Phuket Dental Clinic, Phuket Dentist Cosmetic and Phuket Implants By Sea Smile dental clinic Phuket.

CEREC 3D / INLAB- Digital Dentistry at its best. 1-2-3 The digital solution for a Perfect Workflow.      1) DIGITIZE      2) DESIGN      3) MILL CEREC3D step by step CEREC3D customized implant abutment –The best appearance for your dental implant. BEFORE-AFTER

SCIENTIFICALLY SECURE.   1 LONG-TERM PERFORMANCE OF CEREC RESTORATIONS   2 PRECISION   3 MARGINAL GAP   4 OCCLUSAL DESIGN   5 AESTHETICS   6 CERAMIC MATERIALS

5 AESTHETICS

5.1 POSTERIOR TEETH

CEREC inlays and onlays can be characterized with the help of ceramic stains. After they have been glazed they can be placed in the same way as laboratory-made ceramic restorations. Due to the special qualities of the CEREC ceramics (chameleon-like shade adaptation; wide choice of lightness, translucency and colour shades), staining is not necessary in most situations. The CEREC ceramics are easy to polish. In most cases the surface finish is in no way inferior to that of a glazed restoration.

Various studies testify to the good shade adaptation of CEREC ceramics. According to the criteria of the California Dental Association (CDA) 87% of the restorations were rated as excellent. According to the USPHS, the surface characteristics and shade adaptation of all the tested restorations were judged to be excellent or clinically good.

CONCLUSION If the ceramic materials are correctly chosen and properly polished, laboratory staining and glazing are unnecessary in most cases.
5.2 ANTERIOR TEETH

After they have been milled CEREC anterior crowns can be stained and glazed. Alternatively, they can be incisally trimmed and then layered using a transparent ceramic material (in cases where especially transparent incisal surfaces are required).

Thanks to their graduated shading intensities, polychromatic blocks (e.g. VITA Triluxe or Empress CAD Multi) make it easier to imitate the natural teeth.

Shading pastes (e.g. VITA Shading Paste, Ivoclar Shade and Stains Kit) and shading powders (e.g. VITA Akzent) permit the rapid characterization of anterior crowns. In simple applications shading and glazing can be combined in a single operation. Multiple firing operations are possible.

The CORRELATION programm allows the shape of the restoration to be simulated prior to milling. In many cases it is possible to create and place chairside anterior crowns during a single appointment. More sophisticated layering techniques are possible. However, these usually necessitate an indirect procedure using a physical impression and a cast model. Highly complex characterizations can be achieved in this way.

CONCLUSION Anterior crowns pose a challenge which can be accomplished during a single appointment with the help of polychromatic blocks and various characterization techniques.

5.2.1 VENEERS

More and more CEREC users are offering veneers as part of their treatment repertoire. Partial anterior crowns and veneers are frequently used as a tooth-conserving alternative to a full crown. Characterization can be performed using the methods described for anterior crowns (ceramic stains in combination with transparent ceramic layering materials).

In addition, “background shading” can be used in order to achieve natural-looking results. In this case composite shading materials are applied to the rear surface of the milled veneer. After the veneer has been placed this shading is visible through the thin sliver of ceramic material.

Fine-tuning, contouring and high-gloss polishing are performed after the veneer has been bonded to the tooth. The time input corresponds to that of a CEREC inlay.

CONCLUSION CEREC veneers are a fast, tooth-conserving alternative to anterior crowns.