Download Esthetic Rehabilitation In Fixed Prosthodontics By Fradeani 14
Lorin Mandaloniz
This much-anticipated book presents the procedural phases required to achieve optimal results in the esthetic rehabilitation of patients in need of fixed prostheses. Communication between the clinician and the technician, which is essential to the esthetic, biologic, and functional integration of the prosthetic rehabilitation, is highlighted through a step-by-step presentation of all clinical and laboratory procedures. Chapters demonstrate methods to obtain accurate facebow recordings, impression materials and techniques, fabrication of provisional restorations, and incorporation of interdisciplinary therapies for ideal comfort and esthetics. All of this information is transferred to the final restorations, which should provide patients with long-term prosthetic solutions exhibiting appropriate fit, form, and function. Hundreds of full-color clinical photographs and detailed illustrations accompany each treatment phase and situation described. This beautiful book picks up where Volume 1 ended and delivers its message with equal clarity and precision.
Contents
Chapter 1. Communication with the Laboratory for the Diagnostic Waxing
Chapter 2. The Fabrication and the Esthetic-Functional Integration of the Provisional
Chapter 3. Biologic Integration of the Provisional and Final Preparations
Chapter 4. From the Provisional to the Definitive Prosthesis: Impressions and Data Transfer
Chapter 5. Constructing and Finalizing the Prosthetic Rehabilitation
Downloads
Laborkarte (PDF, 0,3 MB, Deutsch)
Laboratory Checklist (PDF, 0,3 MB, English)
Ficha de Laboratorio (PDF, 0,3 MB, Espaol)
Scheda Laboratorio (PDF, 0,3 MB, Italiano)
Lista de Laboratrio (PDF, 0,6 MB, Portuguese)
Laboratory Checklist (PDF, 0,3 MB, Russisch)
Mauro Fradeani, MD, DDS, is the founder and director of ACE Institute and Fradeani Education. He serves on the editorial board for the Journal of Esthetic and Restorative Dentistry and is an associate editor of The International Journal of Esthetic Dentistry. He is the author of Esthetic Rehabilitation in Fixed Prosthodontics, Volume 1: Esthetic Analysis: A Systematic Approach to Prosthetic Treatment (Quintessence, 2004) and Volume 2: Prosthetic Treatment: A Systematic Approach to Esthetic, Biologic, and Functional Integration (Quintessence, 2008). Dr Fradeani maintains a private practice limited to prosthetics on natural dentition and on implants in Pesaro, Italy.
Download Esthetic Rehabilitation In Fixed Prosthodontics By Fradeani 14
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Picking up where volume 1 left of, volume 2 presents the procedural phases required to achieve optimal results in the esthetic rehabilitation of patients who need fixed prostheses. Communication between the clinician and the technician is highlighted through a step-by-step presentation of all clinical and laboratory procedures.
Dr. Fradeani runs his own dental clinic in Pesaro, where he coordinates and supervises each treatment plan drawn up according to personal and specific needs of his patients, with a special eye on esthetic and functional prosthetic rehabilitations. His modus operandi includes the integration of both traditional and innovative prosthetic procedures with particular regard to minimal invasiveness techniques for the application of veneers, inlays, crowns and all-ceramics bridges.
Past president of two of the most prestigious academies of prosthodontics both nationally (AIOP - Italian Academy of Prosthodontics, 1999-2000) and internationally (EAED - European Academy of Esthetic Dentistry, 2003-2004), Dr. Fradeani has served as Visiting Associate Professor in Prosthetics at the Louisiana State University - New Orleans (USA) from 1999 to 2008.
Founder of the ACE Institute, the advanced continuing dental education center based in Pesaro, Italy, and of Fradeani Education, an educational project involving a team of expert keynote speakers with the aim to share and promote worldwide an Italian model of excellence in dentistry.
This book presents the procedural phases required to achieve optimal results in the esthetic rehabilitation of patients in need of fixed prostheses.
Communication between the clinician and the technician, which is essential to the esthetic, biologic,
and functional integration of the prosthetic rehabilitation, is highlighted through a step-by-step
presentation of all clinical and laboratory procedures.
Chapters demonstrate methods to obtain accurate facebow recordings, impression materials and techniques, fabrication of provisional restorations, and incorporation of interdisciplinary therapies for ideal comfort and esthetics.
