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"Bulk, Sculpt, and Cure... it's really that easy."
Dr. Michael Sesemann of Omaha, Nebraska was presented with a case to replace faulty amalgam. He utilized two-step, total-etch adhesive, ExciTE F and Tetric EvoCeram Bulk Fill to efficiently place adhesively sealed direct composite restorations. Read the case below!
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a 51-year-old male patient presented with multiple failing amalgam restorations (teeth 14 through 17) that exhibited marginal leakage and required replacement.
 Preoperative view showing multiple failing side-by-side amalgam retorations in the maxilla. |
 View of the completed Tetric EvoCeram Bulk Fill direct composite restoration for tooth 17. |
 Adhese Universal adhesive was applied to the preparation for tooth 15. Due to hygienic reasons, the manufacturer recommends using the VivaPen Protective Sleeve for intraoral application. |
 A single increment of Tetric EvoCeram Bulk Fill composite was placed in the tooth 14 preparation. |
 Free-Hand contoured utilizing a thin, long-bladed instrument. |
 Post-cure contouring of the restoration was complete using a fine diamond. |
 Interproximal polishing was completed using a finishing strip. |
 The preparation enamel in tooth 16 was selectively acid-etched. |
 An initial layer of Tetric EvoFlow Bulk Fill was placed in the cavity. |
 Finishing of the tooth 15 restoration. |
 Polishing of all restorations in the quadrant using a silicone brush and diamond paste. |
 The occlusion was checked after occlusal adjustments had been made. |
 Postoperative view of the completed composite restoration. |
The combination of selective etching using a universal adhesive and placing bulk-fill composite facilitates restoring various tetth in the posterior region. This method allows virtually invisible restorations to be achieved that are indistinguishable from surrounding dentition. As TetricEvoFlow Bulk Fill changes its translucency during polymerization and obtains a dentin-like opacity, the natural translucency of teeth can be more easily mimicked and small stains are even masked. The restorations are also permanently stable and esthetic, yet completed in less chair time, which makes the practice more efficient and saves patients time and money.
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FREE GOODS REDEMPTION: (VALID IN THE USA ONLY) All purchases must appear on a single invoice between 1/1/18 – 3/31/18. Requests for free goods must be received by 4/30/18, by forwarding a copy of your qualifying invoice to: Ivoclar Vivadent, Inc., Attn: 2018 Clinical Product Specials, 175 Pineview Drive, Amherst, NY 14228, FAX: (800) 598-4569 e.mail: usclinical@ivoclarvivadent.com. Ivoclar Vivadent reserves the right to modify or cancel these promotions at any time. These specials cannot be combined with any other offer or rebate program. |
