Clinical Case Collection

CEREC Tessera

The chairside restoration in a single visit proved to be a particularly effective and comfortable solution for this patient, as her commute to the practice was 50 kilometers. A highly esthetic inlay with CEREC Tessera could be realized.

Dr. Sven Rinke (Hanau, Germany)

Large insufficiency of the composite filling on tooth 16 with distal marginal ridge cracks, a lingual wall crack and distal recurrent decay.

Highly esthetic full-surface glass-ceramic crown.

Restoration with a highly esthetic material in one day after trauma to the maxillary central incisors.

Dr. Mohamed Hassanien, Cairo, Egypt

Clinical Situation pre-op. Trauma of upper central incisors.

Adhesively bonded restorations.

A particular and protracted case of skeletal Class II malocclusion and generalized amelogenesis imperfecta in a teenager was referred for prosthetic rehabilitation. The aim of the treatment was to prepare the remaining tooth structure, remove undercuts, and make room for all-ceramic crowns covering the entire dentine and simulating the lost enamel.

Alexander Declerck, (DDS, MSc)

Sint-Martens-Latem, Belgium

Initial situation prior to orthodontic treatment.

Final result, 1 week post-operative.

An esthetic rehabilitation in the anterior region could be realized with labside CEREC Tessera restorations veneered with Celtra Ceram. 

Sabine Mayer ((CDT), Koblenz, Germany)

Mario Pace ((CDT), Lahnstein , Germany)

The treatment objective was to rehabilitate the anterior maxilla and mandible for esthetic improvement. The clinical diagnosis revealed ameloenesis imperfecta.

Labside- fabricated restoration made from advanced lithium-disilicate ceramic CEREC Tessera and for the high esthetic result, the veneering with Celtra Ceram.

A lower second molar with sensitivity presented with cracks as well as an extensive Class I composite restoration on the buccal surface. According to the minimally invasive concept a CAD/CAM partial crown was planned, fabricated and bonded using CEREC Tessera in a single visit.

Dr. Carlos Eduardo Sabrosa, Rio de Janeiro, Brasil

Failed amalgam restoration needing replacement. Patient complaining of sensitivity and tooth presenting multiple cracks.

Chairside CAD/CAM partial crown restoration fabricated with CEREC Tessera Advanced Lithium-Disilicate glass ceramic.

A 20-year-old female patient had endodontic treatment of her lower right 2nd molar. A chairside onlay was fabricated from the new high-strength ceramic CEREC Tessera ALD.

Dr. Aniruddha Nene, Pune, India

Pre-operative clinical scenario after endodontic therapy.

1 month after the CEREC Tessera onlay was bonded.

Initial situation of the patient:

The patient presented with increasing temperature sensitivity at her six-year molars. The anamnesis did not reveal any evidence of a drug-associated or disease-associated enamel malformation. The mother’s pregnancy was without complications. Clinical examination revealed extensive substance loss and hypomineralised enamel encompassing the entire clinical crowns of teeth 16 and 26. Furthermore, the left central incisor and both mandibular first molars were affected by hypomineralisations. Tooth 21 had no cavitation and showed no hypersensitivity. The lower first molars had small cavitations with hypersensitivity. Based on these findings diagnosis was molar-incisor-hypomineralisation (MIH). According to the MIH-Treatment-Need-Index [Bekes & Steffen 2016] teeth 16 and 26 were assigned to Score 4c requiring full crown coverage. Tooth 21 was assigned to Score 1 and was left as it was at the request of the mother and the patient herself. Teeth 36 and 46 were assigned Score 4b and were restored with direct composite restorations.

At this point, the maxillary molars were not yet fully erupted. Therefore, these teeth were initially restored with direct composite restorations to await complete tooth eruption. At the age of 11, tooth 16 and 26 had erupted completely allowing for full crown restorations.

Dr. Sebastian Soliman, Würzburg