hey welcome to chairside live I'm Megan strong and I'm will Schmitt registered dental assistant here
at gladwell dental and in today's episode we're wrapping up dr. Marie Shawn's three-part Brooks
or aesthetic veneer case we've gone from treatment planning to Jinja victim ease to the healing phase
and now it's the final phase what's this all about that's right and this is the fun part
Megan yeah dr. burr Sean's gonna take a digital impression with the eye tarot element scanner
we're gonna try these restorations and then I get the privilege of assisting with the seat of these
final no-prep Brooks our aesthetic within yours sounds like a jam-packed show let's see it roll
tape welcome back again let's dive right into where we left off from the last episode patient
is back now six weeks after the laser gingiva to me this case was a complete digital case from
the scan design all the way to the mill final restoration with the I Tarot element intraoral
scan I obtained a digital impression in the scan image we can see the amount of gingival tissue I
removed and the nice tissue response I got after 6 weeks we can try in the restorations with water
or we try and paste I feel that I have a better appreciation of the margin integrity if I just
use water after confirming the faith function and phonetics are good we are getting ready
for the bonding procedure after the try in we they contaminate the intaglio surface from the salivary
phosphates by using either clean we can see here will is applying mono bond clasp to the integral
of the veneer this has MDP primer added to it the methacrylate organic component of the primer will
facilitate the formation of chemical bonds with the resin component of the cement no preparation
was done on this case but in order to prepare the teeth for edge and bond I promise the surfaces
to take off the biofilm then I Sam blasted to remove the a prismatic enamel so I can obtain
a more uniform aging research shows that the a prismatic layer is interfering with the etching
process resulting in a lower resin addition Sam blasting weight 30 micron aluminum oxide prior
to etching will achieve a favorable bond this air abrasion caused the removal of one to two tenths
of a prismatic enamel exposing the prismatic layer creating a more uniform deep edging pattern of
course you can also do this just by touching the tooth with a flex disc because we don't
want to bond in unfavorable conditions so rather sandblast use a soft disc thetable condition with
adhesive after the application of the etch step for this case I chose video link aesthetic looting
composite for the final set to ensure long term color stability an ample sealing time the final
no prep veneers were seated sequentially with gentle finger pressure starting at midline and
moved distantly towards the second bicuspid to ensure a layer of the cement are polymerized I
final cure each side for 20 seconds while applying pressure using wooden sitting sticks all the
interproximal excess cement was gently removed with the serrated saw and floss after removing
all the excess one last polymerization stage is performed after the application of the oxygen
inhibiting glycerine gel altering the gingival aesthetics using Picasso diode laser proved to
provide a rapid tissue healing with beautiful gingiva and no post-op discomfort for the patient
these beautiful restorations are made of Brock's aesthetic which represents a new category of
zirconia pairing the high aesthetics required for the anterior zone with a durability sufficient for
the posterior zone with these ten units no prep rocks are aesthetic veneers I was able to address
all patient concerns and put back the confidence in her smile and refresh this Young's professional
facial appearance thanks for watching back to will and Megan well thank you so much for that dr.
Murray Sean you know if you missed the first two episodes of this case head on over to chairside
live.com and get all cut up well that wraps it up for today's episode so on behalf of everyone here
at global dental thank you so much for watching and we will meet you right back here next time