Hundreds of full-colour clinical photographs and detailed illustrations accompany each treatment phase and situation. This beautiful book picks up where Volume 1 ended and delivers its message with equal clarity and precision.
Full-coverage bonded porcelain restorations offer predictable treatment options in dentistry, but a certain amount of tooth material must be removed to allow space for the required thickness of the restorative material. Laminate veneers and inlays are considered minimally invasive, but they also require removal of sound enamel. Sometimes, it may be preferable to extend the veneer preparations beyond the contact points toward the palatal surface, to hide the margins of the restoration, which necessitates removal of additional tissue. Improvements in adhesive technologies mean that small indirect restorations may be applied with removal of only a superficial layer of enamel. This clinical report describes a situation in which application of porcelain laminates and sectional veneers was chosen as the therapy of choice. A step-by-step protocol is proposed for cementation of these delicate restorations, and finishing procedures are described.
A 26-year-old female dental student was concerned about a fractured composite restoration on one of her anterior teeth, cervical marginal discoloration of the composite and the appearance of a black (i.e., open) triangle between the central incisors (Fig. 1). Another dentist had placed the restorations several years previously to restore her peg-shaped lateral teeth (Fig. 2), using a microhybrid resin composite. She reported that during the restoration process, her maxillary right canine had been damaged by the diamond bur used for finishing the restorations, but the damage had been left untreated (Fig. 3).
After relevant data were collected using a checklist of esthetic items and a schematic description of the clinical procedures had been presented, the treatment options were discussed with the patient.3,4 As a dental student, she was conscious of the benefits of preserving the dental tissues, and she did not want to sacrifice sound enamel. However, she had certain expectations about the final position, colour and surface texture of the teeth. The following comprehensive treatment plan was adopted: remove resin composite restorations, make impressions, roughen the teeth, control the fit of the restorations and adhesive cementation, and perform finishing and polishing of the bonded porcelain restorations.
Various preparation depths and 3 types of preparation forms have been described for porcelain laminate veneers, namely, window, overlapped and feathered preparations.7,8 To date, there is no consensus as to which preparation type is more resistant to fracture.7,8 Therefore, the least invasive preparation with maximal preservation of enamel is advisable.
In this case, an incisal overlap preparation was selected, to give the dental technician maximum control over esthetic characteristics and translucency. For the sectional veneers, no preparations were performed, except for removal of the resin composite restorations (Fig. 4). Although the veneer preparations extended into the enamel only (not into the dentin), an acrylic resin provisional restoration was positioned over all prepared teeth using the spot etch technique.
The sequence for surface conditioning of the inner surface of the porcelain laminates and sectional veneers is presented in Table 1, and the cementation sequence for these restorations appears in Table 2.
After placement of the rubber dam, adaptation at the marginal and proximal contacts was controlled under microscopic examination. With the translucent sectional veneers, it is important to control the colour of the restorations with a try-in paste (Variolink try-in paste, Ivoclar Vivadent, Schaan, Liechtenstein). At this stage, the restorations should present a chameleon (blending) effect. The colour of the laminate veneers was selected to match the restoration and the tooth, to ensure an invisible margin.
The ceramic restorations were cleaned with copious amounts of water and then dried, after which the cementation surfaces were etched with 5% hydrofluoric acid (IPS Empress ceramic etching gel, Ivoclar Vivadent). Hydrofluoric acid selectively dissolves the glassy matrix or crystalline components of the ceramic to produce a porous, irregular surface.9-11 The microporosities on the ceramic increase the surface area and allow mechanical interlocking of the resin composite.
The next step was silanization with Monobond S silane coupling agent (Ivoclar Vivadent). Silane couples the inorganic particles present in the glass ceramics to the organic matrix of the resin cements. Use of hydrofluoric acid followed by silane facilitates the creation of high bond strengths, exceeding the cohesive strength of ceramic and the bonding strength of resin composite to enamel.12
Before any adhesive procedures were applied to the teeth, the superficial outer layer of enamel was removed with diamond burs. After preparation, the enamel surfaces were conditioned with an etch-and-rinse adhesive bonding procedure, specifically, etching with 38% phosphoric acid (Ultradent, South Jordan, UT) for 30 seconds, followed by application of an adhesive (Excite, Ivoclar Vivadent) (Fig. 6).
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