All-Ceramic Smile Case Study (© 2005)
Upper Wol-Ceram® Crowns &
Lower IPS Empress® Veneers
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(35min) All-Ceramic Smile Case Study (© 2005) Upper Wol-Ceram Crowns & Lower IPS Empress Veneers

Course Objectives

This presentation shows the “before” and “after” of a dental-savvy and appreciative older patient, and the necessary clinical steps for achieving a 21-unit all-ceramic smile makeover comprising 11 upper crowns and 10 lower veneers. Participants that complete the presentation will acquire useful information in many areas, including the following:

  • A discussion of the patient’s objectives and selection of restorative options
  • Preparation techniques and tips for an upper and lower, multiple crown
    and veneer case
  • Relining, adjusting and cementing lab-fabricated and office-made temporary
    restorations
  • Opening gingival embrasures and steps for preserving gingival health
    during and after treatment
  • Optional steps that can be taken to help protect prepared teeth and
    avoid post-operative sensitivity
  • Veneer placement, seating and cementation tips
  • Clean-up, adjustment, finishing, and polishing tips
  • Facial contouring, achieving adequate reduction, supragingival margins,
    breaking contacts

    • Summary

    A close-up look at many clinical techniques you can use on every case come together to make the delivery of this large, multi-unit case look easy. The case that is studied illustrates the rehabilitation of a well-aged smile with modern dental materials. Overcoming the challenges of advanced wear, spaces between teeth, and shade differences among the teeth and old PFMs, the dental savvy patient knew and achieved everything that he wanted. An analysis of the case considers the patient’s objectives, selection of a new all-ceramic crown and bridge system for the restoration of 11 upper crowns, and the preparation, temporization and placement of 10 pressed-ceramic lower veneers.

    Many practice techniques and tips are discussed and demonstrated, up close and over-the-shoulder, with compelling videography and helpful narration. Many practice tips are provided to help participants select useful tools, materials and supplies, and to efficiently prepare and temporize multiple teeth for crowns and veneers, and finish a large, multi-unit case with excellent results.

    CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgement regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.

    References

    Blaes JA. Making esthetic provisionals. N Y State Dent J 2004;70(4):24-7.
    Shavell HM. The periodontal-restorative interface in fixed prosthodontics: tooth preparation, provisionalization, and biologic final impressions—Part II. Pract Periodontics Aesthet Dent. 1994 Apr;6(3):49-60.
    Shavell HM. The periodontal-restorative interface in fixed prosthodontics: tooth preparation, provisionalization, and biologic final impressions—Part I. Pract Periodontics Aesthet Dent. 1994 Jan-Feb;6(1):33-44.
    Shuman IE. Aesthetic treatment with a pressed ceramic veneer material: case reports. Dent Today. 2004 Nov;23(11):80-4.
    Ziemiecki T. The science and art of porcelain laminate veneers. J Prosthodont. 2004 Sep;13(3):204-6.
    Priest G. Proximal margin modifications for all-ceramic veneers. Prac Proced Aesthet Dent. 2004 May;16(4):265-72.