Clinical Case
May 1, 2026
May 4, 2026
Clinical Case: Complex rehabilitation
Using 3M™ RelyX™ Universal Resin Cement and 3M™ Scotchbond™ Universal Plus Adhesive.
/ Clinical Cases / Complex rehabilitation
May 4, 2026
Using 3M™ RelyX™ Universal Resin Cement and 3M™ Scotchbond™ Universal Plus Adhesive.
The 60-year male patient presented with occlusal dysfunction resulting in pathological occlusal wear and abfractions, sore facial and masticatory muscles, recessive gums and inadequate crown on tooth 21, and large composite fillings on tooth 11. The patient refused orthodontic treatment but agreed to occlusal therapy. After atlas correction by a specialist, the new bite position was defined and tested with an occlusal splint for three months. The necessary VDO increase required restoring most teeth.
Function and esthetics were evaluated with a 3M™ Protemp™ 4 Temporization Material mock-up created from a digital wax-up. Minimally invasive dental preparations were performed through the mock-up and 3M™ Impregum™ Polyether was used for the precision impression. For the anterior teeth feldspathic, for the posterior lithium disilicate restorations were bonded with 3M™ RelyX™ Universal Resin Cement and 3M™ Scotchbond™ Universal Plus Adhesive . The treatment is a success from an esthetic and functional point of view, the patient is very happy with the result.
Initial situation with splint in the determined reference position. Occlusal stabilization splint was worn for three months.
Mock-up with 3M™ Protemp™ 4 Temporization Material to test function and esthetics.
Lower arch minimal invasive veneer preparations done through the mock-up.
Working cast with feldspathic ceramic veneers in the mandible frontal area.
Final try-in of veneer with total isolation in place. 3M™ Scotchbond™ Universal Plus Adhesive
Adhesive cementation protocol starting with total etch of veneer preparation.
Veneer preparation after application of 3M™ Scotchbond™ Universal Plus Adhesive.
Bonding surface of veneer after HF etching and application of 3M™ Scotchbond™ Universal Plus Adhesive as silane primer.
Application of 3M™ RelyX™ Universal Resin Cement shade TR.
Veneer in place after excess clean-up and final light-cure.
Final situation after two days.
Later view of fourth quadrant at 15-month recall.
Upper arch preparations — a combination of veneers, partial crowns and crowns — performed through the mock-up.
Working cast with lithium disilicate ceramic crowns and partial crowns in the maxilla.
Final try-in of central incisor crown and partial crown with total isolation in place.
Total etch.
Central incisor preparations after sandblasting and total etch.
Preparations after application of 3M™ Scotchbond™ Universal Plus Adhesive. Floss pre-positioned for cement excess clean-up.
Restorations in place after cement excess clean-up and final light-cure.
Final situation after two days.
Restorations at 15-month recall.
Lateral view of first quadrant two days after seating.
Lateral view of first quadrant at 15-month recall.
Frontal view at 15-month recall.
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