Mill. Polish. Done.

In this case report, Dr. Hu Guo Dong describes how he created esthetically pleasing and long-lasting dental restorations in the anterior region in just one session.

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  "A meticulous simulation of the target situation with wax-up and mock-up, the precise tooth shade determination and a shade-accurate block selection made it possible for the esthetic zone to be restored successfully and efficiently. The patient was clearly happy with her new smile and was completely satisfied with the quick restoration results."

  Initial situation
  A 45-year-old female patient came to the dental practice because she was dissatisfied with the esthetic appearance of an old crown on tooth 11. An intraoral examination revealed a metal ceramic crown that did not match the shade of her natural residual dentition at all. The ceramic veneer appeared lifeless and the visible metallic crown margin extended directly into an exposed and darkly discolored root area. The marginal gingiva and the incisal edges of teeth 11 and 21 were at different heights, making the dental arch appear uneven and inharmonious. The incisal edge of 21 also exhibited a wedge-shaped defect. The patient wanted a new restoration for tooth 11 and the shaping of the dental arch to be harmonized. The gap between 11 and 21 was to be closed in the process. Since the patient was hoping for quick results, she declined a preliminary orthodontic treatment. The consensus was to quickly restore 11 and 21 with full crowns made of the polychromatic feldspar ceramic VITABLOCS TriLuxe forte.
  
  Solution
  Wax-up und Mock-up - Initial impressions were taken of the upper and lower jaw in order to create a wax-up of teeth 11 and 21 with the desired target situation after the situation models had been fabricated. A partial impression was taken from the wax-up using silicone. Afterwards, a scalpel was used to reduce the wax-up vestibularly into a collar shape following the course of the marginal gingiva. The silicone key was filled with dual-curing, temporary crown and bridge material in the incisal area and positioned intraorally. After the gel phase had been reached, the excess was peeled off along the marginal reduction, and the silicone key was then removed. The morphology of the wax-up remained on teeth 11 and 21, which was discussed with the patient. After slight modifications through the application of flowable composite and targeted reduction with a fine diamond, the desired actual situation was determined in consultation and then scanned. The data set was used to create an additive model for the final consultation.

  Preparation and digital workflow - Tooth shade A2 was determined using the VITA classical A1-D4 shade guide. Another silicone key was fabricated on the additive model and another intraoral mock-up was fabricated prior to preparation to allow for controlled removal of the substance with a guided preparation. In addition to preparing teeth 11 and 21 for full crowns under the microscope, a gingivectomy was also performed on 11 along the mock-up to align the marginal gingiva. This was followed by an intraoral scan of the alveolar ridges and the vestibular final bite situation with the 3Shape TRIOS 3 (Copenhagen, Denmark) and a facial scan with the 3D face scanner MetiSmile (SHINING 3D Dental, Hangzhou, China). The data sets were matched in the exocad software (exocad, Darmstadt, Germany) so that the morphological effect of the constructed crowns could be checked virtually. The constructions were then nested in the VITBLOCS TriLuxe forte block in the positioning module of the CEREC inLab CAD software. The vertical positioning and inclination of the virtual restorations in the block made it possible to adjust the shade gradient to suit the patient before applying it to the CEREC MC XL milling unit (both Dentsply Sirona, Bensheim, Germany).
  
  
  Integration and conclusion
  After separating the two restorations from the grinding pins, they were finished with fine diamond grinders and smoothed with rubber polishers. Thanks to the integrated color gradient, the restorations appeared very natural. As a result, only minimal characterizations were carried out in the cervical area using VITA AKZENT Plus BODY STAINS 03 (orange) and EFFECT STAINS 06 (rust red) and 07 (khaki). Individual nuances were created on the flanks with EFFECT STAINS 12 (gray/blue) and 13 (gray). EFFECT STAINS 12 (gray/blue), 13 (gray) and 14 (black) were used on the incisal edge to create shade effects specific to the patient. Finally, the restoration was glazed using VITA AKZENT Plus GLAZE LT. After a successful clinical try-in, the two all-ceramic crowns were incorporated fully adhesively on teeth 11 and 21. A meticulous simulation of the target situation with wax-up and mock-up, the precise tooth shade determination and a shade-accurate block selection made it possible for the esthetic zone to be restored successfully and efficiently. The patient was clearly happy with her new smile and was completely satisfied with the quick restoration results.

   

  Initial situation with the esthetically unsatisfactory metal-ceramic crown on 11.	The design of the crowns made of VITABLOCS TriLuxe forte on 11 and 21 in the CAD software.
  During the nesting process, the shade gradient of the crown could be adjusted to suit the patient through its positioning.	The two feldspar ceramic crowns before conditioning and integration.
  The feldspar ceramic crowns perfectly harmonized with the lip line.	The patient in the before and after comparison was absolutely satisfied with the fast and highly esthetic restoration results.

