Hand-Layered & Pressed
Esthetic porcelain veneers can be used in a variety of situations. Take a look at this unique case New Image Dental Laboratory fabricated in partnership with Dr. Kenneth Murphy of Atlanta. The case is fully documented below.
This complex restorative case combined Empress Esthetic veneers and IPS e.max crowns. The centrals were a challenging combination of a Zirconia abutment and e.max crown for #8 along with an e.max crown on #9. The implant crown is very slightly out of occlusion for functional purposes. Empress Esthetic veneers on teeth # 5, 6, 7, 10 , 11, and 12 completed the total maxillary transformation.
Presurgical/Diagnostic: The patient presented with a history of childhood trauma for teeth #8 and 9. Tooth #9 had a previous crown restoration. Tooth #8 failed due to external resorption.
Treatment Objectives: The patient was interested in correcting his midline discrepancy and improving anterior esthetics.
Treatment Plan: Dr. Murphy advised the patient of the need to extract tooth #8 and replace with an implant/crown. He also suggested orthodontic treatment with which the patient complied. A provisional was placed on tooth #9 during the orthodontic treatment.
Esthetic Planning: New Image Dental Laboratory fabricated a diagnostic wax-up to finalize desired esthetics. The patient reviewed and accepted the wax-up.
Surgical: The oral surgeon placed a Nobel Active 4.3mm at tooth #8.
Challenge: The patient had some difficulty with his provisionals as he was not very careful with his chewing and a few had to be replaced.
Outcome: The patient was very happy with his new smile. He said he will have to relearn how to smile. From the looks of the photos, mission accomplished!
Diagnostic wax up:
Soft tissue model with implant analog:
Custom zirconia abutment:
Zirconia abutment on soft tissue model (Note the ideal shoulder preparations):
Finished e.max crowns #8, 9 and Empress Esthetic veneers
on # 5, 6, 7, 10, 11, 12: