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Mūsdienīgā zobārstniecības praksē ir izteikta nepieciešamība pēc materiāliem, kas apvieno ērtu lietošanu un augstu efektivitāti ar estētiskiem un ilgmūžīgiem rezultātiem. Šie materiāli ļauj zobārstniecības speciālistiem efektīvāk sasniegt vēlamos ārstēšanas rezultātus, ļaujot viņiem veltīt vairāk laika personiskai mijiedarbībai ar pacientiem.

Tiešās restaurācijas ārstēšanas kontekstā izvēlētajam sveķu kompozītam ir ievērojama ietekme uz procedūru vienkāršību un sasniegto rezultātu kvalitāti: Šī iemesla dēļ universālie pastveida kompozīti, piemēram, CLEARFIL™ MAJESTY ES-2 Universal (Kuraray Noritake Dental Inc.) iegūst arvien lielāku popularitāti. Izstrādājot CLEARFIL™ MAJESTY ES Flow Universal, tas pats uzņēmums ir ieviesis plūstošo kompozītu, kas sniedz līdzīgas priekšrocības, kas apkopotas tālāk, atbildot uz jūsu galvenajiem jautājumiem.

Kā sasniegt estētiski baudāmu un izturīgu restaurācijas rezultātu ar plūstoša materiāla sniegtajām priekšrocībām?

CLEARFIL MAJESTY™ ES Flow Universal ir plūstošs risinājums, kas pieejams divos savstarpēji papildinošos toņos intuitīvai toņa piemeklēšanai, un ir piemērots plašam restaurācijas procedūru klāstam. Tam piemīt praktiska plūstamība, kas papildināta ar progresīvu toņu saplūšanas spēju un nepārspējamām mehāniskajām īpašībām.

Low

• Lieces izturība: 151 MPa
• Spiedes izturība: 373 MPa
• Pildvielas saturs: 75 wt/% / 59 vol%
• Rentgena necaurlaidība: 140% Al

Super Low

• Lieces izturība: 152 MPa
• Spiedes izturība: 374 MPa
• Pildvielas saturs: 78 wt/% / 60 vol%
• Rentgena necaurlaidība: 150% Al

Kas ir CLEARFIL MAJESTY™ ES Flow Universal?

CLEARFIL™ MAJESTY ES Flow Universal ir ar gaismu cietināms, rentgena necaurlaidīgs kompozīta sveķu materiāls, kas izstrādāts izmantošanai dažādos klīniskajos gadījumos un ir pieejams divās dažādās viskozitātes versijās un 2 toņos. Šī materiāla izstrādē ir izmantota nano pildvielu tehnoloģija, kas nodrošina kontrolētu plūsmu, izcilu pulējamību un dabiska izskata restaurācijas rezultātu. Nevainojamā kompozīta saplūšana ar zoba virsmu tiek panākta, pateicoties gudri izstrādātai kombinācijai, kas ietver emaljai pielīdzinātu caurspīdīgumu, dentīna iedvesmotu krāsu gammu un Light-Diffusion Technology (LDT) gaismas izkliedes tehnoloģiju. Emaljai pielīdzīnātais caurspīdīgums nodrošina gaismas plūsmu cauri materiālam, uzlabojot krāsas saplūšanu ar apkārtējo zoba struktūru. LDT tehnoloģija ļauj restaurācijas elementam izkliedēt gaismu līdzīgi, kā to spēj emalja un dentīns. Apvienojumā ar rūpīgi piemeklēto krāsu gammu, šie raksturlielumi palīdz nodrošināt vienmērīgu materiāla optisko integrāciju apkārtējā zoba struktūrā.

Kādos gadījumos lietojams CLEARFIL MAJESTY™ ES Flow Universal?

Šis plūstošais kompozīts ir paredzēts plašam restaurācijas lietojumu klāstam. No I–V klases restaurācijām līdz iedobumu un fisūru noslēgšanai un labošanai – šis materiāls ir izstrādāts lietošanai gan konservatīvās, gan visaptverošās ārstēšanas shēmās.

CLEARFIL MAJESTY™ ES Flow Universal var izmantot:

• tiešajām restaurācijām visās kavitāšu klasēs: zoba kakliņa bojājumi (piem., saknes virsmas kariess, ķīļveida bojājumi), zobu nodilums un zobu erozija;
• kavitāšu nosegšanai/oderēšanai;
• zoba pozīcijas un formas koriģēšanai (piem., diastēmas slēgšana, zoba malformācija);
• intraorālai atlūzušu restaurāciju labošanai. 

Kā tiek izvēlēts tonis?

Izmantojot CLEARFIL MAJESTY™ ES Flow Universal, toņa izvēle nesagādā praktiski nekādas raizes. Abi toņi, Universal (U) un Universal Dark (UD), savstarpēji papildina viens otru, un pareizā toņa izvēle ir veicama vienkārši - bez krāsu skalas. Tonis U ir piemērots vairumam priekšējo un sānu zobu restaurāciju. Tonis UD ir piemērotāks tumšākas krāsas zobiem (B3 un augstāk), restaurācijām, kur ir neliels apkārtējās zoba struktūras atlikums, tostarp III un IV klases kavitātēm. Izvēlieties piemērotāko toni atbilstoši apstrādājamās kavitātes klasei un pacienta vecumam.

Krāsu atbilstība priekšējo un aizmugurējo zobu restaurācijām

Kas padara CLEARFIL MAJESTY™ ES Flow Universal tik lielisku?

Šim materiālam piemīt vairākas īpašības, kas ievērojami uzlabo tā klīnisko efektivitāti.

• Nano pildvielu tehnoloģija: uztur optimālu pildvielu saturu, nodrošinot samazinātu materiāla saraušanos, uzlabotu nodilumizturību un ilgstošu spīduma saglabāšanu pēc pulēšanas.
• Universāla toņa pielāgošana: nodrošina labu materiāla vizuālo integrāciju apkārtējā zoba struktūrā, racionalizējot toņa izvēles procesu. 
• Tiksotropisks materiāls: plūstošs spiediena ietekmē uzklāšanas laikā, bet stabils pēc uzklāšanas, nodrošinot precīzas iestrādes iespēju.

Kādēļ izvēlēties CLEARFIL MAJESTY™ ES Flow Universal?

Klīnicisti atzīst CLEARFIL™ MAJESTY ES Flow Universal priekšrocības, pateicoties šī materiāla:

• paredzamajai lietošanai un apstrādei;
• estētiskajam rezultātam gan priekšējo, gan sānu zobu restaurācijās;
• nodilumizturībai un virsmas degradācijai;
• rentgena necaurlaidībai, kas ļauj veikt rentgena novērtējumu;
• piemērotībai plašam restaurācijas vajadzību klāstam.

Kā notiek CLEARFIL MAJESTY™ ES Flow Universal uzklāšana?

Materiāla uzklāšana ir vienkārša un iekļaujas standarta klīniskajās darbplūsmās:

1. veiciet nepieciešamo darba zonas sagatavošanu un izolēšanu; 
2. uzklājiet piemērotu adhezīvu (piem., CLEARFIL™ Universal Bond Quick 2);
3. uzklājiet materiālu, izmantojot šļirci un smalko uzgali;
4. veiciet materiāla cietināšanu ar gaismu saskaņā ar ražotāja vadlīnijām (standarta laiks ir 20 sekundes, atkarībā no izmantotā toņa un polimerizācijas lampas);
5. veiciet apstrādi un pulēšanu, lai noslēgtu restaurācijas procesu.

Materiāla uzklāšana ar šļirci nodrošina precizitāti un ir ērta.

Tiešā restaurācija, izmantojot CLEARFIL MAJESTY™ ES Flow Universal

Vai neatkarīgi avoti ir veikuši CLEARFIL MAJESTY™ ES Flow Universal novērtējumu?

Jā! Zobārstniecības speciālisti ir snieguši CLEARFIL™ MAJESTY ES Flow Universal (Super Low) novērtējumu, veicot trešo personu testus un iesniedzot recenzētas atsauksmes. Pavisam nesen šim materiālam tika piešķirta The Dental Advisor 2025. gada pētniecības balva. Novērtējuma secinājumu daļā ASV bāzētā izdevuma vērtētāji norādīja:

“Testēšanas rezultāti liecina, ka šim kompozītam ir vienas no labākajām fizikālajām īpašībām plūstošo kompozītu vidū, kas konkurē ar spēcīgākajiem biezajiem kompozītiem lieces izturības un spiedes izturības ziņā, kā arī nodrošina ideālu rentgena necaurlaidību.”

Universāls plūstošais kompozīts: CLEARFIL MAJESTY™ ES Flow Universal

CLEARFIL MAJESTY™ ES Flow Universal ir paredzēts restaurācijas procedūru vienkāršošanai, apvienojot kontrolētu uzklāšanu, estētisku materiāla iekļaušanos apkārtējā vidē un mehānisko izturību. Tā var būt praktiska izvēle ārstiem, kuriem nepieciešams uzticams, plūstošo sveķu materiāls plašam klīnisko scenāriju klāstam.

Uzzināt vairāk >

Universal Excellence - viedi, racionalizēti risinājumi

Kuraray Noritake Dental Inc. lieliski izprot mūsdienīgas zobārstniecības prakses vajadzības. Sarežģītu procedūru, intensīvu darba grafiku un pacientu vajadzību apmierināšanas līdzsvarošana nav viegli izpildāms uzdevums. Tādēļ mēs jau gadu desmitiem neatlaidīgi cenšamies racionalizēt, uzlabot un pilnveidot ikvienu jūsu darba procesa posmu. Mūsu vīzija ir skaidra: pasaule, kurā materiāli un instrumenti jūsu rokās darbojas nevainojami, kurā sarežģītība ir samazināta līdz minimumam un kurā jums tiek dots pietiekami daudz laika, lai koncentrētos uz vissvarīgāko: katra pacienta individuālajām vēlmēm un vajadzībām. Tā ir zobārstniecības nākotne, un kopīgiem spēkiem mēs varam to īstenot.

Atklājiet >

Case by Dt. Koray Kendir, DDS, Turkey (İzmir)

KOPSAVILKUMS

Šajā klīniskā gadījuma aprakstā ir izklāstīta tieša kompozīta restaurācija, kas veikta ar Kuraray Noritake Dental Inc. produktu koncepciju “Universal Excellence” Lai panāktu vienkāršību un paredzamību, tika izmantots universālais adhezīvs (CLEARFIL™ Universal Bond Quick 2) un universāla toņa plūstošais kompozīts (CLEARFIL MAJESTY™ ES Flow Universal) Soli pa solim aprakstā tiek nodemonstrēta izolēšana, sagatavošana, dziļo malu pacelšana, adhezīva lietošana un galīgā restaurācija.

GADĪJUMA APRAKSTS

38 gadus veca paciente ar sūdzībām par smaganu asiņošanu un jutību pret aukstumu starp augšžokļa kreiso ilkni un pirmo priekšzobu (d23 un d24, FDI apzīmējums). Klīniskās pārbaudes laikā tika konstatēts atklāts zoba kakliņš un sekundārs kariess uz d23 esošās restaurācijas smaganu līmenī. Pēc izolācijas ar koferdamu tika uzsākta pakāpeniska ārstēšanas procedūra.

KLINIKINĖ PROCEDŪRA

1 solis. D23. bija atklāts kakliņš un kariess (1. att.).

2 solis. Pēc emaljas noņemšanas kariess tika izņemts līdz smaganu līmenim. Tika konstatēts, ka d24 bojājums ir izplatījies arī zem smaganas (2. att.).

3 solis. Pēc pilnīgas kariesa izņemšanas un zobu sagatavošanas kļuva skaidrs, ka d24 ir nepieciešama subgingivālās malas pacelšana (DME) (3. att.). 

4 solis. D24 tika veikta subgingivālās malas pacelšana (DME), izmantojot individuāli izgatavotu sekciju ķīli. Vispirms tika veikta selektīva kodināšana un uzklāts CLEARFIL™ Universal Bond Quick 2 pēc tam tika uzklāts CLEARFIL MAJESTY™ ES Flow Universal (Super Low) (4. līdz 6. att.).

5 solis. Pēc DME (subgingivālās malu pacelšanas) pabeigšanas tika uzliktas atbilstošas matricas, pēc tam tika veikta tieša d23 un d24 restaurācija ar CLEARFIL MAJESTY™ ES Flow Universal (Super Low) (7. līdz 9. att.). Pateicoties materiāla vieglai apstrādei, krāsas pielāgošanai un lieliskajai pulējamībai, šis sarežģītais DME gadījums tika veiksmīgi un efektīvi atrisināts. 

Ārstēšanas rezultāts parādīts 10. un 11. attēlā.

