Griptab is a must for dentists, dental assistants and lab technicians - anyone handling crowns, inlays, onlays and veneers. Think of the value of a handle to a cup. Triodent has applied that same principle to indirect restorations. By adhering Griptab to the restoration, you have a reliable grip and total mastery of the placement process, especially when using Triodent Pin-Tweezers for extra maneuverability, although small hemostats will do.

1. Griptab Crown Case By Dr Graeme Milicich, BDS

2. 1 A 21-year-old female patient presented with a central incisor that had previously had an incisal 1/3 fracture restored with a bonded composite (Fig 1). She had suffered another blow to the tooth and the restoration and all the palatal enamel had been lost. The palatal fracture was sub-gingival and down to the bone in one area.

3. 2 The tooth was prepared for an E4D CAD/CAM crown and the sub-gingival margin was exposed (Fig 2) using a Waterlase MD. The bone in the region of the fracture was lowered (Fig 3 & 4) to re-establish biological width using a closed flap approach.

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6. 5 An impression was taken and the patient released with a temporary crown. A model was poured and scanned into the E4D design center and a crown was designed and milled using an A1 IPS Empress multi-block

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8. 7 The milled restoration was then contoured to create the surface micro anatomy, stained and glazed.

9. 8 Prior to trying in the crown, a Griptab was bonded to the incisal region of the labial surface. This was then used to control the crown while a correct shade of Variolink Veneer bonding resin was chosen using the try-in pastes. The position of the Griptab did not interfere with the selection of the correct shade of bonding resin cement.

10. 9 Once the correct shade had been selected, the Griptab was re-engaged with pin-tweezers and the crown removed from the tooth. The try-in paste was rinsed out prior to HF etching and silanation.

11. 10 Immediately post-cementation, the adjacent teeth were slightly desiccated, which highlighted the white spots in the enamel.

12. 11 A couple of minutes of rehydration began to reduce the intensity of the enamel white spots on the adjacent teeth