Dave Juliani Access fill, whether screw or endo, always seems to be a topic of restorative discussion. What can we do to prevent the dark shadowing or grey appearance? We spend all of that time on the crown or implant solution then compromise the final esthetics with a poorly masking access fill. This case shows a screw retained implant crown. Teflon tape is first packed into access opening directly over the abutment screw(about 1/4 to 1/2 inch long). Unlike a cotton pellet, teflon tape can be well packed into the access opening to prevent the screw from backing out. Tetric EvoFlow Bulk Fill Shade A (Ivoclar Vivadent) is layered directly over the teflon tape, followed by Tetric EvoCeram (A2). The block is an emax MT (A2).