1. attēls Sākotnējā situācija ar koferdamu

2. attēls Klīniskā situācija pēc kariesa izņemšanas

3. attēls Sagatavots zobs ar subgingivālu malu premolārā

4. attēls Pielāgots ķīlis, kas ievietots, lai paceltu malu

5. attēls Zobu bukālais skats pēc subgingivālas malas pacelšanas ar Universal produktiem

6. attēls Zobu okluzālais skats pēc subgingivālas malas pacelšanas ar Universal produktiem

7. attēls Matricas novietošana

8. attēls Bukālais skats uz zobiem, kas atjaunoti ar Flow Universal plūstošo kompozītu ar ļoti zemu plūstamību

9. attēls Okluzālais skats uz zobiem, kas restaurēti ar Flow Universal kompozītu

10. attēls Galīgāsd23 un d24 restaurācijas okluzālais skats, kurā redzama krāsu pāreja, anatomiskā forma un virsmas spīdums

11. attēls Galīgā d23 un d24 restaurācija, skatoties no mutes puses, parādot krāsu saskaņotību, anatomisko formu un virsmas spīdumu

DISKUSIJA

Universal adhezīvi un modernie plūstošie kompozīti vienkāršo sānu zobu tiešo restaurāciju, samazinot tehnikas ietekmējamību un nodrošinot ilgstošus rezultātus. Šajā gadījumā CLEARFIL™ Universal Bond Quick 2 nodrošināja spēcīgu saķeri ar minimālu uzklāšanas laiku. Universālais plūstošais kompozīts demonstrēja izcilu pielāgojamību, pulējamību un izturību. Pat ar subgingivālu malu, kas prasa DME, tika panākta vienkāršota pieeja, neietekmējot kvalitāti.

SECINĀJUMS

CLEARFIL™ Universal Bond Quick 2 un CLEARFIL MAJESTY™ ES Flow Universal  kombinācija ļauj zobārstniecības darbiniekiem veikt prognozējamus un efektīvus sānu zobu restaurācijas darbus. To universālā pielietojamība un apstrādes īpašības atbilst „Universal Excellence” koncepcijai, atbalstot vienkāršotu, bet uzticamu ikdienas praksi.

Ētika un informācijas atklāšana

Visas procedūras tika veiktas saskaņā ar standarta zobārstniecības praksi. Pacients sniedza informētu piekrišanu ārstēšanai un anonimizētu klīnisku attēlu publicēšanai. Autors sadarbojas ar Kuraray Noritake Dental Inc. kā konsultants; saturs atspoguļo klīnisko pieredzi.

Dentist:

KORAY KENDIR

Dt. Koray Kendir ir Hacettepe Universitātes Stomatoloģijas fakultātes absolvents un privātas zobārstniecības klīnikas Izmirā līdzdibinātājs. Viņš specializējas digitālajā zobarstniecībā, smaida dizainā un datorizētā restauratīvajā ārstēšanā. Pazīstams ar savu inovatīvo pieeju, Dr. Kendir bieži uzstājas valsts mēroga zobārstniecības kongresos un darbojas kā konsultants vairākās zobārstniecības kompānijās.

Cases by MDT Leonidas Dimitriou

INTRODUCTION

Patient demands and expectations have never been as concrete as in this day and age: Influenced by role models on social media and new aesthetic standards, our patients ask for brighter smiles or for restorations with specific tooth forms rather than demanding a perfect copy of nature. For us dental technicians, the challenge lies in finding a perfect balance between fulfilling these demands and respecting established biomimetics-inspired principles of aesthetics and function.

To accomplish this task, we need to know which principles need to be respected and where there is room for creativity. At the same time, it is essential to be well-informed about the latest technological advancements and developments in dental materials to be able to select the most appropriate restorative approaches. Only by understanding the selected materials and technological tools very well, will we be able to exploit their potential and deliver the best possible restorative solution. To sum up, we need to keep one foot in the boat of science and the other in the boat of art. Only by balancing both can we navigate the rapid advancements in the field effectively - ensuring they serve patients’ best interests while avoiding practices that lack purpose or meaning.

The challenge lies in finding a perfect balance between fulfilling the patient‘s demands and respecting established biomimetics-inspired principles of aesthetics and function.

MATERIAL CHOICES

Our favored framework materials for the production of aesthetic anterior restorations include KATANA™ Zirconia UTML, KATANA™ Zirconia STML discs (both Kuraray Noritake Dental Inc.) and lithium disilicate-based press ingots Amber® Press (HASS). These high-strength ceramics are ideal for fulfilling the aesthetic and functional demands of anterior restorations. Their balanced optical properties allow for the creation of lifelike restorations. Their physical and mechanical properties, on the other hand, are responsible for stability during all clinical steps from try-in to permanent placement, proven bonding ability and a certain error tolerance: Minor adjustments or modifications are possible without the risk of inducing cracks or dimensional changes when firing repeatedly. Finally, both materials are digital workflow compatible, which means that procedures are quick, mock-up, temporary restoration and definitive restoration easily aligned, and remakes facilitated.

The restorations are usually designed in full contour; a labial cutback of 0.3 to 0.5 mm creates sufficient space for the veneering porcelain. The preferred layering approach is micro-layering combined with the internal live stain technique, which offers the benefits of a controlled procedure and predictable, highly aesthetic outcomes with brilliant depth effects in short time. A layering material that precisely meets our needs regarding the preferred approach and is perfectly compatible with both, lithium disilicate and zirconia, is CERABIEN™ MiLai (Kuraray Noritake Dental Inc.).

The following two case reports are used to illustrate how this material combines with the different framework materials, revealing further benefits of the selected ceramics and techniques.

CASE #01

LITHIUM DISILICATE VENEERS

This 36-year-old female patient wanted to replace her bonded composite veneers. She expressed the demand for a brighter smile with a bleached color (NW 0.5) selected for her six maxillary anterior teeth and first premolars. However, she wanted the tooth preparation for this treatment to be as minimally invasive as possible.

In addition, she specifically requested that the teeth be square in form, with the lateral incisors the same length as the central incisors and the incisal edges straight, without rounded corners – clearly influenced by modern aesthetic standards. We explained our concerns regarding potential aesthetic and functional issues that might necessitate further intervention or adjustments, but she remained firm in her choices.

FROM DESIGN TO PRESSED FRAMEWORK

In line with the patient’s demands, it was planned to restore her maxillary teeth from first premolar to first premolar with lithium disilicate veneers (Amber® Press HT in the shade W2), which would allow for the desired minimally invasive preparations and bright appearance. Following tooth preparation, an analog impression was taken and sent to our laboratory. After the production of the model, the case was digitalized for the virtual designing of the veneers. In order to create space for the porcelain, the labial surfaces of the full-contour restorations were reduced by 0.3 mm with the software (exocad® DentalCAD, Figs. 1 and 2).

The frameworks were then milled in wax and pressed in Amber® Press HT W2 (Figs. 3 and 4). Sprues were cut and the surfaces of the veneer frameworks processed with a Diagen-Turbo-Grinder Ø 3,5 x 11 mm Cone and Wheel.

