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A successful model-free process requires a reliable material, a highly skilled technician, excellent software and an outstanding mill. Here’s Bob Williams’ step-by-step technique for a recent case.
Jeff Smith, CDT, offers a step-by-step look at how to fabricate esthetic, monolithic restorations in a single press sequence with subsequent glazing using Ivoclar Vivadent’s new IPS e.max Press Multi.
Here’s a look at how using the split file technique and the digital, model-less workflow available from Core3dcentres—a digital design and manufacturing center with locations in seven countries that serves laboratories and dentists—met the needs of a time-sensitive implant patient.
Laboratory Owner Michael Suris has recently started using Strategy Milling©’s services to mill full contour gold crowns and bridges for Dental Professional Labs, Inc. in Merrillville, IN. He offers a step-by-step look at fabricating a milled gold posterior crown.
After watching technicians drop one too many crowns and losing productivity, Ceramist Tom Greggs invented Stabiliner, which reduces the risk of slippage of milled restorations during contouring/finishing procedures.
Jean Chiha, CDT, shares his step-by-step process for fabricating a posterior, three-unit, implant-supported bridge using Noritake KATANA Multi-Layered (ML) Zirconia.
The challenging aspect of this case was that one of the implants was improperly placed between #7 and #8. Steve Lee explains how he made a screw-retained zirconia framework with pink gingiva tissue to recreate the lost gingiva and then cemented on four single crowns made from IPS e.max to the framework.
In order to provide patients with a good color match for their restorations, I’ve found I need to do more than work with traditional shade tabs and photos. Here is my step-by-step technique for a 60-year-old patient who needed endodontic treatment and crowns on #9 and #10.
Bart Hyde, Hyde Dental Prosthetics in Fallon, NV, took first place in the 2014 North American Art of Denture Competition. Hyde offers a step-by-step look at his winning entry and his creative thought process.
All day Friday, the LB Promenade was buzzing with LAB DAY attendees trying to get a look at the display of 28 entries in the second North American Art of Denture (KunstZahnWerk®) Competition, sponsored by Ivoclar Vivadent and LMT.
During the Friday afternoon award ceremony, Sarah Anders, Ivoclar Vivadent’s new Senior Vice President of North American Sales, was on hand to congratulate the winners. “The Art of Denture Competition allows us to celebrate the incredible skills of dental technicians from across North America. The winners continue to amaze us with their abilities and creativity,”...
Renfert’s Cim Ozyurt explains the R&D behind lay:art style brushes, designed to fulfill all the requirements of optimal porcelain buildup.
In this steb-by-step case study, Jonathan Brooks, CDT, MDT, demonstrates how he uses the Sirona inLab system with his Smile-Vision Template TechniqueTM.
The female patient was previously restored with less than ideal esthetic and functional results. When the old restorations were removed, the canine preps were very dark.
Zirkonzahn’s Georg Walcher, MDT, offers his step-by-step technique for rehabilitating an edentulous patient with implants and fixed Zirconia Prettau Bridges.
- November 2013
How to Match Central Incisors Using a Jacket Crown and Laminate Veneer Made With Noritake EX-3 Porcelain
Mismatched central incisors are a relatively common scenario, and a source of distress to the patient. Despite the high occurrence of these cases, it remains technically challenging for the technician and dentist alike to restore two central incisors that are esthetically balanced while being true to form and function. In addition, the complexity of the case is magnified by the fact that very often, each incisor requires different treatment.
co-authored by Dr. Rebecca Sharif; clinical case by Dr. Efim Fichman, DDS
To read more about the Noritake Dental Supply Co., Ltd. and Kuraray Medical Inc. merger, click here.
DENTAL TEAM: Scott Atkin, Creative Dental Laboratory and Dr. Michael Foley, both in Scottsdale, AZ
RESTORATIVE PROBLEM: A 79-year-old male patient with an existing PFM full mouth rehab needed a classic A3 shade replacement bridge for teeth #11 through #15.
TREATMENT PLAN: A five-unit Crystal Diamond full contour bridge was prescribed. Crystal Diamond was chosen for its excellent translucency and strength, ideal for highly esthetic anterior and posterior metal-free restorations.
FABRICATION PROCESS: The case was scanned using a 3Shape D710 scanner and milled using Delcam software on a DentMill...
DENTAL TEAM: Ken Upright, Oxford Crown & Bridge, LLC and Dr. Shelley Olson, DDS, FICD, Granville Family Dentistry, both in Oxford, NC
RESTORATIVE PROBLEM: A female patient fractured the entire facial surface and buccal cusp of tooth #4, which had an old MOD amalgam restoration. Due to a 2mm diastema, the entire mesial aspect of the crown would be exposed in the patient's smile, so shade quality was a foremost concern.
