Dentaltown August 2020 - 19

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Fig. 10: PVS reduction guide positioned over the reduced teeth to
check the clearance between the guide and the preparations.

Fig. 11: Intraoral scan of the
prepared teeth, #8 and #9.

Fig 12: The pretreatment digital design
brought back onto the prepared teeth to
create the design of the final restorations.

restorations using the same digital file used
to fabricate the temporaries (Fig. 13). In this
case, the final veneers were milled from IPS
E.max CAD on our PrograMill One mill
by Ivoclar Vivadent, which is well suited for
producing thin margins and thin 0.5mm
monolithic veneers. The final veneers are
monolithic with no cutback, thus retaining
the material's 500MPa strength.

Second clinical appointment

Fig. 13: The final CAD design is
readied to send to the CAM mill.

Fig. 14: The final restorations
cemented with Variolink Esthetic.

Fig. 15: Close-up of the cemented veneers.

At the second clinical appointment, the
provisionals were removed, the preparations
cleaned, and the final veneers seated using
Variolink Esthetic dual-cure composite luting
cement (Figs. 14 and 15). Patient satisfaction
was high because no adjustments were
needed, and the final restorations precisely
duplicated the proposed and approved
provisional restorations.

Conclusion
Digital technologies eliminate the guesswork and inherent inaccuracies of analog
processes and improve clinical workflows
and efficiencies. From approval of the virtual
treatment design and milled provisionals
to delivery and seating of the final veneers,
the precision of CAD/CAM technologies
ensures exact duplication from start to finish.
This level of predictability reduces clinical
stress and anxiety, eliminates remakes and
increases practice profitability. ■
dentaltown.com \\ AUGUST 2020

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http://www.dentaltown.com

Dentaltown August 2020

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