Case Study: Dental Restorations
The case was prepared and sent to Burbank Dental Lab to begin creating the IPS e.max restorations. Dr. Morrow-Smith requested that pressed layered e.max be used to create the patient’s new smile. This case was a combination of veneers and crowns with veneers on 6,8,9, and 11 and crowns on 7 and 10 to restore the peg laterals. The case was designed by the Smiles-By-Design team at Burbank Dental Lab following Dr. Morrow-Smith’s direction.
It was indicated that the underlying shade matched the Ivoclar Vivadent Shade Guide ND2. It is very important to take stump color into consideration to achieve the best esthetic results. In any metal-free restoration, the preparation shade will have an impact on the final result. In all-porcelain cases, the stump or preparation shade needs to be communicated clearly.
Using this information, Burbank Dental Lab created a model die the same shade as the preparation to ensure that the underlying tooth structure did not show through or affect the ceramic shade. This provided the optimum situation to fabricate a natural shade based on the patient’s actual oral situation. Creating a model die in this manner helps to ensure that when restorations are fabricated, they can be tried on these dies to have a visual of what the actual results will look like. This significantly reduces the need to correct the case due to color issues.
With the newly whitened teeth, the shade chosen was a 1M2 body with a 1M1 incisal. The final restorations closed the spaces and blended nicely within the mouth. This, along with the crown lengthening, helped to create a brighter, more youthful smile.
Helping people achieve the optimum in oral health along with exceptional esthetics is a rewarding part of our daily work. This patient can now attend his daughter’s wedding with the smile he desired. Dr. Morrow-Smith has also indicated that the patient now wants to do the lowers as well. We can’t wait to get started on those!
Burbank Dental Lab would like to thank Dr. LaJean Morrow-Smith for choosing our lab to help create this very special smile.