TREATMENT PLAN: Because of her positive experiences with the material, Dr. Olson prescribed a Delta Zirconia full contour crown to restore tooth #4. High Translucent Delta Zirconia,...
DENTAL TEAM: Gyu Cho, CDT, 3D BioCAD Milling Center, Renton, WA and Dr. Ronald Bryant, Seattle
RESTORATIVE PROBLEM: The patient presented with severe occlusal wear on his natural teeth; the lower anterior teeth were also very crooked and discolored. The existing crowns also exhibited wear, tissue retraction, dark margins and uneven shades from one crown to the next. Teeth #5, #12 and #14 were missing, requiring implants.
TREATMENT PLAN: A full-mouth restoration with 28 units was proposed and had full compliance from the patient. The team opted to use gold-hue abutments to provide a very natural,...
DENTAL TEAM: Cindy Vuong and Dr. Michael DiTolla, both of Glidewell Laboratories, Newport Beach, CA
RESTORATIVE PROBLEM: The patient presented with a pre-existing discolored PFM restoration on tooth #8.
TREATMENT PLAN: Dr. DiTolla prescribed a full contour BruxZir® crown, and decided to take the opportunity to test the translucency of Glidewell Laboratories' new BruxZir™ Shaded material, which offers complete color penetration all the way through the restoration for greater shade consistency. The new material also prevents shade changes or white "show-through" after occlusal adjustment....
DENTAL TEAM: Manfred Pörnbacher and Clemens Schwerin, Dentallabor Steger, Brunico, Italy and Dr. Lyndon Cooper, Professor and Chair at the University of North Carolina, School of Dentistry, Department of Prosthodontics
RESTORATIVE PROBLEM: A young female patient lost teeth #7 through #14 in a car accident and was already wearing a provisional restoration that had resulted in pronounced jawbone atrophy.
TREATMENT PLAN: The team opted for a fixed superstructure supported by six implants at sites #7 and #8 and #11 through #14. Due to inadequate bone structure, the restoration would be an occlusally...
DENTAL TEAM: Dr. William Roddy and in-house technician Steve Coles, Flow Laboratory, Fort Worth, TX
RESTORATIVE PROBLEM: A 62-year-old female presented with implants on teeth #3, #4 and #5 and a PFM bridge placed by another dentist. The implants had been placed too far buccally and the patient was unhappy with the esthetics and thickness of the bridge. The patient's occlusal planes were also uneven, and she had another large-span anterior bridge on teeth #6 through #11 that was starting to show signs of decay at the margins.
TREATMENT PLAN: The team opted to remove both bridges and the remaining...
DENTAL TEAM: Scott Gallacher, Precision Milling Center, West Valley City, UT, and Steven Barker, DDS, Salt Lake City, UT
RESTORATIVE PROBLEM: The patient was missing a second bicuspid (#12), didn't want an implant crown and was also concerned about the reduction of the adjacent healthy teeth.
TREATMENT PLAN: To address the patient's desire for the most minimally invasive solution, the team opted for a full contour bridge with minimal retention, using ORIGIN LIVE Plus zirconia since the case required both high strength (for minimal enamel removal) and high translucency (for full contour). Dr. Barker...
DENTAL TEAM: Sven Jesse, Jesse & Frichtel Dental Labs and Dr. Edward Narcisi, DMD, both of Pittsburgh, PA
RESTORATIVE PROBLEM: The patient—the wife of one of the laboratory owners--had an existing all-ceramic restoration on tooth #30 that cracked (she had previously had a PFM crown that also chipped).
TREATMENT PLAN: Since functionality and esthetics were a priority, a Zirlux FC2 full contour zirconia crown was chosen. The laboratory prefers to use Zirlux FC2 because of its flexural strength and low wear against opposing dentition. The Zirlux FC2 system consists of five pre-shaded...
DENTAL TEAM: Janet Jones, CDT, Technical Consultant, Ivoclar Vivadent and Jenny Sy-Munoz, DDS, MSD, University at Buffalo, Buffalo, NY
RESTORATIVE PROBLEM: A 36-year-old patient presented with a request to have teeth #30 and #31 restored as recommended by his general dentist. These molars had existing large pin-retained amalgam buildups that were starting to show signs of occlusal wear.
TREAMENT PLAN: Dr. Sy-Munoz prescribed monolithic crowns made from Zenostar full contour zirconia because of its strong physical properties, pleasing esthetics and optimal biocompatibility.