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INTRODUCTION

Adhesive dentistry has seen significant advancements over the past decades. Initially, dental adhesives evolved from no-etch systems to etch-and-rinse systems, which consisted of multiple components. From then on, manufacturers shifted focus toward simplifying the procedure. Different generations of self-etch adhesives and, finally multi-mode or universal adhesives were the result. The latter category, introduced in the early 2010s, nowadays comprises numerous products offered by many different manufacturers.

In general, universal adhesives offer more procedural freedom and simplicity than multi-step, multi-bottle systems as well as good adhesion. According to a recent review¹, adhesive properties have improved and manufacturers have also succeeded in reducing the technique sensitivity of the adhesive systems. However, hybrid layer degradation still seems to be a relevant issue for many modern products available on the market. Moreover, feedback from clinicians reveals that there are several areas of concern where bonding systems in general can be improved. These include the risk of contamination due to a lengthy procedure or the need for rubbing, pooling of the adhesive in corners and accumulation along margins. Moreover, some adhesives are challenging to introduce into narrow cavities, while their curability may be limited.

That is why Kuraray Noritake Dental Inc. decided to develop a new-generation universal adhesive that addresses these areas of concern: CLEARFIL™ Universal Bond Quick 2. This latest evolution in dental bonding technology is based on decades of knowledge in the development of clinically successful dental adhesives at Kuraray Noritake Dental Inc. It retains all the benefits of its predecessor – the current extensively tested and clinically proven CLEARFIL™ Universal Bond Quick – adding higher strength and improved handling.^2-5

THE ESSENTIAL BENEFITS OF CLEARFIL Universal Bond Quick 2

CLEARFIL Universal Bond Quick 2 offers the following essential benefits:

• Quick and straightforward application procedure
• High-strength bonding layer
• Consistently durable bond
• Ease of application
• Minimised risk of pooling
• Procedural freedom
• Immediate availability for clinical use

For all those who wonder how the improvements were implemented, which technologies are responsible for them and whether there is scientific proof, the following paragraphs are worth reading. They summarize essential general knowledge about adhesive formulations, explain potential issues and their causes, and address every benefit featured by CLEARFIL Universal Bond Quick 2, explaining all the important details around it.

KEY COMPONENTS OF UNIVERSAL ADHESIVES

Universal adhesives are based on highly complex formulations with many different constituents and technologies combined in a single bottle. The most essential parts found in virtually every universal adhesive are:

RESIN COMPONENTS

Just like composite restorative materials, dental adhesives are resin-based materials. This means that different kinds of cross-linking and functional monomers are the beating heart of the formulation. Functional monomers are initially hydrophilic and form linear polymers upon curing, while cross linking polymers are hydrophobic and form stronger, highly cross-linked polymer networks.⁶ They are added to adhesive formulations to fulfil different tasks: some monomers are used to promote adhesion to tooth structure or composite resin, while others are used as etching or demineralizing agents, wetting enablers, and agents promoting penetration into the tooth structure. Hence, they have an impact on application properties, bond strength to various substrates including enamel and dentin, strength, hydrolytic stability and overall durability of the bonding layer, and more.

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References

1. Breschi L, Maravic T, Mazzitelli C, Josic U, Mancuso E, Cadenaro M, Pfeifer CS, Mazzoni A. The evolution of adhesive dentistry: From etch-and-rinse to universal bonding systems. Dent Mater. 2025 Feb;41(2):141-158.
2. Jaggi M, Karlin S, Zitzmann NU, Rohr N. Shear bond strength of universal adhesives to human enamel and dentin. J Esthet Restor Dent. 2024 May;36(5):804-812.
3. Peumans M, Vandormael S, De Coster I, De Munck J, Van Meerbeek B. Three-year Clinical Performance of a Universal Adhesive in Non Carious Cervical Lesions. J Adhes Dent. 2023 Jun 8;25(1):133-146. doi: 10.3290/j.jad.b4186751. PMID: 37387551.
4. de Almeida RAM, Lima SNL, Nassif MV, Mattos NHR, de Matos TP, de Jesus Tavarez RR, Cardenas AFM, Bandeca MC, Loguercio AD. Eighteen-month clinical evaluation of a new universal adhesive applied in the “no-waiting” technique: a randomized clinical trial. Clin Oral Investig. 2023 Jan;27(1):151-163. doi: 10.1007/s00784-022-04703-7. Epub 2022 Sep 6. PMID: 36068369; PMCID: PMC9447982.
5. De Almeida R, Siqueira F, Verde T, Naupari-Villasante R, Reis A, Loguercio AD, Cardenas A. Prolonged application time effects on universal adhesives in non-carious cervical lesions: An 18-month split mouth randomized clinical trial. J Dent. 2024 Jan;140:104800. doi: 10.1016/j.jdent.2023.104800. Epub 2023 Dec 4. PMID: 38056759.
6. Van Landuyt KL, Snauwaert J, De Munck J, Peumans M, Yoshida Y, Poitevin A, Coutinho E, Suzuki K, Lambrechts P, Van Meerbeek B. Systematic review of the chemical composition of contemporary dental adhesives. Biomaterials 2007; 28(26):3757-85.

Case by DT Andreas Chatzimpatzakis and Dr Evi Lianou

Selecting the right materials for a successful rehabilitation of edentulous jaws with fixed implant-based prostheses can be quite challenging. High strength and stability are needed to securely connect the implants, biocompatibility is a must and the functional, aesthetic and financial expectations of the patient need to be respected. Experience shows that – in many situations – the combination of a titanium bar with a zirconia framework finished using the micro-layering technique is a great option. This material combination and approach meets the demands mentioned, while supporting efficient procedures and aesthetic outcomes.

In the present case, a 53-year-old male patient with a history of periodontal disease presented in the dental office of Dr Evi Lianou (Dental Clinic, Lamia, Greece). Due to a poor prognosis of the remaining teeth, it was planned to extract them. As a removable full denture was not an option for the patient, the treatment plan included the insertion of four implants in the mandible and six in the maxilla, followed by a healing phase and subsequent definitive rehabilitation with screw-retained, titanium bar-based zirconia superstructures finished by micro-layering. The following figures and captions describe the technical procedure.

Fig. 1. Initial clinical situation showing several remaining teeth with a poor prognosis.

Fig. 2. Screw-retained titanium bar for the mandible.

Fig. 3. Screw-retained titanium bar for the maxilla.

Fig. 4. Mandibular restoration: Milled framework made of KATANA™ Zirconia HTML PLUS (Kuraray Noritake Dental Inc.) with a minimal (0.3 mm) vestibular cutback placed only on the six anterior teeth.

