Dr. Abraham Culbengan - Filipino Dentist at Work

Dentist Corner

Dr. Abraham Culbengan

A private practitioner and specializes in Cosmetic Dentistry. He is also one of the officers of the Philippine Academy of Esthetic Dentistry.

Chairside Fabricated Indirect Anterior Restorations

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Preoperative view of patient showing discolored and abraded acrylic crowns on 11 and 21. Note caries on distal 12 as well as old discolored Class III fillings on mesial of 22 and 23

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The old acrylic crowns were removed revealing the broken down crown portion of 21. Further inspection suggested irreversible pulpitis at 21

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Root canal treatment was performed on tooth 21. The carious lesions were also treated accordingly and the failing old fillings were replaced with new direct composite restorations.

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After model cast was fabricated from silicone impression of the case, all the prepared teeth and adjacent surfaces were lightly coated with rubber separating medium.

Composite resin crowns were fabricated. Anatomy was finished using long bullet shaped diamond burs.

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The contoured and finished composite were initially polished. Note the high polish composite which enhances the lifelike effects of the layering technique done to the composite restoration.

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The coposite crowns were tried into the prepared teeth to check on fit as well as to ascertain harmony to the shade and morphology of the restorations to the adjacent teeth.

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Tried-in crowns were then luted with resin cement onto prepared teeth which has been etched and applied with 2 coats of adhesive. When the resin cement has been partially cured it becomes easy to just flick off with an explorer making cleaning up fast and easy.

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Tooth 12 and 22 9shown here in mirror image) had been veneered using the direct method to align their labial surfaces to adjacent teeth 11 and 21. Note that tooth 12 appear somewhat elongated due to coverage of class V abfraction with the direct veneer.

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