Summary
This interview with Dr. Andreas Reiger from Talheim, Germany, explores using the VITA ENAMIC multiColor within the esthetic zone for minimally invasive reconstructions. Dr. Reiger discusses a case involving a tender feminine affected person disenchanted along with her glass ceramic veneer restorations. He selected VITA ENAMIC multiColor blanks for his or her dynamic colour gradient and herbal translucency. The case required 4 hybrid ceramic veneers with a minimum wall thickness of 0.2 millimeters. Dr. Reiger emphasizes the significance of meticulous making plans. The benefits of hybrid ceramics for reaching esthetic and practical good fortune, and proposals for processing those fabrics. He highlights the a hit result, accomplished with out further enamel substance removing, leading to a herbal and harmonious dental look that a great deal happy the affected person.
Interview
Within the following interview, we pay attention from the Dentist, Dr. Andreas Reiger (Talheim, Germany), who presentations us the chances of the VITA ENAMIC multicolor clean (VITA Zahnfabrik, Unhealthy Säckingen, Germany) for minimally invasive esthetic reconstructions within the entrance.
He explains this with the assistance of a case learn about of a tender feminine affected person whom he supplied with 4 hybrid ceramic veneers with wall thicknesses of simplest 0.2 millimeters within the cervical house in areas 12 to 22.
He additionally provides tips on what dental practices and laboratories will have to believe when processing hybrid ceramics.
Fig 1: A tender feminine affected person expressed dissatisfaction along with her veneer restorations fabricated from glass ceramic.
Why did you select the VITA ENAMIC multicolor multichromatic hybrid ceramic clean for this sufferers recovery?
Staining is the one option to reproduce enamel colour gradient and herbal translucency for monochrome CAD/CAM blanks.
The finely graded layer construction already integrates the 2 polychromatic VITA ENAMIC multicolor blanks.Due to this fact, restorations made out of this subject material clean are already very dynamic from inside of.
What scientific demanding situations did you face on this case, and what may multichromatic hybrid ceramics lend a hand clear up?
The younger affected person was once disenchanted with the esthetic look of her veneers at the maxillary incisors. As a part of the brand new recovery, the labial surfaces of the incisors needed to be relocated palatally to be able to succeed in a harmonious curve of the dental arch. After all, I sought after to continue in a minimally invasive way throughout the follow-up preparation and now not “sacrifice” any further enamel substance.
Dr. Andreas Reiger
The skinny minimal layer thicknesses of the hybrid ceramics, which have been simplest 0.2 mm within the cervical house, had been in particular wonderful.
Figure2: The restorations at 12, 11, 21 and 22 confirmed deficits on the incisal edges.
For your opinion, which processing and remedy steps had been decisive on this case for scientific and esthetic remedy good fortune?
The making plans was once extraordinarily necessary on this case in order that the affected person and I knew prematurely which end result was once conceivable. Within the lab, I created a vintage wax-up on ready state of affairs fashions and scanned it to orient myself in step with the bigeneric calculation of the veneers for figuring out the particular duration and width.
Figure3: The arch of the tooth didn’t harmonize with the curve of the lips.
What will have to clinicians search for within the extraoral and intraoral finalization of hybrid ceramic crowns to be able to succeed in close to herbal, colourful effects?
Right here’s the motto: “Much less is extra!” Herbal tooth are depending on their morphology and floor texture. The labial surfaces of restorations will have to now not be utterly flat. You should in particular incorporate a sensible texture previous to the high-gloss polish. The finely nuanced colour and translucency profile of the VITA ENAMIC multicolor block in six layers routinely ensured a herbal look of the restorations. Consequently, an individualization with
Figure4: The enamel axes of the incisors had been abnormal. The veneers had an inept, superimposed impact.
What’s the esthetic possible of the brand new multichrome clean for front-end restorations and what are its barriers?
Particularly at low thicknesses which can be supported via herbal laborious enamel substance, the fabric can absolutely expose its minimally invasive and esthetic possible. As well as, the restorations may also be integrated without delay after sharpening with out crystallization, sintering, therapeutic and individualization firings. Within the case simply described, the affected person had a whole recovery in 5 hours.
Figure5: The scan of the particular state of affairs highlights the bumpy curve of the dental arch.
Figure6: A wax-up supplied orientation and helped with the later development in digitized shape.
Figure7: Minimally invasive contouring of vestibular tissue with outlined preparation margins
Figure8: The view presentations how they leveled each and every dental throughout the preparation.
Figure9: The cranial view of the structures presentations a harmonious curve of the incisal edges.
Figure10: The designed veneers had been very sleek, because of the decrease minimal layer thickness of the hybrid ceramic.
Figure11: Positioning the veneers within the digital clean means that you can regulate the translucency and colour gradient.
Figure12: The esthetic end result a great deal happy the affected person.
Figure13: The dentist built-in the restorations in form and colour into the residual enamel substance.
Figure14: The incisal restorations now harmonized with the curve of the lips.
Figure15: End result: The colour and translucency gradient in six layers made the restorations seem dynamic and herbal.
Authors
Dr. Andreas Reiger Talheim, Germany