10 year treatment of a Central Incisor
This is a case that I've literally been working on for 10 years... interesting to see patients this long and treat the case.
In 2008, this 12 year old came into my office with a fractured #8 from a trauma. The tooth was fractured pretty good and needed endo. After endo was done, we bonded in his old fractured piece of tooth and added to it with composite and prepped a minimal thickness veneer.... and restored it with Vita MK II
I knew that eventually this would have to be redone because he was not done growing and eruption would change his situation quite extensively over the years. He kind of disappeared from my office for awhile and came in again last year. Just like we thought, the tooth had erupted and changed over the years and needed a new full coverage restoration.
And here is his final restoration (Vita Trilux) completed this year
What a fun case to complete after all these years!
This case looks great. With all the choices for restorative materials I wonder how you decide on which one to use? Do you base your choice on shade, shape, condition of tooth? I haven't been using cerec for all that long and I still find myself stuck on emax, empress and zirconia( lab processed I don't have speedfire).
So, is there a decision flow chart available to help in choosing a restorative material for the esthetic zone?
Thanks Mike
John
Very very well done, thank you.
The 2018 one is totally symmetrical with very beautiful line angles. Did you use bio reference, and then hand polished to get those beautiful line angles??
On 8/17/2018 at 11:37 am, Todd Greeson said... Do you charge extra for a single central??
No I do not in most cases. I have before for difficult patients or cases
On 8/18/2018 at 8:05 am, Paul Rashid said...Beautiful job Mike! Did you BioRef #9?
This was done via Biogeneric (regular not reference)...
Most of the detail was certainly added after the milling.