Fig. 5. Maxillary restoration: Milled framework made of KATANA™ Zirconia HTML PLUS with a minimal vestibular cutback (0.3 mm) placed only on the six anterior teeth.

Fig. 6. Mandibular restoration, 33-43 internal staining with CERABIEN™ MiLai Internal Stains (Kuraray Noritake Dental Inc.). 34-37 & 44-47 External characterization with CERABIEN™ ZR FC Paste Stain.

Fig. 7. Maxillary restoration 13-23 internal staining with CERABIEN™ MiLai Internal Stains. 14-17, 24-27 External characterization with CERABIEN™ ZR FC Paste Stain.

Fig. 8. Mandibular and maxillary restorations on the model: Additional internal staining to the anterior. Posterior teeth were completed with CERABIEN™ ZR FC Paste Stain.

Fig. 9. Mandibular restoration after the application of CERABIEN™ MiLai Porcelains LT1 mixed with CCV2 (ratio 50:50) for the cervical and Tx for the incisal.

Fig. 10. Maxillary restoration after the application of CERABIEN™ MiLai Porcelains LT1 mixed with CCV2 (ratio 50:50) for the cervical and Tx for the incisal third.

Fig. 11. Mandibular restoration after the bake, showing some typical characteristics of aged teeth.

Fig. 12. Maxillary restoration after the bake, showing some typical characteristics of aged teeth.

Fig. 13. Mandibular restoration with applied tissue porcelains and corrections in the tooth area.

Fig. 14. Maxillary restoration with applied tissue porcelains and corrections in the tooth area.

Fig. 15. Mandibular restoration after finishing glazing and polishing.

Fig. 16. Maxillary restoration after finishing glazing and polishing.

Fig. 17. Final restorations on the model.

Fig. 18. Final restorations in the patient’s mouth.

Fig. 19. New smile of the patient.

Fig. 20. Patient with new fixed dental prostheses.

CONCLUSION

The described material combination and technique allows for efficient workflows, while supporting aesthetic, durable treatment outcomes. With functional surfaces designed in plain, polished zirconia and just a tiny layer of porcelain in the vestibular region, the restorations are made to last. Moreover, the selected framework material and porcelain system are a perfect match.

The chosen porcelain system works well with other zirconia brands and even with lithium disilicate. It can be used with or without internal stains, making it a versatile tool suitable for a wide range of applications, patient needs, and aesthetic demands.

Case report by Dr Mediha Isikver

Tooth fractures and secondary caries are frequently observed in posterior teeth, often resulting from occlusal stress, restoration failure, or secondary bacterial infiltration. These conditions compromise tooth integrity, function, and aesthetics. With advancements in adhesive dentistry, minimally invasive and durable restorative solutions have become achievable. Material selection plays a critical role in the success of composite restorations, influencing marginal adaptation, wear resistance, and patient satisfaction. This case report describes the step-by-step clinical management of a fractured and secondary carious permanent molar restored using materials from Kuraray Noritake Dental Inc.

CASE PRESENTATION

A 32-year-old female patient presented to the clinic with sensitivity and discomfort in the upper left posterior region. Clinical examination revealed a distal wall fracture on tooth #26 (maxillary left first molar) with a secondary carious lesion extending subgingivally. Radiographic evaluation confirmed the absence of periapical pathology. Adjacent teeth (#25 and #27) showed early carious activity, but the patient opted for the restoration of tooth #26 only. The tooth was asymptomatic to percussion and showed normal vitality on pulp testing.

Fig. 1. Initial clinical view of tooth #26 under rubber dam isolation.

TREATMENT PROTOCOL

1. Isolation and caries removal: The tooth was isolated with rubber dam. The existing defective restoration and carious tissue were carefully removed using tungsten carbide burs and a slow-speed handpiece.
2. Surface cleaning: After preparation, KATANA™ Cleaner was applied to remove contaminants and optimize bonding surface quality.
3. Bonding procedure: A single-step, self-etch adhesive, CLEARFIL™ Universal Bond Quick 2, was applied to both enamel and dentin following the protocol recommended by the manufacturer.
4. Restorative phase: The deep and undercut areas were resin coated with CLEARFIL MAJESTY™ ES Flow Universal Low (U shade), ensuring adaptation and stress relief in undercut regions. The remaining cavity was restored incrementally using CLEARFIL MAJESTY™ ES-2 Universal (U shade) paste-type composite, with each 2 mm layer light-cured for 20 seconds.

Fig. 2. Clinical view of tooth #26 after removal of the defective restoration and carious tissue.

Fig. 3. Application of KATANA™ Cleaner to remove contaminants and optimize bonding surface quality after preparation.

Fig. 4. Selective enamel etching performed on tooth #26.

Fig. 5. CLEARFIL™ Universal Bond Quick 2 applied to both enamel and dentin following the manufacturer’s recommended protocol.

Fig. 6. Resin coating with CLEARFIL MAJESTY™ ES Flow Universal Low (U shade).

Fig. 7. Reconstruction of the mesial and distal walls with CLEARFIL MAJESTY™ ES-2 Universal (U shade) composite.

Fig. 8. Incremental build-up of cusps and occlusal anatomy using CLEARFIL MAJESTY™ ES-2 Universal composite, refined with a brush for contour adjustment.

Fig. 9. Initial finishing of the composite restoration performed with darkcoloured TWIST™ DIA for Composite (medium) rubber points to refine surface texture and anatomy.

Fig. 10. Final polishing performed with light-coloured TWIST™ DIA for Composite (fine) rubber points to achieve a highgloss, smooth surface.

FINAL SITUATION

Fig. 11. Final view of the restoration after occlusal adjustment and polishing.

CONCLUSION

This case demonstrates that adhesive and restorative systems from Kuraray Noritake Dental Inc. offer a reliable, efficient and effective approach for treating fractured and secondary carious posterior teeth. The integration of self-etch adhesives and high performance composites contributes to durable and aesthetically pleasing restorations. Continuous follow-up is essential to evaluate the long-term clinical behaviour of these materials.

Dentist:

MEDIHA ISIKVER

Dr Mediha Isikver is a graduate of the Ege University Faculty of Dentistry and the co-founder of Klinik M in Istanbul, Turkey. She focuses her professional practice on aesthetic and restorative dentistry, with particular expertise in composite laminate layering, porcelain laminates, and smile design. Believing that every smile tells its own story, she aims to create personalized aesthetic transformations that blend natural harmony with artistic detail.

