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Technique for temporizing Onlay preparations
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Recurrent decay under Mercury Amalgam filling Broken cusp – indicates Porcelain onlay restoration
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Fracture is below the gingival level
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Diode laser used for gingivoplasty
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Filled in the missing cusp with light cured block out material: Ultradent
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Temporary matrix button softened with heat. Either a butane flame or hot water may be used.
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Crown matrix – Advantage Dental 800-388-6319 Turns clear and soft when heated
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roll the softened matrix into a ball with wet glove. Adapt it over the tooth starting on lingual and slowly Adapt over the occlusal and on to buccal
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Cooling it with air water spray hardens the matrix. Paint the underside with Tempglaze or similar glaze
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Mark the Buccal with an X or tooth number using Sharpie marker pen to help orient it later
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Finished preparation for porcelain onlay
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EZ Temp from Cosmodent
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EZ Temp used to block out undercut areas only
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Light cure EZ Temp
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Fill the matrix form with Integrity and also flow some of it directly into the prep to cover the prep Note the X on the buccal
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Remove the form 3 minutes from the moment Integrity dispensing started
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Minimal flash to clean up
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Temporary restoration is coronoplastied and Margins cleaned up. Any void may be filled in with flowable composite resin.
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Temporary restoration 2 – 3 weeks later
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Onlay restoration on model
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Final restoration delivered. No open contacts.
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