hello and welcome to chair sideline I'm your host Megan strong it's a great time to tune
in because today dr. bi is finishing up a two-part case in this exciting finale he
is removing and replacing the patient's bio temps temporaries demonstrating the two core
technique and then it's Tryon time he tried on several different restorations and chose
Brooks or interior as the restorative material of choice for the permanent
restoration let's see how he completes this exciting case take it away dr. by
Thank You Megan for the introduction and I want to welcome everybody back for the second part of
this case where I prepared teeth number eight and nine and I delivered by attempts last time
and we have not taken a final impression yet so I wanted to wait for the tissue to heal a little
bit around these temporaries and as you can see here the patient returns and the tissue is just
about there you know it's a it's been healing for several weeks and now I want to bring the
patient back and I'm just taking a preliminary impression of the bio temps just in case if
something goes wrong while I'm taking off these bio temps I can have a quick patch up chairside
so I'll snap achill compression and then I want to make sure the patient's numb uncomfortable
and I'll go ahead and remove the bio temps now the reason why I separated the bio temps here is
because I wanted to easily remove them and now I have to worry about the path of insertion for the
temporaries and I can always patch him up again with the preliminary impression that I took so
I remove the bio temps and I remove the temporary cement and as you can see here the tissue is very
happy we've gone through a period of healing and now the impression making process is going to be
a lot easier so what I like to do is pack one cord first this is usually a smaller cord and
then take a look at the soft tissue on the facial and I want to make sure that I can hide my margin
sub gingerly so if I need to at this point this is where I will reap rep the facial and and hide
my margin about half a millimeter subgingival so as you can see here actually we have pretty good
coverage around the gingival margin and we have very nice retraction with the first cord and so
the first quart is gonna give me the depth for my impression material and the second cord is gonna
give me a little bit of width it's gonna expand the socket and the sulcus and I'll be able to
inject and pressure material in order to capture that final impression so the second impression
is impression cordis in place and I'll give the patient about four to five minutes before going
back and removing the second chord and capturing that final impression I also want to try in the
impression tray and make sure that we have the right size and when the patient is ready I'll go
ahead and remove the second chord and inject the lightbody impression material around the teeth
and into the sulcus and I'll pick everything up with heavy body and pressure material so I like
to use a light and heavy because it gives me a really good combination of rigidity for the tray
and viscosity for the material that goes on the teeth and it gives me a very good accuracy for
my final impression so I place my full archer impression tray for the final impression and
after several minutes I can go ahead and remove it and take a look to make sure that I have all
my margins which I do and now I can go ahead and remove that second chord and redeliver the the bio
temps back onto the on the patient's teeth this appointments also where we need to decide what
type of restoration for the lab to fabricate for the patient so that's something that we're gonna
discuss with the patient and but given that tooth number nine has a darker dentin shade that's going
to be a little bit of a challenge and Glidewell we have several products to help resolve that
problem so I actually went ahead and I fabricated new temporary for the patient in chair side on the
situation and delivered it and now the patient goes back out with a new set of temporaries here
okay and obviously removal cement is going to be really important here to help the soft tissue heal
again and as you can see I rotated a little bit of that soft tissue during the work so the impression
goes to the laboratory for fabrication of the final restorations and what I requested the lab
to make is several different types of restorations the first one being of sitting into metal and I'll
go ahead and try that on the teeth and evaluate to see how we did with that type of restoration
normally what we do in the lab for product testing purposes is that we'll do a shootout
up with different products and often won't or parade the results into the production line in
order to improve the quality of the products so we're constantly doing testing in-house the
second set of temporaries is the Brooks or full contoured restorations and we tried that on and
again double checked the aesthetics and the contours of the crowns to make sure that we
have the right shape the right color and the third set of restoration is the Obsidian restoration now
these are obsidium pressed restorations the sub lithium silicon material and it is a ceramic where
you can etch and bond to the tooth substructure for better retention and these restorations have
been extremely aesthetic and when I've used them in the aesthetic zone now going back to wanting
to block out the stump shade in this situation we'll go ahead and try in the Brooks or anterior
and what I really like about this material is that it gives me enough translucency to make the
teeth look very natural and it also has enough capacity to be able to block out the underlying
tooth structure so in this clinical situation we chose to go with the Brooks for interior for the
final restoration and I went ahead and deliver the final crowns and obviously we have to again
give the tissue a little bit of time to heal and as you can see here the final result with
the Brooks interior really did the trick for us in order to block out the underlying dentin
shade on tooth number nine and also give a very natural and aesthetic look for the patient well
I want to thank you again for joining me on this presentation for for the shootout that
we did for this patient and yet again we have a very happy customer with natural-looking anterior
teeth with the use of Brooks very anterior back to you Megan thank you for that doctor bye well
that about wraps it up for this episode of chair sidelines on behalf of everyone here
at glider laboratories thank you for watching and I'll meet you right back here next time
you