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ePaper created 2018-01-31, 10:01:59 | version 1.38.0
case report | Fig. 14 Fig. 16a Fig. 15 Fig. 16b Fig. 14: Close-up of the veneers after seating. Fig. 15: Texture and tooth shape look natural and harmonise with each other. Figs. 16 a & b: Lip appearance (a) and portrait picture (b) with the completed restorations. The expectations of the patient have been met. Seating the ceramic veneers At the try-in, the shade and fit were checked. All ten veneers showed an excellent fit in the mouth. The next step was adhesive bonding. Prior to the bonding proce- dure, a rubber dam was placed to isolate the treatment field and to keep it dry. As the natural teeth were not dis- coloured, we were able to use a translucent luting com- posite (Vario link Esthetic) to insert the veneers (Fig. 13). The veneers were seated using the following protocol: – The restorations were etched with hydrofluoric acid for 60 seconds, rinsed under running water and dried with compressed air. – The veneers were then conditioned with silane. A uni- versal primer (Monobond Plus) was applied, allowed to react for 60 seconds and dried. Conclusion Modern materials in aesthetic dentistry allow pleas- ing results to be achieved with considerably more ease than before. It may be considered a substantial progress that the resulting restorations meet not only high aes- thetic requirements, but also essential functional criteria. State-of-the-art planning tools, digital auxiliaries, CAD/ CAM-supported manufacturing and promising materials lead to excellent results and ensure high patient satisfac- tion. However, regardless of the relatively new CAD/CAM technologies, the skills and experience of a seasoned dental technician will remain indispensable. – The prepared teeth were etched with 37% phosphoric contact acid gel (Total Etch) and rinsed. – Fluoride-releasing Excite F DSC adhesive was applied (without light-curing). – The veneers, which were coated with luting compos- ite, were seated. – The luting composite was tack-cured for 1 to 2 sec- onds (Bluephase with Polywave LED) to facilitate the clean-up of excess luting composite. – Final light-curing of all veneers for 40 seconds. – Removal of the rubber dam and occlusal check. At the last step, the restorations were polished. Dr Cyril Gaillard Jérôme Bellamy – The ceramic restorations show an appealing aesthetic appearance in the mouth and harmonize beautifully with the smile of the young patient. The planned situ- ation was accurately transferred to the final restoration (Figs. 14–16). 14 Rue Montesquieu 33000 Bordeaux France contact@cyrilgaillard.com CAD/CAM 1 2018 25