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BPR in Posterior Tooth From A To Z

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BPR in posterior tooth from A to Z

老施好 ! BPR in posterior tooth from A to Z.

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Concept

Introduction

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BPR in posterior tooth from A to Z

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Concept

Contraindication

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BPR in posterior tooth from A to Z

BPR CRF CRF


- e.max pressed - direct - indirect

Wear resistance

Longevity

Invasiveness

Tooth protection

Esthetic

Income

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Concept

Ceramic

Feldspathic Lituium disilicate Zirconia Resin modified ceramic


- Pressed

Bonding

Flexural strength 60-70 400+40 700-1200 150-160

Longevity

Cost $$$$$$ $$$$ $$ $$$$

Technique sensitivity

Esthetics

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BPR in posterior tooth from A to Z

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Concept

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BPR in posterior tooth from A to Z

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1st.

Color matching

Incisal

Body

Neck

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BPR in posterior tooth from A to Z

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1st.

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BPR in posterior tooth from A to Z

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1st.

Isolation Check list

打洞 ( 模板 ) ( 往前後__顆延伸 )

隔離劑

Rubber dam 反摺

Rubber dam 拉平

牙線綁緊

Teflon tape 加強

選 Clamp

Rubber dam template


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BPR in posterior tooth from A to Z

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1st.

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BPR in posterior tooth from A to Z

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1st.

Caries removal

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BPR in posterior tooth from A to Z

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1st.

Hygiene maintain zone

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BPR in posterior tooth from A to Z

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1st.

Prep. sequence

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BPR in posterior tooth from A to Z

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1st.

Prep. sequence

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BPR in posterior tooth from A to Z

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Concept

Compass - tripod

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BPR in posterior tooth from A to Z

Occlusal Compass

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Concept

Occlusal Compass

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BPR in posterior tooth from A to Z

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1st.

Prep. guide
6-10o

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BPR in posterior tooth from A to Z

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1st.

Prep. tool

835KR 6847KRD 959KRD 8862 8859


314 314 314 314 314
008 016 018 016 010

8835KR 8847KR 8959KR 8379 H390


314 314 314 314 314
008 016 018 023 016

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BPR in posterior tooth from A to Z

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1st.

IDS/CDO/DME

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BPR in posterior tooth from A to Z

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1st.

IDS/CDO/DME

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BPR in posterior tooth from A to Z

Margin refinement & enamel re-exposure

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1st.

Impression Check list

在 MICP 和側方運動時有充足的
occlusal reduction

cavity 和鄰牙不能有 contact

sharp margins 細節是否清楚印出

不可出現 undercuts

subgingival margin 是否清楚印出

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BPR in posterior tooth from A to Z

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1st.

Temp Check list

在牙齒兩側塞入 wedge 以保護 papilla

放置 temporary material

請病人咬起來並做 lateral movement

移除 wedge 讓鄰牙回彈

刮除 margin 多餘的 temp material

Light cure

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BPR in posterior tooth from A to Z

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1st.

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Lab

From technician

許家和

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BPR in posterior tooth from A to Z

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Lab

From technician

許家和

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2nd.

Cementation procedure
Anesthesia

移除 Temp

確認瓷塊密合度

瓷塊處理

Isolation

齒面處理

黏著

Finish & Polish

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BPR in posterior tooth from A to Z

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2nd.

Bonding

4th 5th 6th 7th

Acid Acid Acid Acid

Primer Primer Primer Primer

Adhesive Adhesive Adhesive Adhesive

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BPR in posterior tooth from A to Z

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2nd.

Ceramic
treatment
9% HF 酸蝕
製造陶瓷粗糙表面

20s
將 restoration 固定
在黏棒上,方便操作

使用 Bonding
增加 Wettability

使用酒精清潔
去除多餘 silane
75 %

60s
加熱
催化

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BPR in posterior tooth from A to Z

沖洗
吹乾

磷酸酸蝕
去除結晶

60s

300s 蒸餾水超音波水浴
清潔表面

60s 塗布 silane
Silanization

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2nd.

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BPR in posterior tooth from A to Z

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2nd.

Tooth surface
treatement 1st 噴砂
去除 biofilm

隔離牙齒

Al(OH)3

Adhesive
(Optibond FL 第二劑 ) 10s

Primer
(Optibond FL 第一劑 )
20s

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BPR in posterior tooth from A to Z

2nd 噴砂
製造粗糙表面

保護鄰牙
Al2O3

30s / 15s 酸蝕

30s
沖洗

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2nd.

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BPR in posterior tooth from A to Z

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2nd.

Cementation
Procedure
清除多餘 cement

2nd Polishment
咬合面

咬合調整

1st Polishment
所有表面

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BPR in posterior tooth from A to Z

1st Light cure

40-60s 塗布隔離劑

共 90s / 面 2nd Light cure

Finishment

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2nd.

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BPR in posterior tooth from A to Z

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2nd.

Bonding concept

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BPR in posterior tooth from A to Z

Ceramic

2nd.

1st.

Dentin

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Q&A

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BPR in posterior tooth from A to Z

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Q&A

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BPR in posterior tooth from A to Z

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