Valdas Vilkinis is a Director of UAB Vilkiniai ir Ko Dental Clinic, Kaunas, Lithuania. He finished his education at the Dental faculty of Kaunas University of Medicine in 1991. He has been a Clinical instructor at the Dental Faculty of Kaunas University of Medicine in the period of 1991-2000. He finished his Post Graduate course on Cariology, Preventive, Operative Dentistry and Endodontics at the Royal Dental College of Aarhus University, Denmark in the period of 1993-1994. He defended his Doctoral thesis ”Clinical studies of molar composite and “open-sandwich” restorations in large class II cavities” in 2000. In the same year he started a consultancy agreement with GV Europe N.V. Since the year 2010 he has been an Editorial Board member of the Journal of Oral & Maxillofacial
Research (JOMR). In 2010 he opened a training centre at UAB Vilkiniai ir Ko Clinic, where he provides theoretical and practical courses for dentists. He gives lectures and hands-on courses on restorative techniques in Lithuania, Latvia, Estonia and Finland.
Objective: EverStick glass fibre posts have been advocated for a new method of a direct post and core fabrication. The EverStick posts have adhesive surface and are flexible before curing therefore can be shaped individually. The purpose of this article is to describe a new technique of direct composite resin crown fabrication on a custom made EverStick root canal post.
Methods: At first a rubber dam isolation was achieved and the EverStick post was fabricated following manufacturer’s instructions (Figure1 A, B, C, D, E). The crown fabrication started from the palatal layer of composite resin (Gaenial JE, GC) which was applied by means of a silicon index and light cured for 20 seconds (G-Light, GC).A dual cure self-adhesive resin cement (G-CEM Link Ace A2, GC) was used to cement the post and light cured for 40 seconds Figure(2A). Two further layers of Gaenial in AO2, A2 shades were placed to obtain the dentin shape and shade of the crown (Figure2B).
For the enamel layer of the restoration Gaenial BW shade was used (Figure2C). Each layer was light cured separately for 20 seconds. The restoration was polished with diamonds (NTI-KAHLA GmbH, Germany) under water cooling. The final gloss was achieved by means of Soft-Lex discs (3M ESPE, USA) and a polishing paste (Gradia diapolisher, GC).
Results: The results achieved after 3 days (Figure 2D) and 12 months (Figure 2E) showed satisfactory aesthetics and marginal integrity of the restoration.
Conclusion: Direct composite resin crown fabrication on a custom formed root canal post could be used as an economical and conservative treatment option.