Table 2.
Clinical protocol for tooth preparation and Immediate Dentin Sealing
First visit: Preparation of the tooth before impression *Tooth preparation is ready for impression, followed by: | |
1.1 Apply SE Primer (Clearfil SE Bond, Kuraray), active brushing motion | 20 s |
1.2 Air suction | |
1.3 Apply SE Adhesive (Clearfil SE Bond, Kuraray), active brushing motion | 10 s |
1.4 Air-thin | 10 s |
1.5 Photo-polymerize | 10 s |
1.6 Apply flowable resin (GrandIO flow, VOCO, Cuxhaven, Germany) | |
1.7 Photo-polymerize | 40 s |
1.8 Apply glycerin gel (K-Y* lubricating gelly, Johnson & Johnson, Sezanne, France) | |
1.9 Photo-polymerize at buccal, oral and proximal sites | 40 s each |
1.10 Rinse until clean surface | |
1.11 Clean enamel outline with a rubberpoint or a bur | |
1.12 Take impression | |
Second visit: Preparation of the tooth before luting | |
2.1 Clean tooth surface ultrasonically or with a scaler | |
2.2 Silica coat the immediate dentin sealing layer (CoJet®-sand, 3 M ESPE, Neuss, Germany) | 2–3 s |
2.3 Acid etch the enamel (not the accidently exposed dentin) | 30 s |
2.4 Rinse | 30 s |
2.5 Dry | |
2.6 Apply Silane (ESPE – Sil, 3 M ESPE) on the immediate dentin sealing layer | 60 s |
2.7 Apply SE Adhesive (Clearfil SE Bond, Kuraray) | 10 s |
2.8 Apply composite (HFO composite, Micerium S.p.A., Avegno, Italy) onto the tooth | |
2.9 Place the partial restoration onto the tooth | |
2.10 Remove excess of cement | |
2.11 Photo-polymerize | 40 s |
2.12 Apply of glycerin gel (K-Y* lubricating gelly, Johnson & Johnson) | |
2.13 Photo-polymerize at buccal, oral and proximal sides | 40 s each |