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Case Studies

i500 Case Study: Onlay After Endo and Reconstruction

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Dr. José Gabriel Martínez is an Associate Professor at the Universitat Internacional de Catalunya (The International University of Catalonia) in Barcelona Spain. His practice is exclusively dedicated to restorative work, prosthodontics, and aesthetics. Dr José shares with us a case study of an onlay after endo and reconstruction with the Medit i500 intraoral scanner. 

 

Before I begin, I’d like to give a brief summary of the case. This case was done in collaboration with Ibiza Dental Lab by Carlos OrtízAt my practice, we always scan every patient during their first visit. For this case, we cloned the case, erased the working area, and re-scanned. We always delimit the margin line of our restorations, allowing the lab to have precise info about the prep by the moment they start the design. In addition, we also communicate the rehabilitation space to the lab in order to be sure that everything works perfectly. Let’s go over the case study now. 

 

 Martinez-before

 

This is the initial situation after endo treatment and preparation. We are now ready to scan. 

 

martinez-initial situation

Preparation scanning 

 

 martinez-initial situation with finish line

Adding the margin line. We always try to draw the margin line to ensure that the lab will take reference from our prep work. This is because as a clinician, we know that the person preparing the case will know the exact boundaries and will be able to better convey that information to the lab for a better end result. 

 

 

 martinez-front view

Occlusion front view 

 martinez-oclussion

Occlusion lateral view 

 

We then selected the prep area. The objective is to measure the interocclusal distance to know how much rehabilitation space we have to work with. 

martinez-area selection

martinez-area selected

 

Here, we measure the interocclusal distance.  

 martinez-antagonist measurements

This feature allows us to have an exact measurement of the distance between teeth points.  

This is very important for us to select the restorative material, as well as to check if we need additional prep work in order to have sufficient space. 

Our lab then designed an onlay restoration, done in exocad. 

martinez-onlay on printed model

martinez-onlay

 

We usually specify and request for the restorative material which we decide on depending on the situation. In this case, we also printed a model from our exported .stl file from the case. The restorative material used was Vita enamic multi. 

 

 matinez-isolation

Initial situation (isolation) 

 martinez-etching step

Etching 

 martinez-adhesive step

Adhesive 

 martinez-onlay bonded

Bonded 

 

Finally, a protocol was performed with Vita Adiva dual cure system. The cement color used was A2. 

 

martinez-after

Final result right after cementation. 

 

Below you will find details of the equipment and materials used. 

Material: Vita Enamic Multi 
Cement: Vita Adiva dual cure 
Scanner: Medit i500 
Model printer: Anycubic 
Communication tool: Medit Link 

 

Thank you to Dr. Martínez for sharing this case study with us. Did you recently use Medit scanners for an interesting case yourself? Feel free to reach out and share them with us at mktg@medit.com. 

 

Learn more about the Medit i500

 

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