The Challenge of Transparency with an Implant-Borne Metal Ceramic Crown
Posted Jan 13, 2015 in Technical
By Renato Carretti
An approximately 50-year old patient presented with a fracture on tooth #9 (see Figure 1). Since the root was also fractured, the tooth was extracted and a clasp-retained provisional restoration was seated (see Figure 2).
The gingival papilla was prepared prior to placing the implant in order to ensure subsequent seamless progress of the case. After placing the implant, sufficient time was left for the gingiva to regenerate, which was in perfect condition after healing (see Figure 3).
Layering Procedure
The challenging aspect of this case was to match the transparency of tooth #8. During the first firing, the basis for the transparent appearance was created with VM 13 Base Dentine layering, first with a 1:1 mixture and then with a 1:2 mixture of Base Dentine and Neutral NT. To achieve a shade close to that of tooth #8, Interno shades were applied before the second firing, and fixed with intermediate...