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Retraction cord was used to gently displace the soft tissue
to assist in capturing the final preparation details (Fig. 15).
Impressions were then taken and sent to the laboratory
along with digital pictures to communicate tooth length,
form, color and characteristics.
Once the restorations were received from the lab, they
were verified on the solid models and then tried in the
mouth with appropriate try-in gels (Fig. 16). After receiving
patient approval, the restorations were bonded into place
using the total-etch technique. The final result successfully
accomplished the treatment goals of closing the diastema,
correcting the fractures and looking natural (Figs. 17, 18).
Figure 15: Final preparations
Conclusion
Digital imaging is a powerful tool for helping patients
decide which treatment option is best for them when
multiple alternatives exist. It allows the dentist to visually
communicate realistic results to the patient and involves the
patient in the treatment decision-making process. Giving
patients an active role in their treatment breaks down
barriers between clinicians and their patients, leading to
increased treatment acceptance.
By using an off-the-shelf digital imaging solution, the
clinician can significantly lower the cost of adding this
technology to their practice. This type of software is widely
available, and many community colleges conveniently offer
inexpensive user training courses. CM
Figure 16: Porcelain restorations in place with try-in gel for patient
approval
Dr. Tarun Agarwal maintains a full-time private practice in Raleigh, N.C.,
emphasizing esthetic, restorative and implant dentistry. Contact him via e-mail
at dra@raleighdentalarts.com or visit http://raleighdentalarts.com.
Figure 17: Final restorations immediately after bonding
Figure 18: Postoperative close-up photo showing esthetic integration of
feldspathic veneers
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