Micro Details Help New Anterior Crowns Blend with Natural Dentition

This client always sends me his most challenging cases and, for this patient, there were size discrepancies between the teeth: #8 was wider than #9.

The patient initially wanted bright-white centrals but during our shade-taking appointment, I convinced her it would be best to add some micro details to the new restorations so they would blend with her natural dentition. I decided to fabricate layered zirconia crowns because it was the best option for keeping the restorations strong on the lingual and the zirconia would block out the discolored stump color.

I designed the crowns using exocad software, making them as symmetrical as possible while keeping the midline ideal, and added line angles and contours to create the illusion that the two teeth are similar in shape and size. I milled the crowns on XTCERA’s X-Mill 500 using XTCERA SHT white high-translucent zirconia in a bleach shade. I layered the restorations using Ivoclar’s...