   

  > Download the case report as e-Paper (including literature references)

   

In this case report, Dr. Hu Guo Dong describes how he created esthetically pleasing and long-lasting dental restorations in the anterior region in just one session.

• Go to the case report

  

  "A meticulous simulation of the target situation with wax-up and mock-up, the precise tooth shade determination and a shade-accurate block selection made it possible for the esthetic zone to be restored successfully and efficiently. The patient was clearly happy with her new smile and was completely satisfied with the quick restoration results."

   

  Initial situation
  A 45-year-old female patient came to the dental practice because she was dissatisfied with the esthetic appearance of an old crown on tooth 11. An intraoral examination revealed a metal ceramic crown that did not match the shade of her natural residual dentition at all. The ceramic veneer appeared lifeless and the visible metallic crown margin extended directly into an exposed and darkly discolored root area. The marginal gingiva and the incisal edges of teeth 11 and 21 were at different heights, making the dental arch appear uneven and inharmonious. The incisal edge of 21 also exhibited a wedge-shaped defect. The patient wanted a new restoration for tooth 11 and the shaping of the dental arch to be harmonized. The gap between 11 and 21 was to be closed in the process. Since the patient was hoping for quick results, she declined a preliminary orthodontic treatment. The consensus was to quickly restore 11 and 21 with full crowns made of the polychromatic feldspar ceramic VITABLOCS TriLuxe forte.
  
  Solution
  Wax-up and mock-up - Initial impressions were taken of the upper and lower jaw in order to create a wax-up of teeth 11 and 21 with the desired target situation after the situation models had been fabricated. A partial impression was taken from the wax-up using silicone. Afterwards, a scalpel was used to reduce the wax-up vestibularly into a collar shape following the course of the marginal gingiva. The silicone key was filled with dual-curing, temporary crown and bridge material in the incisal area and positioned intraorally. After the gel phase had been reached, the excess was peeled off along the marginal reduction, and the silicone key was then removed. The morphology of the wax-up remained on teeth 11 and 21, which was discussed with the patient. After slight modifications through the application of flowable composite and targeted reduction with a fine diamond, the desired actual situation was determined in consultation and then scanned. The data set was used to create an additive model for the final consultation.

  Preparation and digital workflow - Tooth shade A2 was determined using the VITA classical A1-D4 shade guide. Another silicone key was fabricated on the additive model and another intraoral mock-up was fabricated prior to preparation to allow for controlled removal of the substance with a guided preparation. In addition to preparing teeth 11 and 21 for full crowns under the microscope, a gingivectomy was also performed on 11 along the mock-up to align the marginal gingiva. This was followed by an intraoral scan of the alveolar ridges and the vestibular final bite situation with the 3Shape TRIOS 3 (Copenhagen, Denmark) and a facial scan with the 3D face scanner MetiSmile (SHINING 3D Dental, Hangzhou, China). The data sets were matched in the exocad software (exocad, Darmstadt, Germany) so that the morphological effect of the constructed crowns could be checked virtually. The constructions were then nested in the VITBLOCS TriLuxe forte block in the positioning module of the CEREC inLab CAD software. The vertical positioning and inclination of the virtual restorations in the block made it possible to adjust the shade gradient to suit the patient before applying it to the CEREC MC XL milling unit (both Dentsply Sirona, Bensheim, Germany).
  
  Integration and conclusion
  After separating the two restorations from the grinding pins, they were finished with fine diamond grinders and smoothed with rubber polishers. Thanks to the integrated color gradient, the restorations appeared very natural. As a result, only minimal characterizations were carried out in the cervical area using VITA AKZENT Plus BODY STAINS 03 (orange) and EFFECT STAINS 06 (rust red) and 07 (khaki). Individual nuances were created on the flanks with EFFECT STAINS 12 (gray/blue) and 13 (gray). EFFECT STAINS 12 (gray/blue), 13 (gray) and 14 (black) were used on the incisal edge to create shade effects specific to the patient. Finally, the restoration was glazed using VITA AKZENT Plus GLAZE LT. After a successful clinical try-in, the two all-ceramic crowns were incorporated fully adhesively on teeth 11 and 21. A meticulous simulation of the target situation with wax-up and mock-up, the precise tooth shade determination and a shade-accurate block selection made it possible for the esthetic zone to be restored successfully and efficiently. The patient was clearly happy with her new smile and was completely satisfied with the quick restoration results.

  

  Initial situation with the esthetically unsatisfactory metal-ceramic crown on 11.

  

  The design of the crowns made of VITABLOCS TriLuxe forte on 11 and 21 in the CAD software.

