of provisional pitfalls can derive from the preliminary impression1
1. Data on File
Select the right tray. It’s critical to preliminary impression success! First test the tray to ensure proper clearance and fit. Selecting a dual arch tray allows for patients to come into occlusion, improving the accuracy of your impression and saving you valuable time checking and correcting for occlusion.
Shape your preliminary impression. Carving small lingual and buccal holes in the impression of your soon-to-be prepared tooth will allow for easier removal during its gel phase. And removing remaining interproximal contacts will allow for a more accurate fitting provisional.
Select the right material. While alginates and other preliminary materials might save pennies today, they can cost valuable time and money later. Algin•X Ultra material allows for both an accurate matrix today and in case your patient breaks or loses a provisional in the future.
greater overall retention can be achieved by placing a post in an endodontically treated tooth.1
1. Clinicians Report, November 2013 40 (2012) 742-749
The overall longevity of a reconstruction is dependent upon a quality post. Longevity can suffer greatly if the post is crafted from inferior material, if it’s too rigid, or prone to fractures and fissures. Glass fiber posts like FluoroPost™ Endodontic Fiber Post keep catastrophic and restorable fracture rates low.2
2. Figueiredo et al: Do metal-post retained restorations result in more root fractures than fiber post retained restorations? A systematic review and meta-analysis. JOE 2015, Vol 41, 3: 309-316
A tapered post shape mimics root canal anatomy, helping to ensure minimal dentin removal in the apical area.
of dental practitioners feel that adequate tooth preparation will facilitate final restoration success.1
1. Data on file
For a glass ceramic crown, the preparation requires a minimum of 1 millimeter of axial reduction, 1 millimeter across the occlusal surface, and a full 2 millimeters in the central fossa.
For a zirconia crown, the preparation requires a minimum of 1 millimeter of axial reduction, 1.5 millimeters across the occlusal surface, and a full 2 millimeters in the central fossa.
An ideal preparation should have at least 4 millimeters of axial wall height, and an occlusal convergence or taper between 8 and 10 degrees per taper to create inherent retention.
Achieving adequate Hemostasis is the
challenge during the final impression procedure.1
1. Data on File
Iron-based hemostatic agents speed up the blood coagulation process, causing blood clotting around the gingiva and retraction cord. Removing the cord and pulling off the clotted blood can risk causing re-occuring bleeding. Hemoban™ Gel 25% Aluminum Chloride Hemostatic Solution is an aluminum chloride solution that stops bleeding through an astringent effect—not clotting—helping minimize the risk of secondary bleeding due to clotting challenges.
Hemoban™ Gel 25% Aluminum Chloride Hemostatic Solution can be applied directly into the sulcus, where its viscous consistency both lubricates and soaks the retraction cord for easy placement and removal. You can simply pack the dry cord into the sulcus. There’s no need to soak it first.
of labs list impression quality as their top challenge with clinicians.1
1. Some Things Never Change: Inadequate Impressions Still Labs’ Biggest Client Headache. LMT State of the Industry Survey, November 2015
Manage the tissue. While Aquasil Ultra+ material is designed for intraoral hydrophilicity and intraoral tear strength, nothing improves your impression success as much as adequate tissue management. A sulcus clear of fluids and debris sets the tone for final impression success.
Keep natural hydration. Aquasil Ultra+ material is designed to work with the tooth's natural hydration, helping reduce the risk of introducing additional trauma by desiccating the prepared tooth.
Precision placement. Choose a delivery system that allows for an ergonomic and accurate capture of the margin. Aquasil Ultra+ material’s digit Targeted Delivery System gets you up to 34% closer to the prepared tooth and is designed to improve delivery from start to finish.
Use a timer to know your work time. Ensure your material provides adequate intraoral working time. Higher humidity and temperatures found in the oral cavity increase set speeds of impression materials, minimizing your time and potentially introducing distortion, drags, and pulls. Aquasil Ultra+ material provides an industry leading intraoral work time to allow you adequate working time.
Repairs and remakes can cost an office
or more a month in lost production 1
1. Data on File
Make good proximal contact with the adjacent tooth structure preventing migration of the adjacent tooth to maintain the space for the final restoration. Integrity Multi•Cure material grants predictable restorations due to minimal shrinkage.
Always check the occlusion and occlusal fit to help prevent the remaining tooth structure from supra-erupting.
A smooth polish helps keep the surface resistant to plaque. That way you can make sure the gingival health is maintained. Integrity Multi•Cure material finishes smoothly to help ensure future gingival health.
The look of provisional restorations plays a big role in overall patient satisfaction. Integrity Multi•Cure material is a temporary material with great esthetics.
Save up to 30% procedure time through the dual cure capability.
of crown procedures are replacements of existing crowns1
1. 2015 The Key Group Omnibus Dental Survey, Quarter 3
Calibra Bio® bioceraming luting cement should be used with retentive tooth preparations and crown materials suitable for conventional cementation.
With Calibra Bio® bioceramic luting cement, there’s no need to use zirconia primer and bonding agents.
Calibra Bio® bioceramic luting cement works well with phosphates in the intaglio surface of the zirconia, and will not interfere with cementation. Clean intaglio surface of restoration with ultrasonic steam cleaner or alcohol. Additional use of phosphate cleaning solution is not necessary.
of crown failures are due to secondary caries due, in part, to excess cement.1
1. Morphology and Bacterial Colonisation of Tooth/Ceramic Restoration Interface and Different Excess Removal Techniques, Journal of Dentistry 40 (2012) 742-749
85% find the light curing option a faster way to clean up excess2. Success of restoration involves ensuring there is not excess cement left that may cause gingival irritation or inflammation. Improper cleanup due, in part, to excess cement can increase the chances of crown failure3.
2. American Association for Dental Research: Excess-cement cleanup of novel resin-modified glass ionomer cement: tack light-cure option
3. Mitchell CA, Pintado MR, Geary L, Douglas WH Retention of adhesive cement on the tooth surface after crown cementation. J Prosthet Dent 1999; 81: 668-677.
Using Prime&Bond elect universal adhesive self-etch on dentin helps to prevent post op sensitivity4
4. Based on clinical trials.
Use tack curing to easily remove excess cement material.
Optional etching of available enamel provides enhanced marginal integrity.