What defines me as a clinician? It's summarized in this video. I love to use the best technology to push the boundaries on conservative dentistry. This restoration was 3D printed with maximum tooth adaptability in mind. Preservation of as much healthy tooth structure as possible is what guides my hand. Everything from the material choice to how I prepared the tooth, my digital design and delivery was all done with The MOD Institute treatment philosophy in mind. For this case | 1) choose to cover the Distal Buccal, Distal and Lingual cusps.
This is based off of several factors. To start the patient had non-adaptable occlusal contacts. These tension contacts push cusps off the tooth. The splitting force almost always leads to a crack on the marginal ridge and interpoximal decay. Furthermore the distal cusp was less than 2mm thick, requiring coverage. 2) the material choice being a ceramic filled 3D print resin.
This allows maximum bond to the tooth, while also being able to absorb shock. An indirect resin is always more preferable than a direct resin for large restorations. The benefit over ceramic? Well to start it can be printed economically and is super easy to repair. If this patient was to get mesial decay, a simple and conservative direct resin can be easily done. 3) the occlusal contact scheme avoids non functional cusp contacts and contacts on incline planes. Using exocad to design so l have maximum speed and control. All contacts are compression contacts not tension contacts. 4) rubber dam isolated and adhesively bonded. This is how I can set the tooth up for the best success.
#conservativeadhesiverestoration #biomimeticdentistry #3dprintingindentistry