Material Selection for Optimal Dental Veneer Results

Choosing the most suitable material for a smile restoration is crucial to success in dentistry.

A dental veneer case must be evaluated based on three primary characteristics: esthetics, durability, and adaptability.

Dentists, dental labs, and patients must collaborate to make dental veneer cases successful through mockups, communication, and proper treatment planning. To guarantee a successful smile restoration, the dental lab and dentist must understand which materials will work best for a specific case, taking into consideration the patient’s dental history, and the existing dentition. Understanding all of these pieces and creating the proper treatment plan will guarantee a positive outcome and leave the patient with a natural, beautiful, and long-lasting smile.

Preparation

Before preparing the patient, a digital scan of the patient’s current dentition was performed using an Itero intraoral scanner.

A wax-up was created to incorporate the ideal length, shape, and function of the proposed restorations. A mockup was created and delivered to the patient for a try-in.

The patient approved the mockup, and the case was prepped and made ready for the final restorations.

This step is a great way to ensure the following:

• The mockup provides a template and preview of the final outcome.
• The patient evaluates the length, shape, embrasures, and midline and expresses any desired changes at this time.
• The clinician can check for any speech issues, such as lisps or whistling.
• Occlusion issues can also be pre-evaluated and addressed before the final restorations are fabricated.

After evaluating the mockup, the patient agreed to proceed with the restorative dental work.

Material Selection

To restore the anterior units 4-11 and create symmetry and a brighter, whiter smile, ¾ E.Max layered porcelain veneers were determined to be the best option.

Materials can have a significant impact on the success of a case. It is, therefore, essential to consider strength and aesthetics when choosing material. In addition to being strong, IPS E.max is also aesthetically pleasing.

The benefits of E.Max dental restorations:

• Excellent shade selection options to match the shades of natural teeth
• E.Max is biocompatible and does not cause allergic reactions.
• E.Max can be bonded.
• E.Max is durable and strong, making it a long-lasting restorative option.
• Preparation design can be conservative.

ZIRMAX M

To restore tooth number 12, ZIRMAX M was determined to be the best option. Additionally, it was agreed that a ZIRMAX M bridge would be the best option to restore 13-15.

ZIRMAX M is Burbank Dental Lab’s proprietary monolithic zirconia material.

ZIRMAX M has the following benefits:

• The flexural strength of ZIRMAX M is 1000 MPa.
• It can be used for single units, wide-span bridges, and full arch restorations.
• This material has up to 25% more translucency than most high-strength monolithic zirconias.
• It provides not only strength but a natural-looking result as well.
• It is a biocompatible material.

Digital Impressions

The patient was then prepared, and digital impressions were taken. The shade was selected to create a whiter and brighter smile .

Digital Files

The digital files were sent to Burbank Dental Lab to begin the case fabrication process.

The case was already worked out and approved in the mockup phase. Having the approval from the patient through the mockup helps take any guesswork out of the final fabrication process and provides the patient with a predictable familiar outcome.

E.MAX Porcelain Veneers and ZIRMAX M Restorations

The E.Max veneers were ready to be pressed, and the ZIRMAX M restorations were digitally designed and milled. An expert dental technician finished the restorations, beautifully blending the E.max veneers with the ZIRMAX M dental restorations.

Before and After Photos

After the restorations were inserted, Dr. Zakharov took an additional digital scan that was sent to Burbank Dental Lab to fabricate a maxillary hard/soft night guard.

Thank you Dr. Sergey Zakharov, DDS

DR. SERGEY ZAKHAROV, DDS

Burbank Dental Lab would like to thank Dr. Sergey Zakharov for allowing us to work on this case and for providing the photos and notes for this case study.