Dentaltown February 2013 - (Page 30)
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Nuts & Bolts Full Arch Case Dissected…
Tips, Tricks & Stuff
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Townie Michael Melkers shares an active work in progress. This case has a lot of nuances and Melkers offers tips and tricks along the way.
Michael Melkers
Member Since: 09/09/00
Post: 1 of 136
t
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Here is a case I thought I would share. It is a pretty straightforward case but
with a lot of little nuances and tips and tricks applications I thought might be interesting to share and discuss.
I just prepped this yesterday so it is definitely an active work in progress case.
Here is the patient as I first saw him, post-ortho (yeah…), #7 failing, non-restorable and
slated for extraction. Aesthetic desires. I can’t for the life of me find the picture before I took
the old PFM off.
F ig. 1
F ig. 4
F ig. 2
F ig. 3
Fig. 1: Preps yesterday
Fig. 2: Impression
Fig. 3: Temps
I have not been documenting a lot of cases, much less
able to do a lot of big cases lately, but this one has some
very unique aspects that I had a lot of fun learning with. n
DEC 1 2011
pickingpieces
Member Since: 03/28/11
Post: 2 of 136
Michael Melkers
Member Since: 09/09/00
Posts: 3 & 6 of 136
Great stuff. Awesome impression. Is it Impregum? And what kind of temps are those? n
DEC 1 2011
Thanks! The impression material is a Vinyl PolyEther Silicone (VPES) EXA’lence
from GC. The main tray material is EXA’lence 370, which is a heavy body. The lighter
green is heavy body rigid with a shore hardness exceeding bite registration materials. I use
it in implant areas and for quad trays. The yellow is extra light wash. All done one stage.
The provisionals are Luxatemp made intra-orally with a putty wash of the wax-up.
I coat the teeth with glycine and aggressively air thin
before seating it in the mouth, which helps with removal.
Then when I take it out I tamp it into the putty and let
it set for a good five to 10 minutes to minimize distortion
or flexure.
The flash tends to be very minimal.
Most is taken off with a scalpel or just by flicking it
with a fingernail. The rest is done with discs – I like
continued on page 32
30
FEBRUARY 2013 » dentaltown.com
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Table of Contents for the Digital Edition of Dentaltown February 2013
Dentaltown.com Highlights
Howard Speaks: The SWOT Analysis
Professional Courtesy: Get Off the Hamster Wheel
Continuing Education Update
Second Opinion: Predicting the Future of Dental Amalgam Use and FDA Regulation
Nuts & Bolts Full Arch Case Dissected… Tips, Tricks & Stuff
Employee Embezzlement, Not Sure Which One
Corporate Profile: GC America
Sleep Dentistry Section
Product Profile: Sleep Optima
Breathe Easy: The Advent of CPAP
ACSDD Consortium
Sleep Apnea
Townie Meeting 2013 Last Call!
Do-it-Yourself Finance, Part III: Debt
The Most Effective Presentation Process Ever
“Patient Friendly Dentistry” to the Rescue
Does Kissing Affect Oral Health?
Can Groundhog Day Make a Difference?
Top 10 Tips to a Successful Practice Start-up
How to Build Up the Perfect Tooth
Why We See Problems with Teeth Whitening: The Science of Whitening Part IV – Whitening Sensitivity Solutions
Continuing Education: Full-Arch Appliance Use for Nighttime Parafunction Management
Ad Index
In This Issue: Implants Are Growing in Popularity
Perio Reports
Continuing Education: A.I.M. for Implant Success
Scaling on Patients with Implants
Dentally Incorrect
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