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Surpass and Shrink-Wrap technique

 
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JKesling



Joined: 24 Oct 2005
Posts: 77
Location: Boise, Idaho

PostPosted: Thu Oct 28, 2010 9:24 am    Post subject: Surpass and Shrink-Wrap technique Reply with quote

Hey,

Tomorrow I'm prepping 21 teeth and plan to shrink-wrap the provisionals. What's the best way to proceed with this. I was planning on using Surpass 2, then seating the provisional matrix with bisacryl. Is this the way to go? Am I supposed to use Surpass 3, too? Also, is there anything else I need to do to prevent black scuzz?

Thanks,

Jeff
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twmdds



Joined: 16 May 2006
Posts: 142

PostPosted: Thu Oct 28, 2010 11:30 am    Post subject: Reply with quote

Leave the preps wet, then Surpass 2 - Surpass 3 - place the temp matrix and let it cure. Works great. Look on DT for a post by John Nosti on his shrink wrap technique. Substitute Surpass 2-3 for whatever wierd bonding system John uses. Pay close attention to his post op instructions for cleaning the temps. It works great and the tissue is fabulous at seating time. Best of luck - Tom Mitchell
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Ekrause



Joined: 11 May 2005
Posts: 782
Location: I'm here now.

PostPosted: Thu Oct 28, 2010 1:46 pm    Post subject: Reply with quote

These are veneers, I hope? Not crowns?

Shrink wrap is great for veneers, not so much for crowns. It's too hard to clear out room for the papillas and finish the margins interproximally with crowns.
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JKesling



Joined: 24 Oct 2005
Posts: 77
Location: Boise, Idaho

PostPosted: Thu Oct 28, 2010 3:05 pm    Post subject: Reply with quote

It's a combination of veneers and crowns. I plan on cutting the temps off at the cementation date. I was hesitant to do the shrink wrap for the reasons you mention, Eric, but the lab technician I'm working with assures me it will be okay. I'm having some reservations now that you mention it. If I do convential temps and plan to cement them, what temp cement do you recommend? Last time I used Tempbond NE and it was a pain in the ass.

Jeff
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twmdds



Joined: 16 May 2006
Posts: 142

PostPosted: Thu Oct 28, 2010 3:18 pm    Post subject: Reply with quote

You can do crowns with shrink wrap. Look of John Nosti's technique at DT, especially the post op care. It works fine.
Best of luck - Tom Mitchell
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Ekrause



Joined: 11 May 2005
Posts: 782
Location: I'm here now.

PostPosted: Fri Oct 29, 2010 10:30 am    Post subject: Reply with quote

John's a great guy, but I still think it's a bad idea with crowns. It's too hard to get a nice margin without damaging it.

I cement temps with Fleck's cement diluted with water.
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john kanca



Joined: 14 May 2005
Posts: 6342

PostPosted: Fri Oct 29, 2010 1:13 pm    Post subject: Reply with quote

I'd shrink wrap the veneers, but not the crowns.
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Pcus



Joined: 17 May 2005
Posts: 434
Location: toronto

PostPosted: Tue Nov 08, 2011 7:31 am    Post subject: Reply with quote

I was having some trouble with some temp veneers I was doing for a friend, so I wetted the teeth (they were non vital) placed sur 2, then some flowable and blasted with valo on med setting..

Am I going to have any trouble getting them off the tooth?

and how should I treat the teeth before bonding veneers?
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john kanca



Joined: 14 May 2005
Posts: 6342

PostPosted: Tue Nov 08, 2011 11:35 am    Post subject: Reply with quote

Pcus wrote:
I was having some trouble with some temp veneers I was doing for a friend, so I wetted the teeth (they were non vital) placed sur 2, then some flowable and blasted with valo on med setting..

Am I going to have any trouble getting them off the tooth?

and how should I treat the teeth before bonding veneers?


They should pop off with not much effort. Make sure all the resin off the tooth. You could sandblast it gently with 27 micron.
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jdiesel



Joined: 01 Jul 2013
Posts: 2

PostPosted: Tue Jun 26, 2018 10:00 am    Post subject: Reply with quote

twmdds wrote:
Leave the preps wet, then Surpass 2 - Surpass 3 - place the temp matrix and let it cure. Works great. Look on DT for a post by John Nosti on his shrink wrap technique. Substitute Surpass 2-3 for whatever wierd bonding system John uses. Pay close attention to his post op instructions for cleaning the temps. It works great and the tissue is fabulous at seating time. Best of luck - Tom Mitchell


Do you cure surpass 3 before placing your temp matrix?
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twmdds



Joined: 16 May 2006
Posts: 142

PostPosted: Tue Jun 26, 2018 10:20 am    Post subject: Reply with quote

Yes light cure the Surpass 3 or whatever resin you're using. Just be certain the preps are wet so no bonding to dentin occurs. Look up John Nosti's thread on Shrink Wrap Technique on DT for the best instructions. He also goes into detail on how pt's should maintain the temps.
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jdiesel



Joined: 01 Jul 2013
Posts: 2

PostPosted: Wed Jun 27, 2018 8:00 am    Post subject: Reply with quote

twmdds wrote:
Yes light cure the Surpass 3 or whatever resin you're using. Just be certain the preps are wet so no bonding to dentin occurs. Look up John Nosti's thread on Shrink Wrap Technique on DT for the best instructions. He also goes into detail on how pt's should maintain the temps.


Awesome. Thanks for the quick reply! Everything worked out awesome.
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