Dentaltown July 2017 - 61

CASE REVIEW:
Oral hygiene instruction
and crown buildup
My patient's past dental history was complicated, even for an individual who was only 24 years
of age. A lack of adequate family finances, poor
oral hygiene and inadequate overseas professional
care all contributed to his present situation, which
included bilateral lower edentulous sites as well as
drifted and supererupted teeth (Figs. 1-3).
After an initial period of oral hygiene instruction, followed by caries control and extractions of
nonrestorable teeth (Fig. 4), an RN MIS implant
was placed in site #19 (Fig. 5) instead of a WN
implant because of inadequate buccal/lingual
width of bone.
After a three-month implant healing period,
attention was directed to tooth #14, where the
supereruption would have caused us to restore the
opposing implant with an uneven occlusal scheme
unless it, too, were treated (Figs. 6-7, p. 62). The
endodontically treated tooth was fully excavated
to eliminate existing caries (Fig. 8, p. 62).
A liner of TheraCal LC was syringed over
the orifices and then light-cured. TheraCal LC
is a resin-modified calcium silicate material that
performs as a barrier and protectant to the dental
pulpal complex. It is indicated for direct and
indirect pulp capping and as a protective base/liner
under restorative materials, including composite,
amalgam and cement.1

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

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Table of Contents for the Digital Edition of Dentaltown July 2017

Dentaltown July 2017 - Intro
Dentaltown July 2017 - Cover1
Dentaltown July 2017 - Cover2
Dentaltown July 2017 - 1
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Dentaltown July 2017 - Cover3
Dentaltown July 2017 - Cover4
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