Micro-layering with CERABIEN™ MiLai

Case by Andreas Chatzimpatzakis

 

A CONCEPT EVEN FOR AESTHETICALLY DEMANDING CASES

The micro-layering technique is regarded as a more efficient, streamlined approach used as an alternative for full porcelain layering. It requires aesthetic, high-strength ceramics like lithium disilicate or zirconia as a base and – ideally – a set of porcelains specifically designed for reduced layer thicknesses that allows users to focus on imitating the characteristics of enamel. A high-quality example is CERABIEN™ MiLai (Kuraray Noritake Dental Inc.). Consisting of a set of internal stains and porcelains with a firing temperature of just 740 °C and a coefficient of thermal expansion in the range of 9.5~11.0×10-6/K (50 °C – 500 °C), this product works well on lithium disilicate and zirconia.

 

Its aesthetic potential is surprisingly high: Depending on case-specific requirements, users are given the choice between maximum efficiency using a single-bake technique and maximum aesthetics achieved with more complex layering. The latter option is demonstrated below using the example of six maxillary anterior veneers.

 

Fig. 1. Lithium disilicate frameworks (Amber Press) on the model.

 

Fig. 2. CERABIEN™ MiLai Value Liner 1 applied to the framework. This porcelain is typically used on lithium disilicate for wash baking.

 

Fig. 3. First build-up with CERABIEN™ MiLai CCV2 in the cervical section, …

 

Fig. 4. … Value Liner 2, …

 

Fig. 5. … Creamy Enamel in the middle area …

 

Fig. 6. … and Tx used to add ultimate translucency.

 

Fig. 7. Appearance of the restorations after the first bake.

 

Fig. 8. Outcome of the internal staining procedure.

 

Fig. 9. Application of CERABIEN™ MiLai LT1 for a standard translucency and opalescence effect, …

 

Fig. 10. … E2, …

 

Fig. 11. … a mixture of E2 and ELT1 (mixing ratio: 50:50) for translucency and brightness and along the marginal ridges, …

 

Fig. 12. … Tx mixed with Royal Blue (mixing ratio 70:30) for a blueish translucency in the incisal area…

 

Fig. 13. … as well as a final layer of LTx to add ultimate translucency and opalescence to the whole enamel surface.

 

Fig. 14. Outcome of the third bake.

 

Fig. 15. Cutback for the final layer of porcelain.

 

Fig. 16. Final layer of CERABIEN™ MiLai added to the central and lateral incisors for translucency.

 

Fig. 17. Situation after the fourth bake, grinding and use of a rubber polisher.

 

Fig. 18. Outcome of the fifth bake (self-glaze).

 

Fig. 19. Beauty shots …

 

Fig. 20. … of the restorations …

 

Fig. 21. … on the model.

 

TRULY BEAUTIFUL OUTCOMES POSSIBLE

This case example reveals that CERABIEN™ MiLai is much more than just a maximum-efficiency solution: With the current line-up of porcelains and internal stains, truly beautiful restorations can be produced. Hence, users are given high flexibility regarding not only the high-strength framework material they prefer, but also the effort and time they would like to invest. This makes CERABIEN™ MiLai a versatile porcelain system that meets many needs and covers a wide range of applications in the dental laboratory.

Dental technician:

ANDREAS CHATZIMPATZAKIS

 

Andreas graduated from the Dental Technology Institute (TEI) of Athens in 1999. During his studies he followed a program at the Helsinki Polytechnic Department of Dental Technique, where he trained on implant superstructures and all ceramic prosthetic restorations. As of 2000, he is running the ACH Dental Laboratory in Athens, Greece, specialized on refractory veneers, zirconia and long span implant prosthesis. In 2017 Andreas visited Japan where he trained under the guidance of Hitoshi Aoshima, Naoto Yuasa and Kazunabu Yamanda and become International Trainer for Kuraray Noritake Dental Inc..

 

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