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CAD/CAM international C.E. magazine of digital dentistry North America Edition, No. 3, 2016

14 I I clinical_ partial-coverage restorations The small chip in the incisal edge of #8 was then etched with 37 percent phosphoric acid for 30 sec- onds, rinsed and gently dried, scrubbed with Adhese Universalfor20seconds,driedandlightcuredfor10 seconds, followed by the placement of Tetric EvoCe- ram composite (Ivoclar Vivadent), which was light cured for 20 seconds. Occlusion was verified and the restoration was polished with Astropol polishers (Ivoclar Vivadent). The patient was seen for a two-week post-operative visit. He reported no issues with his treatment and was very pleased with his final result (Fig. 11). _Conclusion This case illustrates the potential for modern adhesive dentistry and digital workflows to improve outcomes for patients. Partial-coverage ceramics maximized the preservation of natural tooth struc- ture while still meeting the patient’s esthetic expec- tations, providing him with the most conservative treatment possible and giving the involved teeth the best long-term prognosis for success. Digital impressioning and restoration design combinedwithchairsideCAD/CAMallowedforthese restorations to be performed immediately in a single visit. This greatly streamlined the workflow process and,atthesametime,significantlyenhancedpatient satisfaction._ _References 1. FradeaniM,RedemagniM.An11-yearclinicalevaluationof leucite-reinforced glass-ceramic crowns: a retrospective study. Quintessence Int 2002; 33(7): 503–510. 2. Pieger S, Salman A, Bidra AS. Clinical outcomes of lithium disilicatesinglecrownsandpartialfixeddentalprostheses: asystematicreview.JProsthetDent2014;112(1):22–30. 3. Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for anterior teeth. J Prosthet Dent 2002; 87: 503–509. 4. Edelhoff D, Sorensen JA. Tooth structure removal associated with various preparation designs for posterior teeth. Int J Periodontics Restorative Dent 2002; 22: 241–249. 5. Al-Fouzan AF, Tashkandi EA. Volumetric measurements of removed tooth structure associated with various preparation designs. Int J Prosthodont 2013; 26: 545–548. 6. Magne P, Belser U. Bonded Porcelain Restorations in the Anterior Region: A Biomimetic Approach. Chicago, IL: Quintessence; 2002. 7. Sorensen JA, Martinoff JT. Intracoronal reinforcement and coronal coverage: A study of endodontically treated teeth. J Prosthet Dent 1984; 51: 780–784. CAD/CAM 3_2016 Fig. 11 Dr. Clint Stevens graduated from the University of Texas Health Sciences Center San Antonio and completed a one- year advanced education in general dentistry residency at the University of Michigan. He is engaged in ongoing labo- ratory and clinical research dealing with adhesive restora- tive materials, digital dentistry workflows, endodontics and dental implants. He serves as a key opinion leader and con- sultant for product develop- ment and evaluation to several dental manufacturers. He has utilizedchairsideCAD/CAMfor 10 years and has extensive experiencewithPlanmecaFIT. Stevens maintains a full-time privatepracticeinTulsa,Okla., that emphasizes the use of modern, evidence-based ma- terials in providing the highest level of comprehensive dental care. CAD/CAM _about the author

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