  

  During the nesting process, the shade gradient of the crown could be adjusted to suit the patient through its positioning.

  

  The two feldspar ceramic crowns before conditioning and integration.

  

  The feldspar ceramic crowns perfectly harmonized with the lip line.

  

  The patient in the before and after comparison was absolutely satisfied with the fast and highly esthetic restoration results.
  

   

  > Download the case report as e-Paper (including literature references)

In this case report, Barbara Calero shows why she prefers to use polychrome VITABLOCS feldspar ceramic for highly esthetic MY PERFECT MATCH restorations when there is sufficient enamel.

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  "When there is sufficient enamel, I prefer to use polychrome VITABLOCS feldspar ceramic for my highly esthetic PERFECT MATCH restorations."

  Initial situation
  Due to trauma, teeth 11 and 21 had been restored with composite build-ups, which were now several years old. The patient was dissatisfied with the esthetics of both teeth, as she did not like their shade or shape. This is why she had wanted a new restoration for some time.
  
  Solution
  After analyzing the anterior teeth and the esthetic zone, we suggested that the patient not only have teeth 11 and 21 restoratively replaced, but also teeth 12 and 22, which were slightly tilted palatally, in order to achieve a better overall esthetic result. The treatment was planned and carried out using a mock-up. The decision was made in favor of four veneers made of the highly esthetic and polychrome fine-structure feldspar ceramic VITABLOCS TriLuxe forte 1M2.
  
  Integration and conclusion
  We used VITABLOCS TriLuxe forte because a natural chroma gradient, as well as luminous and fluorescent effects, are already integrated into the blanks. In the CAD design, the veneers could be morphologically designed as planned in the analog wax-up. The macrotexture was also taken into account, so that after the restorations had been milled from fine-structure feldspar ceramic, only small details of the microtexture had to be worked in. After the final finishing, all that was left to do was minimal characterization and glazing. With VITABLOCS TriLuxe forte, the most highly esthetic restorations can be created with minimal effort

   

  With the aid of a mock-up, the procedure was planned and the preparation was minimally invasive.	The minimally invasive preparation of 11 and 21 before the seating of the veneers.
  The enamel was etched with phosphoric acid in order to maintain a micro-retentive surface.	The fully adhesive seating of the veneers on 21 with VITA ADIVA F-CEM.
  The harmonized dental arch in the lateral view.	With VITABLOCS TriLuxe forte, the most highly esthetic restorations can be created with minimal effort.

   

  > Download the case report as e-Paper (including literature references)

   

In this case report, Dr. Julio Gomez Paris shows why he uses VITABLOCS TriLuxe forte to efficiently achieve natural dental esthetics.

• Go to the case report

   

  "I use VITABLOCS TriLuxe forte to efficiently achieve natural tooth esthetics."

  Initial situation
  A 72-year-old woman came to the practice because she was not satisfied with the esthetic appearance of her teeth. The clinical inspection revealed severely abraded and erosively damaged anterior teeth with exposed root areas.
  
  Solution
  Guided gingivectomies to harmonize the gingival collar and controlled veneer preparation in the anterior area are to be performed using a wax-up. The intraoral mock-up and the preparations were each scanned; using this information, 12 veneers were constructed from the polychrome feldspar ceramic VITABLOCS TriLuxe forte in the shade 1M2. Thanks to the light dynamics and the integrated shade gradient, only minimal characterization was required after the restorations had been finished to achieve a highly esthetic result.
  
  Integration and conclusion
  We used VITABLOCS TriLuxe forte because the patient wanted fast CAD/CAM restorations that offer a natural play of shade and light. The polychrome VITABLOCS variant features an integrated, finely nuanced shade gradient and can be quickly and precisely processed, thanks to its finely structured ceramic. In the design software, the restoration can be placed in the virtual blank in such a way that the chroma gradient can be controlled individually for each patient.

   

  It was possible to transfer the wax-up intraorally using a silicone key.	Situation in the upper jaw after guided mock-up preparation.
  The scanned preparation of the upper jaw in the CAD software.	The constructed veneers in the upper and lower jaw in the CAD software
  The veneers made from VITABLOCS TriLuxe forte following placement in the upper jaw.	The highly esthetic rehabilitation following placement of the veneers in the lower jaw.

  
  

   

  > Download the case report as e-Paper (including literature references)

In this case report, Dr. Julio Gomez Paris shows why he uses VITABLOCS TriLuxe forte to efficiently achieve natural dental esthetics.

• Go to the case report

   

  

  "I use VITABLOCS TriLuxe forte to efficiently achieve natural tooth esthetics."

   

  Initial situation
  A 72-year-old woman came to the practice because she was not satisfied with the esthetic appearance of her teeth. The clinical inspection revealed severely abraded and erosively damaged anterior teeth with exposed root areas.
  
