International Dentistry - Vol. 12, No. 2 - 19

CASE REPORT

Figure 1. Before.

Figure 2. Diagnostic wax up.

Figure 3. Diagnostic wax up.

Figure 4. Bite registration

Figure 5. Final PVS impression.

Figure 6. Stump shade selection.

She presented for excavation, preparation, core build ups,
and provisionalisation of teeth #'s 3-13 without complaints.
Upon removal of failing resin restorations and recurrent caries
on teeth #'s 7,8 & 9, it was discovered that cotton pellets
were left under the existing resin restorations. The caries
extended into the pulp chamber and a foul odour was
expressed upon removal. Lisa was advised of the findings
and referred to the endodontist for the retreatment of root
canals on teeth #'s 7,8 & 9 prior to final crowns delivery.

Technique
Diagnostic impressions and photos were taken and sent to
my technician Bill Marais for a full mouth diagnostic wax up.
All pre-existing composite and amalgam restorations were
removed and all caries excavated. Core buildups were
completed with a combination of direct composite on the
anterior preps and core paste on the posterior teeth.
A gingivectomy was performed using a diode laser on
teeth #'s 8 & 10 to correct her gingival asymmetries and

VOL. 12, NO. 2 INTERNATIONAL DENTISTRY - AUSTRALASIAN EDITION 19



Table of Contents for the Digital Edition of International Dentistry - Vol. 12, No. 2

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International Dentistry - Vol. 12, No. 2 - Cover1
International Dentistry - Vol. 12, No. 2 - Cover2
International Dentistry - Vol. 12, No. 2 - Contents
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International Dentistry - Vol. 12, No. 2 - Cover3
International Dentistry - Vol. 12, No. 2 - Cover4
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