okay so let's go over the case of the week for this week and I want to present a case
that was actually completed by dr. Anna Maria Mears on she is one of our in-house dentists
and she's also a certified dental technician so an extremely talented individual and this case
this patient presented for the need to have for anterior crowns replaced a seven through ten so
dr. Mears and after getting the patient numb went ahead and removed the old crowns and now
she's prepping the margins and making sure that any recurrent decay is cleaned up from around the
margins of these teeth obviously you want to go through and make sure that you clean everything
up after removal of the old crowns and certainly there was some leakage around these where they had
to be removed this technique in terms of the crown preparation is the reverse technique I
like it because it gives you a set of birds to go through in order to get a final prep it gives you
certain guidelines so it's very helpful clinicians have their own technique and obviously if you're
comfortable with the way you're prepping teeth and you're doing it right that's based on your
comfort level so again the reverse prep technique works quite well and we like it because it's a
standardized way of prepping the teeth so once the teeth are prepared the laboratory actually
has fabricated a tooth prep guide that you can seat on top of the preps to make sure that you
have enough reduction now for the topic of our discussion we're talking about Brookes interior
and because it's a brookster we can have minimal reduction in order to fabricate these crowns you
want to go ahead and check the bite and like I said before the reduction guide is seated on
top of the teeth to make sure that you do have enough reduction one little trick is that you
can always place a through now the different areas of the reduction guide and using your periodontal
probe you can check to see how much reduction you have through the actual reduction guide so
once we know we have enough reduction we can go ahead and realign our bio temps and the patient
can actually go home with a set of temporaries when the patient comes back to have the final
impression visit if you don't do it at the same day of the prep that bio temps are removed what I
like to use on what dr. Mears on use in this video is ultrasonic to get rid of the temporary cement
it's very helpful so you don't have to scrape away at the temporary cement and then the cod2
core technique is utilized so that we can go ahead and capture the margins so once the first chord is
placed we'll go ahead and refine our margins and make sure that we have nice clean visible margins
and then the second chord is placed along with some cotton rolls or copper caps I really like
using these comp recaps because the the pressure on the tissue helps the retraction and also helps
with the hemostasis around those teeth so after a period of three to four minutes we can go ahead
and remove that second cord that was placed and inject the Lightbody and and the medium body or
actually in this scenario this is medium body capture material along with heavy body capture
and pressure material so once the impression material is set we can go ahead and remove the
impression tray from the patient's mouth and we can visualize the the margins that are captured
within the impression and utilizing a triple tray I believe this is a clinicians choice triple tray
and I like these because they're very rigid you can go ahead and capture the area where
you want to impress one important aspect of the Brooks or anterior is that there is a bit of
translucency in this restoration and it's very important to capture the stump shade and relay
that information to the dental technician so that they know what they're working with underneath the
the final restoration so once the sump shade is selected the information is sent to the laboratory
and a technician can design and produce the brucks from an interior restoration and as
you can see here they are very well integrated into the patient's mouth so I'm very excited
about this product it's a very good product and it brings a little more translucency to the original
brookster line of restorations and I hope that you get a chance to use it in the near future
you