Rest Est Posterior
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Transcript of Rest Est Posterior
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Restaurações Estétic
EmDentes Posteriore
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Opções
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Híbridas 0,6 a 2,0 чm
Trif
Alta lisur
Facilidad
Alta resis
Menor co
Baratieri, L. N. 1998
Nanopartículas
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Degradação Hidr
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Infiltração
Marg
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AplicaçãClínica
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Seleção da cor
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Remoção do amálgama
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Remoção do tecido cariado
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Aplicação do sistema ade
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Inserção dos increment
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Caracterização
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Aspecto final
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Seleção da cor
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Remoção do amálgama
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Proteção do complexo dentin
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Condicionamento ácido do esmalt
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ca
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Técnica incremental
Caracteriza
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Final
Téc ic Di
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Técnica Direta
Téc ic Di
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Técnica Direta
é
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Técnic
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12
43
Caracterização:
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Caracterização:Translucidez das pontasde cúspides
Saturação do fundodos sulcos
C
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Con
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Condicionamentoácido
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Colocação da
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Seqüência de inserção dn
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Controle 1 ano
A aplicação de um
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A p ç
melhorar a resistênc
compostas posteriore
resina composta de uso direto com matriz m
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a mp a m ma m
resina composta de uso direto com matriz m
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a mp a m ma m
resina composta de uso direto com matriz m
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p
resina composta de uso direto com matriz m
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p
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E
Polimento
Acabamento 2 A
Acabame
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Polimento
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Amalcomp
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Amalcomp
Amalcomp
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Amalcomp
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Resinas Indire
DIRE AS
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DIRETAS
xINDIRETAS
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1/31/2
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Polimerização
Resina Indireta
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Resina Indireta
Resina Indireta
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Resina Indireta
Resina Indireta
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Resina Indireta
Resina
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Resina
Resina
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Resina
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Fibras de Reforço
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Fibras de Reforço
Paralelas
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SpG
Trançadas
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ç
Entrelaçadas
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ç
Aumentar a Resistência F
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Fibras de Reforço
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Fib as de Ref ç
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Prótese
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Híbrida
Fiber-reiforced composites in clinical De
Formação da barra de supor
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Confecção da matriz
de silicone para
duplicação
Duplicação da
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Duplicação da
barra de suporte
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Verificação dapassividade
Enceramento daprótese
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Inclusão e acrilização
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Prótese após
polimento
õ
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Restaurações de
Vantagens
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V g•Estética
•Compatibilidade Biológic•Integridade Marginal
•Coeficiente de Expansão
Desvantagens
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D g•Custo
•Fase Laboratorial•Porcelana específica•Confecção de Provisório•Material Frágil até a Cimen
P f did d d i l l d
Características do Preparo
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Paredes lisas
Ângulos internos arredondados Ângulo cavo-superficial em 90o (sem bisel)Paredes axiais convergentes para oclusalParedes circundantes com 10o a 15o deexpulsividade
Profundidade da caixa oclusal de no mLargura dos ístmos de no mínimo 1,5m Afastamento proximal de 0,5mmMargens supra-gengivais em esmalte
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M i l
CARACTERÍSTICAS DO PREPARO
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• Margem supra gengival
•Ângulos internos arredondados
M i l
CARACTERÍSTICAS DO PREPARO
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• Margem supra gengival
•Ângulos internos arredondados
• Redução oclusal - 1,5 a 2,0 mm
• M i l
CARACTERÍSTICAS DO PREPARO
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• Margem supra gengival
•
Ângulos internos arredondados• Redução oclusal - 1,5 a 2,0 mm
• Istmo – 2,0 a 2,5mm
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• Margem supra gengival
CARACTERÍSTICAS DO PREPARO
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Margem supra gengival
• Ângulos internos arredondados
• Redução oclusal - 1,5 a 2,0 mm
• Istmo – 2,0 a 2,5mm
• Ombro arredondado – 1,2 a 1,5mm
• Expulsividade das paredes - 10 a 15º.
PONTAS DIAMANTADAS
4138
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4138
4137
3133137
SUCESSO DA CERÂMI
E
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• Espessura
• Preparo• União ao dente
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Confecção Porcelana por C
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PREPARO DA
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PREPARO DA
RESTAURAÇ
Tratamentoda restauração
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a a açã
CondicionamentoCom Ácido Fluorídrico 10%
restaurações cerâmicas Aspectos clínicos da cimentação adesiva de restaurações c
Tempo de aplicação do ácido fluorídrico 10%
• Cerâmicas Feldspáticas: dois minutos
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• Cerâmicas reforçadas:
• Empress I: Um minuto• Empress II, 20 a 30 segundos;
• (Procera): o condicionamento não exerce nenhum tipo
• In-Ceram: não devem ser condicionadas.
(DÉRAND – 2000; ÖZCAN – 2001;
( leucita )
(Dissilicato de lítio )
restaurações cerâmicas Aspectos clínicos da cimentação adesiva de restaurações c
Tempo de aplicação do ácido flu• Cerâmicas Feldspáticas: dois minutos
• Cerâmicas reforçadas:
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Cerâmicas reforçadas:
• Empress I: Um minuto
• Empress II, 20 a 30 segundos;
• (Procera): o condicionamento não exerce nenhu
• In-Ceram: não devem ser condicionadas.
(DÉRAND – 2000; ÖZCA
Jateamento da superfície interna(óxido de alumínio, 25 a 50µm, 10 segundos)
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Silanização
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Pré-Ativados
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Preparo doDENTE
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•Isolamento absoluto
•Remoção da rest. Provisória•Cond. Ácido•Lavar e secar
• Agente adesivo•Fotopolimerização
Isolamento absoluto
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TRATAMENTO
DAS
SUPERFÍCIES
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Condicionamento ácido Adesã
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AdesãCondicionamento ácido
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CimentosResin
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Ionômeros modificados po
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Ác. Fluorídrico Silano+
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ASSENTAMENTO S
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Remoção dos
excessos e fotoativação
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Remoção de excessos
e ajuste oclusal
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Metalocerâmica
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Convencio
Metalocerâmica
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Colar-le
Metalocerâmicas
S
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Sun-rise
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Metalocerâmicas
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Metalocerâmicas
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Sistema
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S
In-Ce
•85% Óxido de Alum
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•Desenvolvido por Michael Sa
•In-Ceram Vita 1989
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Sistema
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SistemaPro
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99.5% Óxido de Alumínio sin
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• Os copings s
para sua c
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Cerâmica Prensa• OPTEC OPC - Jeneric/Pentron
• IPS EMPRESS - Ivoclar-Vivaden
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LeucitaElementos unitários
Cerâmica Prensa
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Sistema
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IPS- Empr
Empress original = Leucita
Empress 2 = Dissilicato de Lítio (Inf
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Indicações Coroas UnitáriasFacetasPrótese fixa de até 3 e
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Cerâmica Torneada por Com• SISTEMA CAD-CAM CER
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Siemens1985
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IN
OVATION
Evolução CEREC
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1985 1987 1994 1997 1998 2000 2003
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V 2.80
VITA IVOCLAR
Seleção de anatomia no software para c
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Lee Culp
YOUTH
Lee Culp
MATURE
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Três formas de material para indicações diferentes
Leucita Dissilicato de Lítio
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-Inlay-Onlay
-Coroa Total-Laminados
-Copingou
Infra-estrutura
Leucita
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Dissilicato de lítio
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Zircônia
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Caso clínico Laboratório Alberto Calasans, Dr Leonardo Buso
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Caso clínico Laboratório Alberto Calasans, Dr Leonardo Buso
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Paulo A. S.
pasf@fo
