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Взято у Виктора Щербакова
Rehabilitation of a patient after unsuccessful prosthodontic treatment. In the naterior area direct composite restoration in the DeepFakeOptics technique was used, the distal areas will be prosthetized (the final photos in this publication demonstrate temporary structures). The clinical case turned out to be very difficult both in terms of implementation and overcomings for the patient. The result of the past experience of interaction with a dentists team resulted with a radical vertical subgingival preparation of teeth for crowns with the fixation of low-quality temporary plastic structures. The structures were very quickly contaminated and, being actually under the gum, compromised the periodontal status of the patient. Unfortunately, requests to correct the appearance, shape and quality of temporary structures were not satisfied, which led to a steadily negative attitude formation towards prosthetics in general.
The patient asked to restore "everything as it was" with the help of direct composite restoration, which of course goes beyond the formal indications. After several conversations, we managed to convince the patient to continue working in the orthopedic direction in the distal areas, but for a number of reasons (including psychological ones), direct composite restoration was preferred for the frontal teeth.
The work was carried out in several stages: removal of the temporary structure, very difficult isolation of concussed teeth without ferrule using butterfly-type clamps with apically oriented cheeks and additional Teflon cords, restoration of each tooth individually at once. At the first stage of restoration it was not possible to qualitatively form the cervical equator, form the contour of the eruption and the contact point, especially with regard to the interproximal ovoids.
Therefore, the second stage is the repeated isolation of all teeth at the same time and the elaboration of these areas using individualized matrices. The third stage is the reduction of the surface vestibular layer of the composite for the dye layer, and the application of surface composite masses forming the shade. Total duration of work with frontal teeth: 36 hours, 5 visits.