18 April 2015

Direct restorations of ELLIS class II crown fracture: a step-by-step procedure

by Dr. Domenico Lafornara

 

Figs.1-3  Clinical  and radiograph views of the case. A typical Ellis class II without pulp damage.

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Fig.4  Resin composite build up of the two fractured teeth, without bonding, was performed in order to simulate the final result and show to the patient.

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Fig.5  Impression of the resin composite build-up with elastomeric material.

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Figs. 6-7  Morphology evaluation completed by white wax on the master model and die.

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Figs.8-9 Transparent inter proximal sectional matrix pieces are placed within a transparent silicon palatal guide.

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Fig. 10  After the surfaces were cleaned with pumice, shade selection is made.

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Fig. 11 Final preparations of incisal edges.

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Figs. 12-13  Steps of enamel-dentin adhesive procedures.

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Figs. 14-17  Steps of the incremental layer procedures.

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Figs. 18-19  Details of the restorations (vestibular and palatal views).

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Fig.20 Front view of restorations at 1-year recall.

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Fig.21 Radiograph at 1 year recall.

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