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COLTENE

Clinical case COLTENE – BRILLIANT EverGlow products

DR. ORLANDO PAGUAGA PADILLANOVEMBER 2016

Dr. ORLANDO PAGUAGA PADILLADental Surgeon.

Tenured Lecturer of the Department of Restorative Dentistry and Senior Lecturer in Preclinical and Clinical Dental Surgery, Faculty of Dentistry, National Autonomous University of Nicaragua at León (UNAN-León) Director of Art & Science Dental

Close-up of lips in repose Close-up of smile

Photograph in maximum intercuspation using retractors

Photograph with 1:1 magnification ratio Taking a silicone impression of the fractured tooth

Unmodified silicone impression Marking out the final shape on the impression, guides modification using the burr

Assessing the depth, matching against equivalent tooth, after occlusal analysis

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COLTENE

Modified silicone impression High saturation and contrast photograph: chromatic mapping of the equivalent tooth

Shade selection High saturation photograph: assesses the dentine shades

Greyscale photograph: assesses the clarity of the enamel and trans tones (BRILLIANT EverGlow COLTENE)

Etching gel (COLTENE Etchant Gel S) Etching of enamel only: labial and palatal

Complete isolation Labial bevelling Isolation with Teflon before acid etching

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SATURATED AREA

BODY AREA

TRANS

INCISAL HALO

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COLTENE

Cleaning Bonding agent (ONE COAT 7 UNIVERSAL, COLTENE)

Drying and dispensing of bonding agent Rubbing the bonding agent on the etched surface Releasing interproximal contact using a celluloid strip

First layer: Trans (BRILLIANT EverGlow, COLTENE) Second layer: Opaque A1 (BRILLIANT EverGlow, COLTENE)

Third layer: A2/B2 (BRILLIANT EverGlow, COLTENE)

Packing resin into the impression Fitting the silicone impression with resin to the tooth to be restored

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COLTENE

Glycerol and polymerising Smoothing with coarse disc.

Fourth layer at a linear angle: BL Trans (BRILLIANT EverGlow, COLTENE)

Fifth layer: Trans (BRILLIANT EverGlow, COLTENE) Sixth layer: A1/B1 (BRILLIANT EverGlow, COLTENE) only in middle third

Surface smoothed and ready for adding texture The line angles and tooth axis are marked 12-bladed burr: vertical macro texture and horizontal micro texture

Green cup polisher Yellow cup polisher Brush

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COLTENE

CCC

Photograph: Close-up in repose

photograph 1 after polishing photograph 2 after polishing Photograph with retraction

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BEFORE AFTER

RESTORATION WITH BRILLIANT EVERGLOW

DR. ORLANDO PAGUAGA PADILLATenured Lecturer of the Department of Restorative Dentistry and Senior Lecturer Preclinical and Clinical Dental Surgery, National Autonomous University of Nicaragua at León (UNAN-León)

CLINICAL CASE – COLTENE PRODUCTS