Case report by Vasilis Vasiliou

AESTHETIC RESTORATION OF MAXILLARY INCISORS

Falling in love, applying for a first job, attending a best friend’s wedding: There are so many occasions for young people when looking gorgeous is important. That is why restoring a young patient’s smile to its natural beauty is a special task that demands a lot from us. We need to listen to their touching stories, understand their specific needs and desires – and finally find a way to exceed their expectations. Whenever our plan works and is performed correctly, the outcome will be rewarded with extreme gratitude by those affected. After all, it is not only the smile we restore, but also the patients’ self-confidence and quality of life.

SINGLE BAKE, NATURAL RESULT

The good news: Even highly aesthetic all-ceramic restorations can be produced with a minimal number of bakes. Modern framework materials and porcelain systems allow us to imitate a natural play of colours and translucencies, a virtually unlimited number of individual effects and a vivid surface texture in a predictable way. A possible procedure is illustrated below. The materials utilized in this case were KATANA™ Zirconia STML and CERABIEN™ ZR (Kuraray Noritake Dental Inc.) and the restoration was completed using the One-Bake technique developed by MDT Nondas Vlachopoulos.

Fig. 1. Frameworks made of KATANA Zirconia STML in the shade A1.

Fig. 2. Single-bake layering procedure: Application of CERABIEN ZR Opacious Body in the cervical …

Fig. 3. … and mamelon areas.

Fig. 4. CERABIEN ZR Body porcelain applied in the body area.

Fig. 5. CERABIEN ZR Transitional Dentine used to increase the translucency in the incisal part.

Fig. 6. CERABIEN ZR Opacious Body added in specific areas to create more reflaction.

Fig. 7. Incisal cut-back and creation of the mamelon structure as well as adding of T Blue to give depth.

Fig. 8. … in the body and distal incisal areas.

Fig. 9. Application of Aqua Blue 1 and T Blue on the incisal edges to produce a youthful translucency.

Fig. 10. Creation … effect

Fig. 11. … of mamelons.

Fig. 12. Application of Luster porcelains: LTx, …

Fig. 13. … ELT1 …

Fig. 14. … and LT1.

Fig. 15. Cutback of the dentin for the creation of a halo effect.

Fig. 16. Final shape: Halo effect created with Body.

Fig. 17. Treatment outcome after a first bake followed by minor adjustments, surface texturing and glazing with CERABIEN™ ZR FC Paste Stain Clear Glaze.

Fig. 18. Restorations adhesively cemented in the patient’s mouth.

CONCLUSION

Restoring a young patient’s smile is a particularly challenging task, as the quality of the outcome has a huge effect on the self-confidence and quality of life of the affected person. By listening closely to our patients’ stories, understanding their needs and knowing our materials well, we are able to deliver exactly what they need. It is their positive feedback and happiness that drives me to never stop learning and practicing with my ceramics and porcelains for continued improvement and even better outcomes.

I would like to express my gratitude to Dr. Loukia Pedoulou for the professional partnership and clinical support in achieving this result.

Dental Technician:

VASILIS VASILIOU

Vasilis Vasiliou was born in Nicosia, Cyprus, and graduated from the Technical School for Dental Technicians in Athens in 2004. He has furthered his education by attending several advanced seminars led by mentors and experts in the field, such as Ilias Psarris and Nondas Vlachopoulos.

Throughout his career, Vasilis has made significant contributions to the dental community, including presenting at various conferences in Greece and publishing articles in Greek dental magazines. Since 2020, he has been a key opinion leader for MPF Brush Company and, since 2022, a HASS Ambassador. Vasilis has been an active member of the International Team for Implantology (ITI) since 2019.

Together with his father, Vasilis runs a successful dental laboratory in Nicosia, specializing in all-ceramic and implant restorations. His extensive experience and commitment to excellence have established him as a respected professional in his field.

REDEFINING WHAT “UNIVERSAL”  MEANS

When discussing the universal properties of a dental adhesive, most of us probably think of its compatibility with various etching techniques (from self-etch to total-etch) and a wide indication range. After all, universal adhesives are typically used as bonding agents for direct restorations made of light-curing composite, for immediate dentin sealing, for repair procedures and also in the context of indirect restoration placement.

However, in our opinion, there is more to it:

This means it should be compatible with any resin-based composite and self-adhesive resin cement, regardless of the manufacturer.

BREAKING FREE FROM SYSTEM BOUNDARIES

This is not self-evident: For a long time, “staying within the manufacturer’s own system ” has been a key prerequisite for the successful use of dual-cure core build-up materials and self-adhesive resin cements. Manufacturers worldwide have strongly recommended combining components from the same manufacturer and system to provide for chemical compatibility, optimal alignment, and the best possible outcomes. 

CLEARFIL™ Universal Bond Quick 2: FREEDOM AND FLEXIBILITY

With the new CLEARFIL™ Universal Bond Quick 2, this is no longer necessary: The R&D team of Kuraray Noritake Dental Inc. in Japan has developed an adhesive that works well not only with the company’s self-adhesive resin cement PANAVIA™ SA Cement Universal, but also with other manufacturers’ products. The same applies to core build-up materials: Compatibility is no longer limited to CLEARFIL™ DC CORE PLUS, but extends to solutions offered by other companies. Thorough testing has confirmed that it works well – provided each product’s official instructions for use are followed.

ONE ADHESIVE FOR EVERY CHALLENGE

This makes CLEARFIL Universal Bond Quick 2 a truly universal adhesive and, in fact, the only one needed in your dental practice. Interested? Learn more about the product and its innovative features, including its effortless application with no waiting time. 

SMART. STREAMLINED. UNIVERSAL.

At Kuraray Noritake Dental Inc., we understand the demands of modern dental practices. Balancing complex procedures, tight schedules, and patient needs is no easy task. That is why we have been on a relentless journey to streamline, enhance, and refine every step of your work for decades. Our vision is clear: a world where your materials and tools work seamlessly in your hands, where complexity is minimized, and where you are given enough time to focus on what matters most: the individual desires and needs of every single patient. This is the future of dentistry, and together, we’re making it happen.

We invite you to explore our comprehensive Universal Excellence portfolio —  from bonding agent to composites and resin cement. For Smart Streamlined Solutions in your practice.

DENTAL ADVISOR 2026 AWARDS RECOGNISING KURARAY NORITAKE PRODUCTS FOR EXCELLENCE AND RELIABILITY

As clinical demands continue to rise and chairside time becomes increasingly precious, dental professionals are nowadays looking for materials and devices that truly deliver in daily practice – while demanding less of themselves. In this context, efficiency, ease of use and long-term performance have become decisive factors in product selection.

In a market characterized by frequent product introductions and bold claims, however, identifying the most suitable solutions can be challenging. A useful guide to well-founded decisions: Independent evaluations that combine rigorous laboratory testing with real-practice clinical assessments. One of the most trusted institutions offering this kind of evaluations in the Dental Advisor. Once per year, this respected authority in dental product testing publishes its Top & Preferred Product and Research Awards – highlighting those products that stand out not only for innovation, but for proven, consistent performance.

