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J Dent Res Dent Clin Dent Prospects. 2013;7(2):112-8. doi: 10.5681/joddd.2013.020. Epub 2013 May 30.

Simultaneous Replacement of Maxillary Central Incisors with CEREC Biogeneric Reference Technique: A Case Report.

Journal of dental research, dental clinics, dental prospects

Gokhan Akgungor, Deniz Sen, Eray Bal, Mutlu Ozcan

Affiliations

  1. Professor, University of Istanbul, Faculty of Dentistry, Department of Prosthodontics, Istanbul, Turkey.

PMID: 23875091 PMCID: PMC3713860 DOI: 10.5681/joddd.2013.020

Abstract

Biogeneric Reference Technique (BRT) of the CEREC 3D v.3.8 software is an effective technique for single anterior ceramic crowns because it provides computer-controlled match of the tooth form to the contralateral tooth. BRT also enables the fabrication of two or more anterior all-ceramic crowns simultaneously. This clinical report demonstrates the clinical application of BRT for designing and milling two central incisors in one appointment using a single optical impression. After completing the virtual design of the first central incisor, it was copied and a mirror image was created. The second central incisor was designed using this replicated image and therefore a computer-controlled symmetry was obtained. The crowns were milled from monolithic feldspathic ceramic blocks and adhesively luted with dual-cured resin cement following dentin conditioning. At the two-year follow-up appointment, the restorations were intact, no adverse effects were noted, and the resultant appearance was highly satisfactory for the patient. A step-by-step protocol is described from design to cementation of these restorations.

Keywords: CAD-CAM; CEREC; crowns; dental porcelain; resin cements

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