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Direct cusp covering of vital element with very deep cervical margin

Dr. Daniele Gensini

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Clean cavity with deep cervical margin
Occlusal view. Vital element
Slick Band matrix placement with correct emergence profile
Precise adaptation of the matrix to the margin
Selective enamel etching
Universal adhesive
Highly filled flowable composite for reconstruction of the deep cervical margin
Margin sealed and dentin covered with flowable composite
Restorative margin in a favorable position and with correct profile
Silicone index to reconstruct the missing cusp
Reconstructed stamp cusp
Correct adaptation of 3D fusion matrix to the new restorative margin
Placement of composite resin for the proximal wall
Proximal wall just reconstructed
Completion of the modeling of the occlusal table
Characterized, finished and polished restoration
Lateral view of the correct emergence profile recreated
Just removed the rubber dam
Occlusal check

About the Author

Dr. Daniele Gensini

Dr. Daniele Gensini graduated with honors in Dentistry at the University of Siena in 2004, where for three years he worked as a tutor for students in the Prosthetics department, directed by Prof. Andrea Borracchini. He then trained in Italy and abroad in prosthetics, periodontology, implantology, dental aesthetics and gnathology, including the annual master’s degree of Dr. Mauro Fradeani, the two 2-year master’s degrees of Dr. Roberto Pontoriero, the annual courses of Dr. Stefano Gori and the annual course of Dr. Mario Molina. Dr. Gensini dedicates his clinical activity to prosthetics on natural teeth and implants, implantology, periodontology and dental aesthetics with direct and indirect techniques in his private practice in Rome. He also teaches courses and conferences in universities and private institutions both in Italy and abroad in English. He’s an active member of the Italian Society of Conservative Dentistry. Since 2018, Dr. Gensini has been a member of the Fradeani Education team as a speaker and tutor in various courses around the world.