Rehabilitation of a Young Patient with Hypoplastic Dentition –A Case Report.

• Patient reported to the Department of Prosthodontics with a chief complaint of discoloured teeth

• The intraoral photographs of the patient reveals yellowish discolouration of teeth with generalized
• On thorough clinical examination it was found that patient has enamel hypoplasia.

• Diagnostic records were

• The patient was guided into centric relation and it was mounted on a semi- adjustable
• The articulator was programmed using protrusive and lateral interocclusal
• Full mouth wax up was done

• Putty index was made of the waxed-up cast and with the help of the index composite mock-up was done intraorally.

• The aesthetic evaluative mock-up provides the best aesthetic, phonetic and functional outcome and allows for better communication with the patient and laboratory

• Impression was made of the adjusted mock-up and then it was mounted on a semi-adjustable
• Customized anterior guide table was fabricated using pattern resin performing eccentric movements i.e. protrusive, right lateral and left

• The preparation should be conservative which is the main principle governing the fabrication of ceramic
• We start with the tooth preparation using the mock-up in place. Horizontal depth grooves were made using depth
• The thickness of the ceramic laminate should be 3-0.5mm

• A chamfer finish line is given and a bevel is given at the incisal edge to give a butt joint.

• The preparation can be checked using

• Gingival retraction was done using 000 knitted retraction cord

• Double mix double step impressions were made using PVS elastomeric impression material

• After the preparation stump shade selection was done using VITA stump shade guide.

• Lithium disilicate glass ceramic was fabricated for maxillary and mandibular Lithium disilicate (Emax) is an aesthetic, high strength material that can be conventionally cemented or adhesively bond.
• Lithium disilicate is among the best known glass

• Calibra esthetic resin cement was used for the bonding of laminates.
• Thoroughly clean all internal surfaces of the veneer with water spray and Etch the surface of the restoration with porcelain etch. Clean with water spray and dry.

• Apply calibre silane to the Air dry the silanated surface of the restoration. Apply a single coat of Prime and bond NT adhesive to the internal surface of the veneer. Air dry for 5 sec. Light cure adhesive for 10 sec.

• Apply Prime & bond adhesive to tooth surface. The surface should remain wet for 20 sec. Gently air dry for 5 sec. light cure adhesive for 10
• Dispense the desired calibra veneer Apply it on the veneer. Protect cement from exposure to light.

• Seat the Tack the restoration in place by briefly light curing the gingival portion only for no more than 10 seconds. Remove excess cement.

• Light cure all marginal areas for 20 seconds from each direction – buccal, lingual and interproximal
• Removal of excess cement flash and finishing of the margins if

• Immediately after post insertion

• Posterior tooth preparations were completed to receive Porcelain fused to Metal restorations.

• Double mix double step impressions were made using PVS elastomeric impression material

• Occlusal view of the restorations In-situ

• Restoration of aesthetic and function by using blend of conventional and minimally invasive

ABOUT THE AUTHOR

Dr. Samad Tanwar is an award-winning Prosthodontist and Implantologist with a vast experience of over 5 years. He has won various awards, posters, scientific papers and table clinics during his MDS. Apart from this, he’s attended numerous conferences as a part of CDE programs. He believes in keeping himself updated with current techniques and only relies on time tested methods to achieve desirable results. Currently he’s a part of Orthosquare Dental Clinic, a leading chain of clinics across Mumbai, Pune, Ahmedabad.

Dr. Tanwar has expertise in cosmetic dentistry, smile designing, full mouth rehabilitation, implant restorations, maxillofacial prosthesis, crown & bridges; situation related dentures like (hollow denture, winged denture, overdenture, etc.) along with general dental practice. He has been the driving force behind a lot of smile designing cases for our international patients. Providing quick fixes is where his forte lies. Dr. Tanwar handles patients of all age groups, especially geriatric ones with utmost care.

Besides having the best technical knowledge and experience, Dr. Samad is known to have great interpersonal skills. He believes in building patients’ confidence by giving them their perfect smile.