Treating single upper central is always a challenge for the dentist and the technician
My Surface treatment protocol for the tooth as follows:
All details below each photo …
- 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
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initial situation
Ultrasonic preparation
Final Prep + Composite filling for the other central
Zoomed in
Shade selection .. 2 shades for multiple thirds
Rubber dam isolation & inversion
Zoomed in
OptiBond fl primer
Optibond fl adhesive
Zoomed in
E-max crown
Special Ultrasonic tip to remove excess cement
Done
final
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