One Visit Crown Presentation

1. A Crown in One Appointment
No CAD/CAM Needed

2. WELCOME
1. The OVC
2. Hybrid ceramic
3. OVC procedure

3. Convenient1 Affordable2
Aesthetic & Easily
Customised
3
Conservative4
Repairable
(hybrid)
5
Financially Rewarding
6
OVC Attributes

4. Occlusal Layer:
• Zirconium silicate 164Mpa
(hybrid ceramic)
Uncured Layer:
• Zirconium silicate hybrid ceramic
What is it?
High strength lab made occlusal layer with 5 sizes per tooth.

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Case Study: Before
Lower molar

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Case Study: After
Some staining added to highlight cusp angles

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Case Study: After
Nicer and more conservative than the PFM behind it!
Invisible margin

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Case Study: After
2 year recall

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Case Section
Some examples of suitable cases are:
• Patients in need of an affordable alternative to
traditional crowns
• Teeth with large failed direct restorations
• One visit option desired
• MOD restorations and weakened/ missing cusps
• Root treated posterior teeth
• Cracked teeth
• Occlusal coverage to raise vertical dimension
• Reconstruction of posterior teeth with severe dental erosion
• Young patients requiring a conservative alternative to traditional crowns

10. Rhondium Hybrid Ceramic

11. Rhondium Hybrid Ceramic

12. Lithium and Hybrid
Hybrid Ceramic
Impact absorbing
Low wear
Easy occlusion adjustment and repairable
Can stain if wanted
Hybrid Ceramic

13. 3 mm occlusal reduction3 mm occlusal + 2 mm axial reduction
Better For The Pulp
Ray Bertolotti , DDS, PhD
OVC is Conservative and Better for the Pulp

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Case Study: Before
Upper premolar

15. Case Study: After
dark tooth so prep will be to cover the buccal side

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Case Study: After
perfect contacts, more polish required

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Case Study: Side view

18. OVC PROCEDURE
18

19. Contoured to each
tooth shape and
size
19
OVC Matrix Band

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Reduce minimum 1.5mm
Measure for OVC size

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Size Selection

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One Visit Crown Case Contents

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Check for clearance

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Place like a regular matrix band
Pinch from outer end toward the tooth.

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Add the wedges, etch and bond

26. Rhondium Stretch Wedge

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Seal the tooth and make the contacts

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Pull Stretch Wedges again to create more separation

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Remove overflow before biting

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Spot cure, remove excess

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Full Cure

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Release the matrix
Push carver all the way through under the contact to the lingual
side

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Cure without matrix band

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Final trim and polish

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Finished OVC
Untouched inter-proximal margin

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Case Study
Radiograph before
Male patient in his 30s
presented with advanced decay
on lower molars. Treatment plan
extraction of FDI 37 / USA 19
and root canal treatment and
OVC crown on FDI 36 / USA 18.

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Before

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Final OVC Crown
Front view
Side view

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Radiograph after

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Lower right molar

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Lower right molar

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Lower right molar

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Lower right molar

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Lower right molar

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Simple case

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Case by Dr Jan Thompsen - Denmark

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Case by Dr Jan Thompsen - Denmark

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Case by Dr Jan Thompsen - Denmark

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Case by Dr C. Shamlian - USA

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Case Study: Before
upper molar
Graeme Milicich, DDS

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Case Study: After

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Case Study: Chameleon

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Xray, rct fill, biomimetic core and OVC in 90 mins

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Upper bridges
.

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Upper bridges
.

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Upper bridges
.

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Full crown

58. OVC is Financially Win-win
• Less cost for the patient ($1,200 vs. $800 or 66% less)
• Better hourly rate for the dentist ($390/hr vs. $459/hr)
Lab crown: OVC:
Appointment #1= 1 hour, #2= 0.5hr Appointment #1 for 0.75 hour
Overhead/hr $250 x 1.5 = $375 Overhead $175
-Impression costs ($30+) -No impression
-Temporary ($10+) -No temporary
Lab fee $200+ OVC cost $169
Total cost $615+ No Appointment #2
Total time 1.5 hours Total time 0.75 hours
Fee $1,200 Fee example $800
Profit ($1,200-$615)/1.5 hrs=$390/hr Profit ($800-$344)/0.75 hr=$459/hr

59. Introduction Lite Kit

60. SML Kit

61. Thank you.