Metal-Ceramic esthetics

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Figs 1 to 3: Clinical starting situation

Fig. 4: X-ray results of the starting situation

Fig. 6 to 8: Photo series for the esthetic analysis

Fig. 5: The temporary restoration. For three months it was tested on function and esthetics and continually adjusted

Figs 9 to 10: Measurements according to the Digital Smile Design concept by Dr Christian Coachman

Fig. 11: The impression with visible preparation marginsanalysis

Fig. 14: Quick and easy: Application of the IPS Style Ceram Intensive Powder Opaquer to completely cover the framework.

Fig. 12: Wash firing after the very thin first application

Fig. 13: Second opaque firing

Figs 15 to 16: The second opaque layer is dusted with dry IPS Style Ceram Deep Dentin and Margin powder materials.

Figs 17 to 19: The fired results

Fig. 20: The dentin build-up begins with a generous application of IPS Style Ceram Deep Dentin up to the middle third

Figs 21 to 23: Continuing the build-up with IPS Style Ceram Dentin to achieve the anatomical shape, followed by the cut-back to allow space for the patient individual design

Fig. 24: View of the palatal build-up, which contributes to the illusion of depth and essentially to an overall life-like appearance

Fig. 25: Steps towards creating mamelons: The stability of IPS Style materials during application and the edge stability are particularly apparent here

Fig. 26: Final layering effects. The wide variety of IPS Style Impulse and Effect materials allow ceramists to fully indulge in their passion

Fig. 27: Eagerly awaited: The results after the first dentin bake firing. The shape and shade are already impressive. We are particularly pleased about the low shrinkage, which will save us time

Fig. 28: The occlusal view shows clearly that the built-up shape was maintained during firing. Here are the fired results after the application of IPS Style Ceram Incisal I3 on the occlusal surfaces

Fig. 29: A good result after the final dentin firing: oral view of the crowns, without individualizations

Figs 30 to 32: Checking the results after the application of stains and after the glaze firing. The translucency, the shade and light transmission are pleasing to the eye from all perspectives (angles)

Figs 38 to 41: A trick we used: The deliberate incorporation of Carabelli cusps to avoid a cross-bite and to achieve an even distribution of masticatory forces. Even though this shape is different from the patient’s original bite,

Figs 42 to 43: The finished upper crowns after having been polished, as given to the dentist.

Figs 44 to 52: Careful examination of the surface texture and tooth shape

Figs 33 to 37: Checking the results after the application of stains and after the glaze firing. The translucency, the shade and light transmission are pleasing to the eye from all perspectives (angles)

Fig. 53: X-ray examination and checking the fit

Figs 54 to 71: The patient is confident and self-assured once again. Is this still the same metal-ceramic as we know it?

Confident smile