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Clinical Master Magazine

issue 2016 — 39 Esthetic and Restorative Dentistry Article Fig.2a Fig.2b Fig.2c Fig.2d Fig.2e Fig.2f Fig.2g Figs. 2f–l Details of the treatment performed in the lower left and upper left quadrants, respectively. After rubber dam placement, amalgam fillings were removed and tooth surfaces prepared and cleaned with sandblast- ing, before applying com- posite. A highly filled homogenous nanohybrid material (inspiro) was used and sculpted before light curing, enabling proper anatomy and function to be established. Figs. 2d & e Pre-op diagnostic wax-up, creating a new and improved occlusal and anatomical posterior scheme. The full-mouth wax-up is made prior to treatment and establishes the new VDO. Silicone indexes can serve to build up lingual and buccal cusps to the correct level if needed. Figs. 2a–c Pre-op situation showing moderate to severe tooth wear, due to combined abrasion and erosion etiologies. However, the amount of tissue loss does not speak in favor of a conventional prosthetic solution; rather, an interceptive solution using direct composite restorations would be used in this case. Article_Dietschi_00-00.qxp_Layout 1 02.03.16 20:47 Seite 4 Article_Dietschi_00-00.qxp_Layout 102.03.1620:47 Seite 4

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