- Anesthetize area if indicated.
- Take preliminary impression.
- Remove all defective amalgams, composites and caries.
- Select and record gingival, body and incisal shades of teeth
to be restored (NOTE: Best accomplished after any old amalgams
removed). Send tab if possible.
- If near pulpal exposure, place small amount of calcium hydroxide
in deepest area of preparation.
- Even reduction of 1.0 - 1.5 mm is recommended ending in chamfer
or shoulder as illustrated. Ensure there is an adequate path of
insertion.
- Take final impression with Panasil vinyl polysiloxane impression
material. Ensure there are no bubbles or pulls in impression.
- Secure and trim an adequate interocclusal record over preparation
only (Regisil or similar material).
- Cement temporary restoration.
- Prepare a detailed lab prescription with details regarding opposing
teeth, age and sex of patient, amount of occlusal staining required
and individual characterization needed.
- Include a pre-op model for all anterior cases. Include an impression
of temporaries for all anterior restorations when four or more
units are involved.
