Make the Buccal Have 3D!

As many stain and glaze classes as we have had at Digital Enamel, Ya’ll, most people want to know about fissures and occlusal staining.  I think the side that really matters is the buccal surface!    It’s gonna really make that restoration look so much better if a little effort is placed into it.    

This case had two porcelain-fused-to-metal crowns that had recurrent caries.   One of the things that I like about full ceramics is that the restorations are radio-lucent, unlike these PFM’s.   You never really know what you’re going to find under those radio-opaque crowns!   PFM’s are the usual culprit, but what about zirconia???…….   I’ll leave that for another topic.

 

The case was scanned into the CEREC system with the Primescan.    The CEREC 5.1 software was used.   I used the BioCopy method to duplicate the bite patterns.

 

eMax CAD restorations were milled and crystallized in a Programat CS 3 furnace.   There are multiple brown stains that can be used at the gingival 1/3, but to enhance the enamel as it approaches the darker yellow/brown of the CEJ, a little eMax Ceram Fluo was placed.   This is an excellent glaze that has a lot of fluorescence and white in it, but it isn’t too white, like “white stain.”    Using white stain here would make this very opaque.   If you’re looking for a more hypocalcified appearance, the white stain may be a better choice, but I thought this was good to make the surface appear more three-dimensional.