Dental Asia January/February 2023
For more than two decades, Dental Asia is the premium journal in linking dental innovators and manufacturers to its rightful audience. We devote ourselves in showcasing the latest dental technology and share evidence-based clinical philosophies to serve as an educational platform to dental professionals. Our combined portfolio of print and digital media also allows us to reach a wider market and secure our position as the leading dental media in the Asia Pacific region while facilitating global interactions among our readers.
For more than two decades, Dental Asia is the premium journal in linking dental innovators and manufacturers to its rightful audience. We devote ourselves in showcasing the latest dental technology and share evidence-based clinical philosophies to serve as an educational platform to dental professionals. Our combined portfolio of print and digital media also allows us to reach a wider market and secure our position as the leading dental media in the Asia Pacific region while facilitating global interactions among our readers.
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Simplifying the complex challenge<br />
Case Gallery<br />
As of today, iTero scans have been used in more than 12.6 million restorative case scans, including crown,<br />
bridge and custom implant cases*. iTero scanners have been helping to simplify the workflow of many complex<br />
cases.<br />
In this edition of the Simplifying the complex challenge, we are showcasing complex restorative cases for instance,<br />
by Dr Shihjaw Tsai (Taiwan).<br />
Smile makeover: Veneers<br />
Dr Shihjaw Tsai<br />
Esthetic Dent <strong>Dental</strong> Clinic, Taiwan<br />
Chief complaint<br />
Patient complained of discoloured front teeth and chipped filling<br />
Medical history<br />
The patient was healthy with no relevant medical history<br />
Initial examinations and diagnosis<br />
Chipped defective composite resin restorations with respect to tooth #11 and #21.<br />
Secondary caries detected in tooth #11 #12 and #21 and were confirmed using X-ray.<br />
Treatment plan<br />
Caries excavation with respect to tooth #11, #12 and #21 followed by tooth preparation for veneers with respect to tooth #14, #13 #12, #11<br />
,#21, #22, #23 and #24<br />
Initial clinical status and treatment outcome<br />
Before restoration<br />
After restoration<br />
Treatment workflow<br />
• [Initial consultation]<br />
Initial scan and consultation using iTero element TM 5D<br />
imaging system.<br />
• [Smile Design]<br />
iTero scan was used for Digital Smile Design and digital<br />
mock-up try in was done using exocad TM software to<br />
adjust the form and shape of mock-up veneers.<br />
• [Digital mock-up]<br />
Exocad software allowed the patient to visualise what<br />
the final smile would look like prior to restoration.<br />
Initial scan<br />
Final scan<br />
• [Tooth preparation]<br />
Tooth preparation was done for tooth #14, #13 #12, #11<br />
,#21 , #22, #23 and #24 followed by iTero scan for<br />
veneer fabrication.<br />
Treatment progress images<br />
Digital mock-up Prep image Prep scan<br />
• [Provisional]<br />
Clear silicone impression with flowable composite<br />
using injection moulding technique was used to create<br />
the temporary veneers via 3D printed mock-up using<br />
iTero scan.<br />
• [Final restoration]<br />
Veneers were cemented on the next visit and<br />
satisfactory results were achieved, and post-treatment<br />
follow-up was done.<br />
*Data on file at Align Technology, as of June 30, 2022.<br />
Invisalign, the Invisalign logo, iTero, the iTero logo, among others, are trademarks and/or service marks of Align Technology, Inc.<br />
or one of its subsidiaries or affiliated companies and may be registered in the U.S. and/or other countries.<br />
© 2022 Align Technology, Inc. All rights reserved.
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