5D - Incipient carious lesion
,
Diagnostic with 5D
,
Veneers

Cracked tooth
,
Dental caries penetrating into dentin
,
Pulp necrosis
,
Unsatisfactory restoration
Courtesy of Dr J. Tsai, 2022
Highlighted picture of treatment

Treatment Summary

Patient Information

  • Age: 38
  • Gender: female

Diagnosis

  • Dental caries penetrating into dentin on 1.1 (UR1), 2.1 (UL1)
  • Cracked tooth on 1.1 (UR1), 2.1 (UL1)
  • Pulp necrosis on 4.1 (LR1)
  • Unsatisfactory restoration on 1.1 (UR1), 2.1 (UL1), 4.1 (LR1)

Total Treatment Visits

  • 5

Treatment planning

  • Appointment 1: Initial consultation with full mouth examination and scanning for Digital Smile Designing & digital wax-up was done.
  • Appointment 2:Mock-up try in was done to adjust the form and shape of mock-up veneers
  • Appointment 3:Tooth preparation was done for tooth #11 #21 and #41, followed by digital impression for veneer fabrication
  • Appointment 4: Veneers were cemented
  • Appointment 5: Post-treatment follow-up was done

Comments

  • This female patient presented with defective #11 #21 composite resin restorations and discolored #41 after root canal treatment.
  • iTero 5D with NIRI function can detect early decalcification lesions and also highlight discoloration in the tooth in high contrast. This helped in patient communication and treatment planning.
  • #11 #21 #41 veneers were planned to restore t the tooth morphology and mask the discoloration.
  • Minimal invasive preparation was done under microscope.
    Satisfactory results were achieved.

Images

Initial and final

InitialFinal
After picture of treatment
Before picture of treatment
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iTero Scans

Initial Final
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Progress Images

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