How to build-up an upper primary anterior in a 3-year-old child with strip crowns?

Treatment of upper primary incisor with transparent strip crowns of 3M™ ESPE™. With courtesy of “Internationale Praxis für Kinderzahnheilkunde und Kieferorthopädie”, Dr. Jaqueline Esch, München Incisor with caries in a 3-year-old Tray including all necessary materials and instruments Rubberdam is needed to ensure a dry, clean environment and good visibility Removal of caries and inflamed pulp Hemostasis with cotton pellets soaked with ferrous sulfate Sealing of the pulp with zinc oxide eugenol cement. Alternative: Mineral Trioxide Aggregate (MTA) or Calcium hydroxide Tangential prep with a diamond bur to prepare for strip crown Selection and trimming of strip crown Placing vents on incisal edge (allow for access overflow) Trial fit of the crown form Etching with Scotchbond™ Universal Etching Gel Bonding with Scotchbond™ Universal Adhesive and lightcure Apply Filtek™ Supreme XTE Flow A1 to fill undercuts Lightcure the Composite with Elipar™ S10 Curing Light Fill the strip crown with Composite material (Z100™ MP or Filtek™ Supreme XTE) Progressive application of material using light pressure avoids air bubbles Gently press down the crown onto the tooth abutment Removal of excess after short labial and palatinal tack cure (app.

2 seconds) Final cure according to instruction Remove strip crown with a pointed probe Finish the margins with a fine diamond bur. Alternative: Sof-Lex™ Disc superfine Polish the crown with a silicone cup. Alternative: Sof-Lex™ Spiral Wheel Final restoration .

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