Complete Process of a Ceramic Onlay on Molar Tooth

Ceramic Onlay Video Series: 1 of 4 | Preparation & Immediate Dentin Sealing

Ever wondered what it’s like to see dentistry performed through the lens of a surgical operating microscope?

In this 4 video series, I take you along with me through the entire process of performing a Ceramic Onlay (partial crown) on Molar Tooth #3.

We will cover:
 

• Onlay Preparation & Immediate Dentin Sealing

• Tooth Treatment Protocol for Bonding

• Porcelain Treatment Protocol for Bonding

• Bonding of Ceramic to Tooth Protocol

In this segment, the failed filling and recurrent decay are removed, and the tooth is prepared for a Ceramic (E-Max) Onlay. The tooth is also sealed with a technique called Immediate Dentin Sealing. This has multiple benefits:
 

1. The tooth dentin is sealed to prevent bacterial ingress during the two week temporary stage.

2. Since the dentin is sealed, the patient will not feel any tooth sensitivity to cold, sweets, and chewing while in the temporary stage.

3. It allows the dentin bond to fully mature prior to bonding the Onlay on the next visit. This allows for the highest bond level possible and therefore longevity of the restoration.

The use of world-class technology also allows for the most accurate and conservative work on the tooth. Utilizing the Zeiss Extaro300 Surgical Operating Microscope allows us to see the tooth at extremely high magnification. In fact, sometimes it is not possible to work under its highest setting! Just the patient's breathing produces so much micro-movement that focus of the area is not always possible!

Also, the use of Airborne Particle Abrasion, allows us to selectively remove decay and restorative materials without virtually removing any tooth substance in the process- something that is not achievable when utilizing a dental drill.

Click through to watch part 2 of this series...

The joy of dentistry…one tooth at a time!