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Human Resource Management - Its Impact on ... - Dental Asia

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PRODUCTFOCUSCleaning up of excess luting cement <strong>on</strong> thegingiva part and applying light pressure <strong>on</strong>veneer to secure gingival adaptati<strong>on</strong>Use of curing light to create jelly state of luting cement,making it easier to removeTray removed evenly and bilaterally bypulling downwardsCleaning up and removing excess cementfrom the palatial side. Easily open up theinterproximal spaces with an interproximalsaw.The veneers have retenti<strong>on</strong> tabs put <strong>on</strong> by the lab ensuringproper tray placement, which could be removed with a diam<strong>on</strong>dbur. Once d<strong>on</strong>e, this would be followed by a final light cure.A happy smile with 10 veneers in less than<strong>on</strong>e hour!Remecure plasma light from Remedent.10. Luting CementAdd a thick layer of light curing luting cement (Variolink II byIvoclar Vivadent) <strong>on</strong> the inside of the veneers – careful to dothis away from bright ambient light.11. Positi<strong>on</strong> Delivery Tray of 10 VeneersCarefully positi<strong>on</strong> the GlamSmile fabricated veneer deliverytray exactly in fr<strong>on</strong>t of each tooth.12. Install Delivery Tray of 10 VeneersInstall the GlamSmile veneer delivery tray with a smoothmovement <strong>on</strong>to the teeth using c<strong>on</strong>tinuous even pressure(light pressure is all it needs). Verify the flow of the lutingcement.13. Remove Excess CementClean up the excess luting cement <strong>on</strong> the gingiva with a brushand then give light pressure with an instrument <strong>on</strong> the gingivalpart of each veneer securing the gingival adaptati<strong>on</strong>. If no moreluting cement is coming out after pressure, the veneer isperfectly seated.14. Light CureProceed with a swift sweep of the curing light – creating a jellystate of the luting cement that makes it easier to remove.Remove the excess cement with an explorer. Then curethrough the tray for 3 sec<strong>on</strong>ds per tooth (the tray has beencreated to allow maximum penetrati<strong>on</strong> of the light). Only curethe buccal and facial sides.15. Remove Veneer Delivery TrayRemove the tray by evenly and bilaterally pulling downward.Do not twist the tray. The resistance is similar to the removal ofan Impregum impressi<strong>on</strong>.16. Open Interproximal SpacesAt this stage, clean up as much as possible, removing excesscement from the palatal side. Easily open up the interproximalspaces with an interproximal saw. Protect the gingiva of thepatient.17. Remove The Retenti<strong>on</strong> Tabs And FinishThe veneers have retenti<strong>on</strong> tabs put <strong>on</strong> by the GlamSmile labensuring proper tray placement. Remove the retenti<strong>on</strong> tabswith a diam<strong>on</strong>d bur – and finish with a paper disc making surenot to touch the incisal edge. Follow with a final light cure (3sec<strong>on</strong>ds palatal/ lingual and 3 sec<strong>on</strong>ds buccal/facial) for eachveneer. Check occlusi<strong>on</strong> and adjust if necessary. Finish withpolishing materials and instruments18. Finished In Less Than One HourD<strong>on</strong>e — a happy smile — 10-veneers in less than <strong>on</strong>e hour!DA<strong>Dental</strong> <strong>Asia</strong> • March / April 200839

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