PREVENTION OF IATROGENIC ISSUES IN ANTERIOR RESTORATIONS
benzalkonium chloride, an antimicrobial agent
that does not slump. The teeth were then
treated with All-Bond Universal (Bisco), which
is a light-cure bonding agent that is compatible
with light, self and dual-cured cementation
materials. The manufacturer’s instructions were
followed. 5 The eCement was then placed in the
crowns and cured for 2 to 3 seconds only. The
excess cement was removed, and the final cure
was completed. The teeth were seated two at a
time, starting with Nos. 8 and 9. After all crowns
were seated, final cleanup was completed,
occlusion was verified, and minor esthetic correction was completed ( figures 7 and 8).
Treatment of patients with ceramic
restorations requires proper planning for both
esthetics and function. After all other details
are planned and completed, it is the final insertion process and the proper occlusal scheme
that determine how long the ceramic material
will survive in the mouth. Proper cementation
material and technique are critical for patient
comfort as they eliminate sensitivity and ensure long-term success. Dentists should find
the cementation process and materials that
work best for them and become familiar with
the process. Successful long-lasting restorations allow for happier patients and reduced
stress for everyone involved.
Author’s note: Dr. Peck discloses that that
he was paid an honorarium for this article.
He uses all materials discussed in daily
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4. Chaiyabutr Y, Kois JC. The effects of tooth
preparation cleansing protocols on the bond
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5. Passia N, Lehmann F, Freitag-Wolf S, Kern M. Tensile
bond strength of different universal adhesive
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Assoc. 2015;146( 10):729-734. doi: 10.1016/j.
Figure 6: A model of the temporary crown
Figure 7: Anterior retracted view of the patient’s final restoration
Figure 8: Anterior smile view of the patient’s final restoration
FRED H. PECK, DDS,
AAACD, is a
practicing in Cincinnati,
Ohio. He is a fellow of the
International College of
Dentists, a Kois Center
graduate, and a mentor
for Cerecdoctors.com. He
has published numerous
articles and presented
topics at several major
dental meetings on
cosmetic dentistry, dental
lab communication, and
direct resin bonding,