Aesthetic case

LabLine magazine is an English language publication catering to the field of lab-side dentistry. It provides comprehensive coverage of the latest techniques and trends in dental laboratory technology and materials, showcasing them via sophisticated, challenging and aesthetic clinical cases done by some of the most known experts in Europe. With its expertly curated content, LabLine serves as an invaluable resource for dental professionals seeking to enhance their knowledge and stay at the forefront of the industry.

 

In the SPRING edition of LabLine you can find a wonderful AESTHETIC CASE by Mikel Villar Gonzales and DT Pilar Ballesteros Galan. The patient, a 21-year-old female had a hypoplasia defect on her permanent teeth, 1.1 and 1.2., presumably due to trauma on her deciduous anterior teeth. Click the image below and check out how the case was done!

 

 

This aesthetic case

Case by Dr. David Garcia Baeza and DT. Pilar Ballesteros Galan

 

Shade determination in the planning phase, shade evaluation at try-in: How is it possible to accomplish these highly important tasks in the production of lifelike anterior restorations without meeting the patient in person? A computer-based shade documentation and try-in system is a great solution. Download this clinical case example describing the aesthetic restoration of two maxillary anterior teeth to learn more about one such system and its use!

 

 

Laminate veneer restoration using KATANA™ Zirconia STML prostheses

Case by Dr. Yohei Sato, DMD, PhD, Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine, JAPAN and Dr. Keisuke Ihara, CDT, i-Dental Lab, JAPAN

 

Fig. 1. The patient was referred to our hospital by an orthodontist. The chief complaints were improper esthetics of the teeth due to black triangles at the edges of the gaps between the teeth and occlusal wear of the teeth.

 

Fig. 2. On the basis of the pre-treatment diagnosis using a mockup, the abutments were prepared without anesthesia, keeping in mind that the enamel should be preserved to the extent possible.

Fig. 3. Since a fixation retainer was installed on the palate side, it was difficult to take impressions using silicone. Therefore, an intraoral scanner for impression taking was used.

 

Fig. 4. A layer of porcelain on each of KATANA™ Zirconia STML substrates was applied to complete the laminate veneer resto-rations. The inner surface of each restoration was sandblasted, being careful to prevent chipping.

 

Fig. 5. After trial fitting, bonding inhibiting substances as blood and saliva were removed using KATANA™ Cleaner.

 

Fig. 6. Milling. CLEARFIL™ CERAMIC PRIMER PLUS, which contains the phosphoric ester monomer MDP, was applied and dried using compressed air.

 

Fig. 7. The surface of each tooth was cleaned and treated with K-ETCHANT Syringe for 10 seconds before washing it away with water and compressed air-dried the area.

 

Fig. 8. PANAVIA™ V5 Tooth Primer was applied and left it for 20 seconds, then compressed air-dried it.

 

Fig. 9. PANAVIA™ Veneer LC Paste was applied and the laminate veneer was seated. For this case, we treated six teeth during one session.

 

Fig. 10. The unpolymerized excess paste was removed with a brush. PANAVIA™ Veneer LC Paste is a light-cured type, which was designed to provide sufficient working time.

 

Fig. 11. This photo shows the results after the final light curing. Since the excess cement was easily removed, there were almost no cement residues.

 

FINAL SITUATION

 

Fig. 12. The photo shows the inside of the oral cavity one month after the fitting of the laminate veneer restorations. It can also be noted that the teeth’s marginal gingiva has been improved, thanks to the good fit of the laminate veneer restorations.

 

What did you miss this summer?

The vacation period is over and we all are slowly returning back to our everyday routines and work. With all the travel and holidays in the last months you might have missed this great article in the LabLine Summer edition: Graftless solutions and implant-supported monolithic zirconia fixed prostheses.

 

It is an extensive, beautiful and detailed case report created and documented by team of well known and respected KOLs: Fortunato Alfonsi, Antonio Barone, Marco Stoppaccioli, Romeggio Stefano and Vincenzo Marchio.

 

Check it out by clicking here.

 

 

Nieuwe formule voor esthetische monolithische longspan-restauraties

Door tandtechnischspecialist Daniele Rondoni

 

Wil je de esthetiek van keramisch materiaal verbeteren - vooral de translucentie - dan gaat dat vaak ten koste van de buigsterkte. Bij het nieuwe KATANA™
Zirconia YML van Kuraray Noritake Dental Inc. ligt dat anders. De onderste helft van de blank heeft een hoge buigsterkte van 1100 MPa, terwijl het bovendeel van de body en de incisale gebieden een hoge translucentie hebben. Dat geeft grote esthetische mogelijkheden. Onderstaande casus toont dit aan.

 

Fig. 1. 4-delige en 6-delige bruggen van KATANA™ Zirconia YML na frezen en sinteren. Bij esthetischemonolithische restauraties is het belangrijk dat de vestibulaire oppervlaktetextuur natuurlijk oogt.

 

Fig. 2. De twee bruggen op het model na ultramicrolayering met CERABIEN™ ZR FC Paste Stain (Kuraray Noritake Dental Inc.).

 

Fig. 3. Ingekleurde en geglazede restauraties en hun translucentie bij doorvallend licht.

 

EIND SITUATIE

 

Fig. 4. Buccale aanblik van de 6-delige brug gecementeerd in de mond van de patiënt.

 

Fig. 5. Buccale aanblik van de 4-delige brug gecementeerd in de mond van de patiënt.

 

Dankzij dit nieuwe type multi-layered zirkoniumoxide kunnen zelfs esthetische monolithische restauraties worden vervaardigd die geschikt zijn voor het anterieure gebied. Het product geeft een hoge mate van ontwerpflexibiliteit. De hoge translucentie in het incisale gebied zorgt voor een natuurlijke uitstraling na het sinteren. De ultra-microlayering en het glazen op het monolithische oppervlak geeft een natuurlijk resultaat, waar patiënten blij mee zijn.

 

 

 

Daniele Rondoni | Master Dental Technician (meester-tandtechnicus)
 


Geboren in Savona in 1961, waar hij woont en sinds 1982, samen met zijn medewerkers, werkt in zijn eigen praktijk. In 1979 afgestudeerd aan de tandheelkundige opleiding IPSIA P. Gaslini in Genua. Hij vervolgde zijn opleiding via relevante workshops bij de Italiaanse School voor Tandheelkunde en verdiepte zijn professionele ervaring in Zwitserland, Duitsland en Japan. Sinds 2011 fungeert hij als instructeur van Kuraray Noritake Dental International.