In 2026, several solutions from Kuraray Noritake Dental Inc. were recognized – ranging from a new universal flowable composite to long-established materials that continue to define modern restorative and adhesive dentistry.

A PROMISING BLEND OF CHARACTERISTICS: RESEARCH AWARD WINNERS

According to Dental Advisor, “Companies that receive Research Awards demonstrate a commitment to advancing dental technology and enhancing patient care.” Product properties are tested in the Dental Advisor Biomaterials Research Center to evaluate the scientific performance and identify those materials with the most promising blend of characteristics.

1. CLEARFIL™ Universal Bond Quick 2 (Research Award and Preferred Product)

Launched in 2025, CLEARFIL™ Universal Bond Quick 2 is an enhanced version of the popular multi-mode adhesive CLEARFIL™ Universal Bond Quick. Both stand out due to their minimal application time. Research conducted at the Dental Advisor Biomaterials Research Center demonstrated excellent bond strength to enamel and dentin, even after artificial aging and saliva contamination. The latter indicates a consistent performance even in wet environments like the oral cavity. The in-vitro tests also confirmed a thin film thickness (3-5μm), supporting accurate seating of indirect restorations.

2. CLEARFIL MAJESTY™ ES Flow Universal (Research and Top Product Award)

CLEARFIL MAJESTY™ ES Flow Universal is a highly filled flowable composite launched in 2025. It features submicron fillers (78% by weight) and a simplified universal shade system enabled by light diffusion technology. Independent testing in the Biomaterials Research Center of the Dental Advisor confirmed that it delivers some of the highest strength values in its class, along with excellent radiopacity and great shade matching compared with other universal-shade composites. Designed for efficient placement, its syringes and application tips help minimize voids, a benefit confirmed by radiographic analysis of filled syringes and attached tips after dispensing of material. Viscosity testing reveals that the material offers a low-flow, no-slump consistency that allows precise cusp build-up and detailed anatomical sculpting. While the material is available in two flowabilities (Low and Super Low) in Europe, Super Low  is the variant offered in the United States and tested in the Dental Advisor Biomaterials Research Center.

3. KATANA™ Cleaner

KATANA™ Cleaner became a 2026 Research Award winner without prior clinical evaluation. The universal cleaning agent contains MDP salt, designed to effectively remove contaminants from both restorative materials and tooth structure. Laboratory testing by the Dental Advisor demonstrated that it restores bond strength on saliva-contaminated zirconia and lithium disilicate to optimal levels, with SEM analysis confirming nearly complete surface cleanliness. In its summary of research highlights, the Dental Advisor team stressed that KATANA™ Cleaner is one of the few commercially available cleaners approved for intraoral use.

4. PANAVIA™ Veneer LC (Research Award and Preferred Product)

PANAVIA™ Veneer LC is widely recognised for delivering strong, durable bonding and highly aesthetic outcomes in veneer procedures. Laboratory testing revealed that, when used with the US-recommended components – PANAVIA Veneer LC Paste, CLEARFIL™ Universal Bond Quick and CLEARFIL™ Ceramic Primer Plus – the system maintains a high bond strength even after artificial aging. This performance was consistent across multiple substrates, including enamel, dentin, silica-based ceramics (lithium disilicate) and zirconia. Furthermore, the system outperformed two other leading veneer cements in gloss retention and wear resistance.

TOP PRODUCT AWARD WINNERS

Top Products are “exceptional products [that] have consistently demonstrated their excellence and reliability, earning a lasting place in our publication“. The winners are selected based on laboratory testing and clinical evaluations conducted under real-life conditions: “Our dedicated volunteer evaluators provide unbiased insights from their real-world experiences, ensuring that only the very best receive this prestigious accolade”, as stated on www.dentaladvisor.com.

1. CLEARFIL MAJESTY™ ES Flow

A proven favourite, CLEARFIL MAJESTY™ ES Flow earned a Top Award for the 10^th time(!), reaffirming its position as a leading product in the direct restoratives category (Composite: Highly Filled Flowable). Recognized for its excellent handling, ease of use, and true-to-life aesthetics, it remains a trusted choice for clinicians seeking versatility and consistently high-quality results. Aesthetic properties were highlighted by one of the evaluators as follows: "The material blended so well with the tooth structure that you had to look hard to find the interface." 

2. CLEARFIL MAJESTY™ ES Flow Universal (Research and Top Product Award)

This product not only excels in the laboratory setting, but also in the practice environment. Among the top features highlighted clinically are its ideal, non-slumping consistency, optimised translucency and great blend-in ability supported by light-diffusion technology. The blend-in ability, along with the benefits resulting form the delivery system, are reflected in a comment: “Excellent shade matching and no air bubbles.”

3. CLEARFIL™ SE Protect

CLEARFIL™ SE Protect continues to set the standard among self-etch adhesives, combining antibacterial properties with fluoride release. Backed by a strong history of clinical success, it received a Top Award this year for its outstanding bonding performance and long-term reliability, making it a key component in modern restorative dentistry. An evaluator commented: "The gold standard in bonding to reduce post operative sensitivity."

4. PANAVIA™ SA Cement Universal

Designed for straightforward and dependable self-adhesive cementation, PANAVIA™ SA Cement Universal earned a Top Award for its high-quality bonding to a wide variety of substrates – without the need for additional primers. Its user-friendly handling and predictable outcomes make it a popular choice for clinicians who value both efficiency and performance. Evaluators highlighted its moisture tolerance as well as its "Amazing viscosity, tack cure-ability and very easy cleanup."

5. TEETHMATE™ DESENSITIZER

Awarded a Top Award for the nineth consecutive year, TEETHMATE™ DESENSITIZER continues to stand out for its exceptional effectiveness in managing hypersensitivity. This non-invasive solution remains highly regarded for delivering durable, long-lasting relief from sensitivity. Its long-lasting effect was confirmed in a comment: “At six months, the majority of patients continue to experience marked improvement from their pre-operative sensitivity or no sensitivity at all."

PREFERRED PRODUCT AWARD WINNERS

According to www.dentaladvisor.com, “The Preferred Product Awards highlight those items that not only excel in performance but also resonate with the needs of dental practitioners.“ Products are selected for this award based on clinical evaluations and in-vitro test results, and a preferred feature is always highlighted.

