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Using in-office CAD/CAM technology

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Fig. 1: A preoperative, buccal view of the patient’s smile revealing unsightly crown margins and gold restorations

Fig. 2: Preoperative occlusal view of the patient’s unsatisfactory restorations

Fig. 3: Scan of the patient’s prepared teeth with margins identified

Fig. 4: View of the CAD proposals created utilizing Autogenesis

Fig. 5: Buccal view of the CAD proposals

Fig. 6: Optimization of CAD proposal to account for occlusion and contact pressure

Fig. 7: Optimization of CAD proposal with model and occlusion in place

Fig. 8: The internal aspects of the crowns are cleaned, etched and silanated

Fig. 9: Ceramic Etching Gel is applied for 20 seconds, rinsed with water and dried. In preparation for salinating using Monobond Plus primer

Fig. 10: The Monobond Plus Primer was applied with a microbrush for 60 seconds

Fig. 11: The preparations are cleaned and three drops each of Multilink A&B solution are mixed in a well

Fig. 12: Excess Multilink A&B solution is air blown gently to remove excess

Fig. 13: Multilink Automix cement is loaded into the crowns

Fig. 14: The crowns are seated and the Wave technique used to facilitate easy cleanup of excess cement

Fig. 15: Postoperative, buccal view of the patient’s restored smile, complete with more natural looking IPS e.max CAD

Fig. 16: Postoperative occlusal view of the final chairside fabricated E4D restorations

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