etch
- Chlorhexidine rinse
- Silane coupling agent on composite only
- OptiBond FL primer
- OptiBond FL adhesive.. 2 layers
- Light cure for 20 – 40 seconds
- Wait 5 minutes for the hybrid layer to mature
Surface treatment protocol for the E-max
- Sandblasting of the internal surface
- Etch the internal surface of E-max with 10% HydroFloric acid etchant for 20-25 seconds
- Etch the internal surface of E-max with 37% Phosphoric acid etchant for 20-25 seconds
- Silane coupling agent for 60 seconds then air dry
For more cases: https://www.instagram.com/dr.khalil.ibrahim?igsh=aGp2bjR3OWQ4OTFm
Ask me anything in the comment below 👇
Initial situation
Massive Destruction
Removing excess gutta percha
Caries detector dye
Clean
DME mesial margin
DME of the rest margins
Single tooth Isolation for RCT
Irrigation
Obturation
everX as core build up
Final Prep Design
Special Ultasonic tip to remove excess cement
The ultrasonic tip
Final
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