How to Mask Dark Underlying Dentition and Manage Space
Posted Apr 28, 2011 in Technical
Restorative Problem The patient wanted to improve the esthetics of her smile, which was dominated by two unattractive porcelain-to-metal restorations on her maxillary central incisors (see Figure 1 below).
Treatment Plan Dr. Daren Becker, DDS, and I developed a plan to restore the maxillary centrals and lateral incisors which would address the spacing, size and proportion of her teeth.
The need for very thin translucent restorations to restore the lateral incisors and several millimeters of unsupported ceramic in the incisal areas of the centrals made this case ideal for restoration with IPS e.max, a lithium disilicate material from Ivoclar Vivadent. Its flexural strength of 400MPa can easily support the incisal area of the centrals and, when combined with a micro-layering technique, we're able to deliver nice esthetics while maintaining a maximum amount of the lithium disilicate material.
Removal of the PFM restorations revealed compromised...
