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TWO WAYS JASON SMITHSON BDS DIP REST DENT RCS (ENG)
! Juttes Pallipatt likes Triple O Dental Laboratories.
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4:46amJason Smithson
Thank you very much....may I use it in a lecture?...with credit
to you obviously
BTW...let Ed know I am sitting in on his lecture on
thursday.....I am an opinion leader with Hereaus
5:01amJohan Figueira
o yeah..u can use it!
Write a reply...
Like
HELLO HELLOHELLO HELLO
Image courtesy Ed MacLaren and Johan Figueira
This presentation is SPONSORED by COSMEDENT
In the past I have received financial compensation from GC, Carl-Zeiss Meditec, Ivoclar-Vivadent,
Kerr, Triodent, Hereaus-Kulzer, Addent, NuView, Clinicians Choice, NSK and Velopex
All of the cases are carried out on fee paying patients in a private office within normal treatment time frames
There is no use of photoshop other than “Straighten”|”Crop”|”Exposure Adjustment”
The cases are all my own other than where credited
Please feel free to photgraph|record for your personal use
DENTIST
The role of translucency
The CLASS IV (natural layer ing)
The CLASS IV (s impl if ied approach)
“Masquerade” Francesco Sambo
The role of translucency
The CLASS IV (natural layer ing)
The CLASS IV (s impl if ied approach)
“Masquerade” Francesco Sambo
Adj Adj
Adj � � � � � � � � � � � � � � � � � � �
� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �
� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �
The role of translucency
The CLASS IV (natural layer ing)
The CLASS IV (s impl if ied approach)
“Masquerade” Francesco Sambo
TYPODONTTYPODONTT
PALATAL
STENT
!
RETRACTABLE CARPET KNIFE
IN LONG AXIS OF TOOTH
BUCCAL ASPECT OF INCISAL EDGE
How much resin to apply to stent
TOO MUCH-OVERHANGS|FINISHING ISSUES
TOO LITTLE-VOIDS AND FRACTURE
PROBLEM
How much resin to apply to stent
TOO MUCH-OVERHANGS|FINISHING ISSUES
TOO LITTLE-VOIDS AND FRACTURE
PROBLEM
Inter-Proximal Carver Long (IPCL)
Fill to 2mm apical to marked line
Rubber Dam
PTFE (Teflon Tape)
The role of translucency
The CLASS IV (natural layer ing)
The CLASS IV (s impl if ied approach)
“Masquerade” Francesco Sambo
BBA|IPCL|Almore Microfill Multipurpose No 3 Brush|Brush & Sculpt
Brush
Modelling Resin (BRUSH&SCULPT)
IPCL
Allows easy use of mylar strips
!!
"#$%&'(#!"!!!"##$%&'()*+,-+./0#)"#./')"#.0+"&1+'.2)
)&)3#4)0+)&'0#"/+")&#.0%#1*.)
!)*+,-!).*/0"01-/,2!+.2-3.-!".1-!4!5667!4!!!"4!!!!!!!!57897!!
No Water Avoid Tooth Structure
Flexidisc (Cosmedent)
Medium Grit Flame Diamond
1.5 Speed Increasing handpiece (NSK)
No3 Brush
Modelling Resin
0.7MMVARIABLE DEPENDENT ON OPTICAL
PROPERTIES OF RESIN MASS
SUPERBRITE| MILKY WHITE OCCLUSAL
TINT APPROACH Creative Color White|Honey Yellow
MICROHYBRID
CONSIDER OPAQUER (CREATIVE COLOR)
EXTEND TO FRACTURE|PREPARATION LINE
NANO OR MICROFILL|EXTEND OVER ENAMEL MARGIN|MAMMELON EFFECTS WITH POCS & ASH 6
FULL CONTOUR IN MID-THIRD|UNDERCONTOURED IN INCISAL THIRD
Highly translucent enamel mass
Blue/Grey/Yellow/Amber Hue ROLL (Occlusal Clear Microhybrid)
APPLY IPCL|MULTIPURPOSE
#$%&#'"()"*(+'(,-"
'5))))-($!:#;$!$;'#<':#;=!>!%??%(!?<!?%($<!
&%<@'%@<$!>%!#%&!=<$>%$&%!A@:=$!?<!B#>C$%$<!
D#%(!<$&E$'%!%?!>!&$:$'%$B!E>%(!?F!#;&$<G?;! Flexi-Discs Backhand
FLEXIDISC BACK-HANDPENCIL LINES
!"#$%$&#'()*+$ !"#$%$&#'()*+$REFERRED CASE | TOO WIDE | BULKY | DEAD LOOKING
!"#$%$&#'()*+$VISIBLE MARGINS | MI ANGLE | MESIAL LINE ANGLE | INCISAL OPALESCENCE !"#$%$&#'()*+$
%,) -*.#$("/"0)*/12$Jean-Luc Godard, 1930-Present, Actor and Director
SURFACE T OP OGRAPH Y
Lobes
Perikymata (Imbrication Lines of Pickerill)
Lamellae/Cracks
Wear
BURR (FINE DIAMOND|CARBIDE) 1.5 SPEED INCREASING HANDPIECE
SHARPER CERVICALLY & WIDER INCISALLY (SWING BURR) SMOOTH (FIGURE OF EIGHT MOTIONS)
!
!
!
RUBBER POINTS (FLEXIPOINT)
HORIZONTAL NOT VERTICAL
FLEXIBUFFENAMELIZE
PROGRESSIVELY HIGH SPEED
LIGHT TOUCH
Natural Layering Natural Layering
POST ORTHO WEAR 1.1
WEAR 1.3|2.3
FAILING RESIN|DIASTEMA 2.2M ISSUES
PARTICLE ABRASION BEVEL
ISOLATION
Incisal Light
Incisal Medium
Milky White Occlusal
MicrohybridVita A Shade
OPALESCENCE Occlusal Clear
HYPOCALCIFICATIONS Creative Color White ENAMEL
Microfill
Incisal Light|Medium
Superbrites
(2 Week Control)
The role of translucency
The CLASS IV (natural layer ing)
The CLASS IV (s impl if ied approach)
“Masquerade” Francesco Sambo
!!
A simpler approach
CONCEPT:Reduced number of shades
Effects created with aid of tints
ADVANTAGES:Reduced Armamentarium
Time Saving
Operator Ease
APPLICATIONS:Budget Cases
Multiple Veneers Transition Phase of FMR
(Anterior Guidance|OVD verification)
Palatal chamfer
Facial Bevel
Rounded Line Angles
*Often incisal reduction is unnecessary!
!
Chromatic microhybrid*consider opaque (Creative Color)
Chromatic Enamel
Microfill (Renamel)
Extend beyond margin
Smooth Finish
Bevel incisally
Opalescence Effects
50:50 Violet/Grey mix (Corky Willhite)
Size 1 brush + Modelling resin
Sparing
White|Amber|Combination Halo Number 1 brush
Vertical White Striations *Optional
Thin with Dry Brush
Thin layer of high translucence
microfill (IL or SB)
Covers effects only
minimal preparation vision enhanced gingival retraction hydroabrasion electric handpiece
Incisor fracture
Fix NOW Limited appointment
time (40 mins)
Isolate Bevel
Particle Abrasion Finger “Stent” Microhybrid
Microfill(Chromatic)
TintsDARK BROWN
WHITE
VIOLET|GREY
Microfill (Achromatic)
Final(40 Mins)
Recommended