A patient presented with a worn amalgam on tooth #14. Here's a pictorial of how we restored this tooth with IPS Empress Direct restorative from Ivoclar Vivadent.
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1. Here's the pre-op situation. Notice the necrotic gingival tissue. |
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2. The first step was to select a shade using the shade guide supplied with the IPS Empress kit. |
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3. The old amalgam as well as any residual caries were removed. |
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4. The etching step involved treating enamel for 10 seconds... |
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5. ...and then the dentin for 10 seconds. |
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6. After applying AdHese with the VivaPen applicator system and light curing, Tetric Flow was placed on the floor of the prep. |
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7. Then IPS Empress Direct dentin shade A1 is placed into the prep, just short of the enamel layer. |
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8. Next, IPS Empress Direct enamel shade A1 is placed to the cavosurface margins. |
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9. To create lifelike anatomy and characterization, Tetric shadesochre and transparent 30 were placed to accent occlusal grooves. Then the restoration was polished with AstroPol cups and points. |
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10. Remember the pre-op condition. Here's the result. |