1. CLEARFIL™ Universal Bond Quick 2 (Research Award and Preferred Product)

Apart from winning a Research Award, CLEARFIL™ Universal Bond Quick 2 became a Preferred Product mainly for its rapid working time, enabled by a formulation with a unique blend of proven and new monomers. It allows clinicians to apply the adhesive and begin working instantly – a feature that is very well received by the consultants: "Extremely quick application time that allowed me to get right to work. Every time saving ability is ideal." Film thickness is low and application extraordinarily easy.

2. CLEARFIL™ CERAMIC PRIMER PLUS

The fact that it is a versatile, one-step solution made CLEARFIL™ CERAMIC PRIMER PLUS become a Preferred Product in the category Indirect Restoratives – Universal Primer once again. An evaluator was particularly happy that it is “Easy to use on a variety of materials”.  While highly versatile in application, the product also stands out for delivering exceptional bond strength – especially when applied to silica-based ceramics, zirconia, and composites. Its proven performance has made it a trusted choice among clinicians around the world.

3. PANAVIA™ Veneer LC (Research Award and Preferred Product)

PANAVIA™ Veneer LC’s preferred feature is its excellent handling, as stated by the evaluators. They liked to apply and model it, as it offered the desired combination of flowability, stability, viscosity and non-stickiness. While matching try-in pastes were well-received, one evaluator particularly highlighted the opacity of the white shade: "The white shade of the cement was opaque enough for efficient masking of discolored
tooth structure."

A SHARED FOCUS ON IMPROVING PATIENT CARE

At Kuraray Noritake Dental Inc., innovation is guided by a clear understanding of clinical realities. The awards received in 2026 reflect an ongoing commitment to developing materials that balance scientific excellence with practical usability – supporting predictable outcomes, efficient workflows and improved patient care. As dentistry continues to evolve, the recognition from the Dental Advisor underscores the importance of solutions that stand the test of time. By listening closely to clinicians and investing continuously in research and development, Kuraray Noritake Dental Inc. remains focused on advancing dental science in ways that matter most – supporting dental professionals in their striving for success and for enhancing their patients’ quality of life, every day.

Case by DT Vasilis Vasiliou

MICRO-LAYERING WITH CERABIEN MiLai

No matter whether young or old, male or female: Our patients deserve a beautiful smile that matches their adjacent teeth, their face, their character and their individual needs. To be able to produce beautiful restorations that change their life for the better, we (as dental technicians) have to observe closely – and to listen attentively to the stories they tell.

‘We have to observe closely – and to listen attentively to the stories our patients tell us.’
– Vasilis Vasiliou –

Mr Andreas is a perfect example. He presented in the dental office in need of a full-mouth rehabilitation and the wish to improve the aesthetics of his smile. He asked for an age-appropriate, natural restoration design.

After careful observation and listening, I decided that the best way to restore his maxillary incisors would be with zirconia restorations. The plan was to mill the frameworks using low-value KATANA™ Zirconia YML, shade D3 (Kuraray Noritake Dental Inc.). To facilitate the integration of some natural characteristic effects, a framework design with a primarily vestibular cutback was selected. The finishing technique of choice was micro-layering with CERABIEN™ MiLai (Kuraray Noritake Dental Inc.), a porcelain designed specifically for this approach.

Important steps in the finishing procedure were:

• Characterization of the milled zirconia with colouring liquids
• Pre-treatment of the sandblasted zirconia surfaces with SS Fluoro and Margin porcelain
• Internal staining with CERABIEN™ MiLai internal stains
• Application of CERABIEN™ MiLai luster porcelains

LABORATORY WORKFLOW

Zirconia splinted crowns were designed in full contour with the aid of the Leahu Library featuring tailored tooth designs (part of the Truedental Library available for exocad DentalCAD design software; Fig. 1), cut back merely in the vestibular area using the ‘calma’ reduction option (Fig. 2), and then milled and characterized with colouring liquids to optimize the chroma.

Figure 3 shows the sintered frameworks on the model, Figure 4 the try-in in the patient’s mouth. As the fit and shape of the restorations turned out to be excellent, it was time to plan the internal staining and micro-layering procedure (Figs. 5 and 6), always trying to imitate nature as closely as possible.

The tricky part is to use the available space wisely – the reason why a detailed layering sketch is useful even when in the context of micro-layering. Once the planned layering procedure had been put to practice (Figs. 7 to 10), the surface texture was finalized and the restorations were tried in again for an aesthetic evaluation. Finally, they were cemented with the adhesive resin cement PANAVIA™ V5 (Kuraray Noritake Dental Inc.).

The beautiful treatment outcome is shown in Figure 11.

Fig. 1. Computer-aided design of the zirconia frameworks: Splinted crows displayed in a transparent mode to show the abutment teeth.

Fig. 2. Computer-aided design of the zirconia frameworks: Outer contour of the splinted crowns with a strongly elaborated surface texture and sufficient room for micro-layering.

Fig. 3. Restorations after characterization with colouring liquids and sintering on the model.

Fig. 4. Try-in of the restorations.

Fig. 7. Internal staining – specific characteristics elaborated for a natural depth effect.

Fig. 8. Layering in the cervical and body areas.

Fig. 9. Final layering with luster porcelains to complete the morphology.

Fig. 10. Final restorations after surface finishing and polishing as well as glazing on the model.

Fig. 11. Treatment outcome.

CONCLUSION

The patient was thoroughly satisfied with the treatment outcome and confident that his investment was well worth it. By tailoring my approach to his unique needs, carefully observing his teeth, smile, and facial expressions, and utilizing my extensive knowledge of materials, I was able to achieve this goal successfully.

Nonetheless, I remain committed to continuous improvement by critically evaluating each restoration and seeking areas for enhancement. My dedication to growth, supported by exceptional mentors who share innovative techniques and insights, supports me in staying at the forefront of my field, striving at consistently delivering the best possible care.

I am deeply grateful to Dr. Zinonas Evagorou for invaluable partnership and clinical expertise, which were instrumental in achieving this result.

Dental Technician:

VASILIS VASILIOU

Vasilis Vasiliou was born in Nicosia, Cyprus, and graduated from the Technical School for Dental Technicians in Athens in 2004. He has furthered his education by attending several advanced seminars led by mentors and experts in the field, such as Ilias Psarris and Nondas Vlachopoulos.

Throughout his career, Vasilis has made significant contributions to the dental community, including presenting at various conferences in Greece and publishing articles in Greek dental magazines. Since 2020, he has been a key opinion leader for MPF Brush Company and, since 2022, a HASS Ambassador.

Vasilis has been an active member of the International Team for Implantology (ITI) since 2019.

Together with his father, Vasilis runs a successful dental laboratory in Nicosia, specializing in all-ceramic and implant restorations. His extensive experience and commitment to excellence have established him as a respected professional in his field.