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EN - Aleksander Maj Article
EN - Aleksander Maj Article
Aleksander Maj graduated from the Medical University of Silesia in 2000. Dr. Majs current
professional interests are low-invasive (adhesive) prosthetics, implantoprothetics and orthodontics,
after many years of activity in the fields of endodontics and classical prosthetics as well as the
completion of full training courses in periodontology and implantology. He is currently working at
the Reden MAYO-DENT Medical Centre in Dbrowa Grnicza, Poland. His papers are published
in dentistry periodicals. Dr. Majs hobbies include photography, bird watching, mountain biking and
kitesurfing. His solid knowledge of English and French helps him communicate at international
congresses and training sessions. Dr. Maj has been performing lectures, carrying out training
schemes and workshops in the area of prosthodontics since 2008.
habit approximately one pack a day. The patient did not want to
risk implant placement, but opted instead for a non-conventional
bridge made with Premise Indirect composite material.
To achieve this goal, a class II cavity preparation was used for
tooth 24,using an existing composite restoration that was removed
and the preparation was slightly extended to include the mesial
fissure. The second part of the bridge was based on an endocrown
placed in tooth 26, which had undergone root canal treatment.
This procedure required completely removing the existing filling,
removing caries from the distal surface and lowering the functional
and non-functional cusps by 2 mm (Fig. 3). Impressions were made
in a a 2-step technique using A-silicone impression material (Panasil
+ Take1 Advanced) (Fig. 4). After the impression was made, the
prosthetic field was protected with a provisional restoration.
The cementation was performed under full isolation using a dental
dam. The internal surface of the restoration (Fig. 5, 6, 7) was
sandblasted with aluminium oxide, rinsed with a water spray, dried,
and then covered OptiBond XTR Adhesive (Kerr) (Fig. 8). Usually,
prior to applying the bonding system, the bonded surface of the
restoration should be covered with an appropriate silane, but this is
not necessary for OptiBond XTR.
Fig. 1 Pre-operative occlusal view of missing tooth 25, existing fillings on teeth 24 and 26.
Fig. 2 Buccal view of non-vital discoloured tooth # 26.
Fig. 3 Tooth preparation for bridge tooth 26 prepared for endocrown.
Fig.4 Impression of the prepared teeth using a 2-step procedure.
The spaciousness of the endocrown suggested the need for the use
of the dual cured NX3 Clear shade cement (Fig. 10). In this mode,
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