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Articulator PDF
Articulator PDF
A clinical report
Tuğrul Sari, DDS,a and Aslıhan Usumez, DDS, PhDb
Faculty of Dentistry, Selcuk University, Konya, Turkey
This clinical report describes the prosthodontic treatment for an 18-year-old man diagnosed with
amelogenesis imperfecta. The aim of treatment was to reduce dental sensitivity and to restore esthetics
and masticatory function. Metal-ceramic fixed partial dentures were placed on posterior teeth to mod-
ify the occlusion, and porcelain laminate veneers were placed to improve the esthetics of the maxillary
anterior teeth. Clinical examination 12 months after treatment revealed no evidence of disorders asso-
ciated with the restored teeth or their supporting structures. (J Prosthet Dent 2003;90:522-5.)
a
Post-graduate student, Department of Prosthodontics.
b
Assistant Professor, Department of Prosthodontics. Fig. 1. Pretreatment view of teeth in occlusion.
Fig. 2. A and B, Pretreatment occlusal views. First molar teeth are highly affected.
tion in a semi-adjustable articulator. The patient had thickness (834-31-021; Gebr. Brasseler, Lemgo, Ger-
canine-protected occlusion. It was determined that the many) were used to define the depth of the cuts, and
patient had 3 to 4 mm of interocclusal distance; there- 1.4-mm chamfer diamond burs (6844-314-014; Gebr.
fore, the patient’s vertical dimension was not altered. Brasseler) were used to refine the preparations. All tooth
A treatment plan was developed with the following preparations were completed without sharp line angles.
aims: to reduce the reported sensitivity of the teeth, to Impressions for prepared teeth were made with sili-
improve the esthetics, and to restore masticatory func- cone material (Speedex; Coltène/Whaldent Inc, Cuya-
tion. Fabrication of metal-ceramic FPDs for maxillary hoga Falls, Ohio). A definitive maxillary cast was formed
and mandibular posterior teeth and porcelain laminate and mounted in an articulator with trimmed dies of
veneers for anterior teeth was planned. The patient was prepared teeth. All restorations were fabricated with IPS
informed of the diagnosis and treatment plan, which he Empress 2 materials (Ivoclar Vivadent AG, Schaan,
accepted. Liechtenstein) according to the manufacturer’s direc-
The facial surfaces of the maxillary anterior teeth were tions.
prepared. A 0.5-mm facial reduction was performed, After completion, the porcelain laminate veneers
creating a chamfer cervical finish line. The incisal por- were evaluated for fit on the prepared teeth. They were
tions of the teeth were prepared to allow overlap of the then luted with a resin luting agent (Variolink II high
restoration. Self-limiting depth-cutting disks of 0.5-mm viscosity; Ivoclar Vivadent AG) in combination with a
dentin adhesive (Syntac; Ivoclar Vivadent AG) and a and functionally at the end of 1 year of clinical service
bonding agent (Heliobond; Ivoclar Vivadent AG) with (Fig 5).
the use of rubber-dam isolation. Photo-polymerization
was performed with a light polymerizing unit (Hilux SUMMARY
350; First Medica, NC) at 350 mW/cm2 for 40 seconds
for incisal, mesial, and distal surfaces. This clinical report describes the use of metal-ceramic
After all the posterior teeth were prepared, impres- FPDs and porcelain laminate veneers for restoration of a
sions were made with vinyl polysiloxane material (Spee- hypomature type of amelogenesis imperfecta. Metal-ce-
dex; Coltène/Whaledent Inc) in stock trays. From these ramic FPDs were placed on the posterior teeth, and
impressions, casts were made and mounted in an artic- porcelain laminate veneers were placed on the maxillary
ulator to produce metal-ceramic FPDs (Ivoclar Vivadent teeth to improve the occlusion and esthetics.
AG). The metal frameworks were evaluated intraorally
to determine the marginal fit. A metal trial insertion, REFERENCES
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