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From the Lab | Michael DiTolla, DDS, FAGD

Anterior Procera zirconia crowns with No-Prep Vivaneers


For more on this topic, go to www.dentaleconomics.com and search using the following key words: interproximal decay, composites, Reverse Preparation Technique, Dr. Michael DiTolla.

areas were built up with a self-etching flowable composite. Procera Zirconia crowns were placed on teeth Nos. 7 to 10. To finish, no-prep Vivaneers were placed on the cuspids and bicuspids, resulting in an esthetic smile (Figs. 4 to 6).
Dr. Michael DiTolla is the Director of Clinical Research and Education at Glidewell Laboratories in Newport Beach, Calif. He lectures nationwide on both restorative and cosmetic dentistry. Dr. DiTolla has several free clinical programs available online or on DVD at www.glidewelldental.com. For more information on this article or his seminars, visit www.drditolla.com. Fig. 4

This patient presented with some interproximal decay and some failing composites on teeth Nos. 7 to 10 (Fig. 1). The teeth were prepared using the Reverse Preparation Technique to ensure adequate reduction for the laboratory (Figs. 2 and 3). The caries were stained, removed, and the deficient
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June 2009 | www.dentaleconomics.com

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