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Dental Tribune United Kingdom Edition

July 11-17, 2011United Kingdom Edition • reliable, pneumatic unit based on DCI parts (USA) • piezo scaler and fibre optic handpiece outlet included • services hidden in the chair’s base • wide range of optional equipment • continental, international and cart systems available, • modular build (spittoon, delivery system, light) with various mounting options (chair, wall, cabinet) • only 8% VAT - buy directly from the manufacturer 27 Woodcock Close Birmingham, B31 5EH mobile voicemail fax e-mail WWW.PROFI-DENTAL.CO.UK Simple and reliable unit with generous specification, made in USA. SPECIAL OFFER - SPRING 2011 DENTAL CHAIRS AUTOCLAVES SUCTION PUMPS X-RAY UNITS HANDPIECES WASHER DISINFECTORS COMPRESSORS SURGERYPLANNING 07981075157 08450044388 08719442257 £7,990 MIDI PRO - PROMOTIONAL UPGRADES • extra-bright 45,000 lux for surgical procedures • three light intensity settings • natural, day-light temperature 6,250º K • three axis head movement • fan-less, noise-less • long-life LEDs (50,000 hours) Upgrade to LED operating light with motion sensor - for only £399 Midi Pro range of units Contact us for a free, on-site quotation, surgery plan and advice ! 1996 - 2011 auto-stop, auto-reverse, extra bright LED 32,000 lux, ultra-compact construction, brushless, only 51mm long, weight 72g, speed 100-40,000 rpm, powerful 3.4Ncm torque, complete set for integration ELECTRIC MICROMOTOR NSK NLX Plus LED (endo) LCD CONTROL PANEL NSK MULTI PAD for NSK NLX Plus: select speed, rotation, gear, light intensity, light on/off, factory & user programs, for NSK Varios 170 LED: power level; endo / perio / normal mode double LED illumination, thin, light handpiece, powerful oscillation, endo / perio / normal mode, wide selection of tips for all applications, self-diagnostics OPTIC PIEZO SCALER NSK VARIOS 170 LED NSK NLX Plus LED + Multipad + Varios 170 LED £1,990 RRP £3,320 composite resin, it as decided to make a diagnostic waxup, elon- gating the height of the clinical crowns to correct the irregularities of the incisal edges. We then pro- ceeded to take a pattern of the fu- ture restorations with putty poly- vinyl siloxane (PVS). This pattern was then tried in to gain a better idea of the quantity of composite needed to restore the teeth (Fig. 3). Following adequate cotton roll isolation, and after gaining com- plete cooperation from the pa- tient, the adhesive protocol for the enamel was followed and restora- tion with composite resin AMARIS (VOCO) was decided upon. The first increment of restorative mate- rial was placed in the PVS pattern and seated with gentle pressure on the palatal aspect of the pattern. AMARIS Translucent was placed in such a way that all the palatal surfaces of the restoration were completed on teeth #11, 21 and 22. In order to restore the central in- cisors simultaneously, a partially thinned matrix (OptraMatrix, Ivo- clar Vivadent) was lodged in the PVS pattern and each incisal edge was light-cured for 30 seconds (Figs. 4–6). The pattern that rapidly gave us all the anatomic features of the lingual aspect was then removed to continue stratifying the layers of this composite (AMARIS Opaque), seeking to insinuate the mamelons very slightly at the incisal third but close to the incisal edge itself, and at the same time spreading the composite onto the surface of the enamel, in order to hide the excessive translucent aspect that these teeth showed naturally (Fig. 6). In addition, we applied several brushstrokes of AMARIS Flow High Opaque (VOCO) in areas where it was necessary to hide the translucency, and at the same time it was useful for us to generate small areas of hypoplasia of enam- el, resembling the natural char- acteristics of the lateral incisor. Finally, the whole surface of the incisal edge and the facial surface were covered with AMARIS Trans lucent again. Thereafter, the whole restoration was brushed up and light-cured for 60 seconds. Next, the occlusion was adjusted and the composites finished (Figs. 7 & 8). The patient was very pleased with the final result and was informed of the necessary appoint- ments for follow-ups and main- tenance, occlusion check-ups, as well as photographic monitor- ing. The accompanying photo- graphs were taken three months post-operatively, the first one with dried teeth and the second in natu- ral conditions during smile (Figs. 9 & 10). DT Editorial note: A complete list of references is available from the publisher. Fig. 1 Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 Fig. 7 Fig. 8 Fig. 9 Fig. 10 About the author Dr Rony Hidalgo Lostaunau Alameda del Crepúsculo 195 Alborada – Surco Lima 33 Perú E-mail: