Predictable Laboratory Sequence for Aesthetic Rehabilitation of Maxillary Central Incisors
Upon reading the following case presentation, the reader should:
- Understand how powders and pocelain shades can be used to develop proper shades for restorations.
- Realize the importance of communication between the ceramist and clinician in a restorative case.
In fabricating a single tooth or single teeth in the esthetic zone, the ceramist faces numerous technical challenges. Achieving a proper shade match is paramount, whether the restorations mask varying substrates or the adjacent natural dentition, and natural light reflection and refraction are treatment imperatives. Careful treatment planning and disciplined laboratory protocols are essential to achieving an esthetic treatment outcome. This presentation documents a predictable laboratory fabrication sequence used to restore two central incisors to a natural esthetic result.
When fabricating a single tooth or single teeth in the anterior maxilla, the ceramist must address numerous technical challenges. In addition to fit and a functional result, a proper shade match is paramount in this highly visible region, whether the restorations mask substrates of varying color or the adjacent natural dentition, and natural light dynamics (eg, absorption, reflection, refraction) are treatment imperatives. Careful treatment planning and communication among the clinician and ceramist and should be combined with disciplined laboratory protocols in order to achieve an esthetic treatment outcome. As shown in the following presentation, contemporary ceramic materials--with a range of effect powders and porcelain shades--enable the laboratory technician to develop restorations that are virtually indistinguishable from the natural dentition.
In order to produce natural, highly esthetic restorations, the dental technician must master the art of shade matching and the nuances of a porcelain buildup. The maxillary incisors represent the focal point of a person’s smile. It is, therefore, important for the dental technician to consider the effect each ceramic layer will have on the appearance of the final restorations placed in these areas.
*Laboratory Technician, Idaho Falls, Idaho
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