Dentaltown February 2013 - (Page 30)

restorative message board Nuts & Bolts Full Arch Case Dissected… Tips, Tricks & Stuff » Dentaltown.com > Message Boards > Restorative Dentistry > Restorative Dentistry > Nuts & Bolts Full Arch Case Dissected… Tips, Tricks & Stuff t Townie Michael Melkers shares an active work in progress. This case has a lot of nuances and Melkers offers tips and tricks along the way. Michael Melkers Member Since: 09/09/00 Post: 1 of 136 t There’s more where this came from! Lovin’ this thread? This is just a sample of the large quantity of posts – the entire thread is already up to more than 130 posts! Search “Nuts & Bolts” on Dentaltown.com to find this message board, read more and contribute your thoughts. Here is a case I thought I would share. It is a pretty straightforward case but with a lot of little nuances and tips and tricks applications I thought might be interesting to share and discuss. I just prepped this yesterday so it is definitely an active work in progress case. Here is the patient as I first saw him, post-ortho (yeah…), #7 failing, non-restorable and slated for extraction. Aesthetic desires. I can’t for the life of me find the picture before I took the old PFM off. F ig. 1 F ig. 4 F ig. 2 F ig. 3 Fig. 1: Preps yesterday Fig. 2: Impression Fig. 3: Temps I have not been documenting a lot of cases, much less able to do a lot of big cases lately, but this one has some very unique aspects that I had a lot of fun learning with. n DEC 1 2011 pickingpieces Member Since: 03/28/11 Post: 2 of 136 Michael Melkers Member Since: 09/09/00 Posts: 3 & 6 of 136 Great stuff. Awesome impression. Is it Impregum? And what kind of temps are those? n DEC 1 2011 Thanks! The impression material is a Vinyl PolyEther Silicone (VPES) EXA’lence from GC. The main tray material is EXA’lence 370, which is a heavy body. The lighter green is heavy body rigid with a shore hardness exceeding bite registration materials. I use it in implant areas and for quad trays. The yellow is extra light wash. All done one stage. The provisionals are Luxatemp made intra-orally with a putty wash of the wax-up. I coat the teeth with glycine and aggressively air thin before seating it in the mouth, which helps with removal. Then when I take it out I tamp it into the putty and let it set for a good five to 10 minutes to minimize distortion or flexure. The flash tends to be very minimal. Most is taken off with a scalpel or just by flicking it with a fingernail. The rest is done with discs – I like continued on page 32 30 FEBRUARY 2013 » dentaltown.com http://www.Dentaltown.com http://www.towniecentral.com/MessageBoard/thread.aspx?a=11&s=2&f=216&t=177954&pg=1 http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown February 2013

Dentaltown.com Highlights
Howard Speaks: The SWOT Analysis
Professional Courtesy: Get Off the Hamster Wheel
Continuing Education Update
Second Opinion: Predicting the Future of Dental Amalgam Use and FDA Regulation
Nuts & Bolts Full Arch Case Dissected… Tips, Tricks & Stuff
Employee Embezzlement, Not Sure Which One
Corporate Profile: GC America
Sleep Dentistry Section
Product Profile: Sleep Optima
Breathe Easy: The Advent of CPAP
ACSDD Consortium
Sleep Apnea
Townie Meeting 2013 Last Call!
Do-it-Yourself Finance, Part III: Debt
The Most Effective Presentation Process Ever
“Patient Friendly Dentistry” to the Rescue
Does Kissing Affect Oral Health?
Can Groundhog Day Make a Difference?
Top 10 Tips to a Successful Practice Start-up
How to Build Up the Perfect Tooth
Why We See Problems with Teeth Whitening: The Science of Whitening Part IV – Whitening Sensitivity Solutions
Continuing Education: Full-Arch Appliance Use for Nighttime Parafunction Management
Ad Index
In This Issue: Implants Are Growing in Popularity
Perio Reports
Continuing Education: A.I.M. for Implant Success
Scaling on Patients with Implants
Dentally Incorrect

Dentaltown February 2013