  Solution
  Guided gingivectomies to harmonize the gingival collar and controlled veneer preparation in the anterior area are to be performed using a wax-up. The intraoral mock-up and the preparations were each scanned; using this information, 12 veneers were constructed from the polychrome feldspar ceramic VITABLOCS TriLuxe forte in the shade 1M2. Thanks to the light dynamics and the integrated shade gradient, only minimal characterization was required after the restorations had been finished to achieve a highly esthetic result.
  
  Integration and conclusion
  We used VITABLOCS TriLuxe forte because the patient wanted fast CAD/CAM restorations that offer a natural play of shade and light. The polychrome VITABLOCS variant features an integrated, finely nuanced shade gradient and can be quickly and precisely processed, thanks to its finely structured ceramic. In the design software, the restoration can be placed in the virtual blank in such a way that the chroma gradient can be controlled individually for each patient.

  

  It was possible to transfer the wax-up intraorally using a silicone key.

  

  Situation in the upper jaw after guided mock-up preparation.

   

  The scanned preparation of the upper jaw in the CAD software.

  

  The constructed veneers in the upper and lower jaw in the CAD software.

  

  The veneers made from VITABLOCS TriLuxe forte following placement in the upper jaw.

  

  The highly esthetic rehabilitation following placement of the veneers in the lower jaw. 

   

  > Download the case report as e-Paper (including literature references)

Dentist Dr. Mon Li and dental technician Sally Hsieh show how the integrated shade gradient in four layers of intensity creates a natural play of color and light in the esthetic zone.

• Go to the case report

   

  "The integrated shade gradient in four layers of intensity facilitates a natural play of shade and light in the esthetic zone."

  Initial situation
  Following root canal treatment, a 20-year-old patient was unhappy with the dark discoloration of tooth 11 that was otherwise symptom-free. X-rays showed sufficient root canal filling.
  
  Solution
  After an in-depth consultation, the patient chose a fast, all-ceramic crown restoration made of the polychromatic feldspar ceramic VITABLOCS TriLuxe forte to meet esthetic expectations, and stabilize tooth 11 for the long term. The original morphology was to be retained, which is why it was scanned prior to preparation for designing the crown. Precise determination of the shade of the adjacent tooth was carried out using VITA Easyshade V in order to be able to select the appropriate block..
  
  Integration and conclusion
  We used VITABLOCS TriLuxe forte because the patient wanted a permanent, highly esthetic crown restoration in the esthetic zone in just a single session. Thanks to the integrated shade gradient and the brilliant play of shade and light of the polychromatic feldspar ceramic blank, we were able to achieve the desired result with minimal characterization, despite the limited timeframe.

   

  The tooth shade was precisely determined using the VITA Easyshade V spectrophotometer.	The digitally determined tooth shade 2M1 was documented using the corresponding shade tab.
  It was possible to adopt the original morphology for the design of the crown.	The shade gradient can be controlled through the position of the restoration in the block.
  The finalized crown on the model after minimal characterization using VITA AKZENT Plus.	The highly esthetic result using VITABLOCS TriLuxe forte feldspar ceramic.

  
  

  > Download the case report as e-Paper (including literature references)

Dentist Dr. Mon Li and dental technician Sally Hsieh show how the integrated shade gradient in four layers of intensity creates a natural play of color and light in the esthetic zone.

• Go to the case report

   

  

  "The integrated shade gradient in four layers of intensity facilitates a natural play of shade and light in the esthetic zone."

   

  Initial situation
  Following root canal treatment, a 20-year-old patient was unhappy with the dark discoloration of tooth 11 that was otherwise symptom-free. X-rays showed sufficient root canal filling.
  
  Solution
  After an in-depth consultation, the patient chose a fast, all-ceramic crown restoration made of the polychromatic feldspar ceramic VITABLOCS TriLuxe forte to meet esthetic expectations, and stabilize tooth 11 for the long term. The original morphology was to be retained, which is why it was scanned prior to preparation for designing the crown. Precise determination of the shade of the adjacent tooth was carried out using VITA Easyshade V in order to be able to select the appropriate block.
  
  Integration and conclusion
  We used VITABLOCS TriLuxe forte because the patient wanted a permanent, highly esthetic crown restoration in the esthetic zone in just a single session. Thanks to the integrated shade gradient and the brilliant play of shade and light of the polychromatic feldspar ceramic blank, we were able to achieve the desired result with minimal characterization, despite the limited timeframe.

  

  The tooth shade was precisely determined using the VITA Easyshade V spectrophotometer.

  

  The digitally determined tooth shade 2M1 was documented using the corresponding shade tab.

  

  It was possible to adopt the original morphology for the design of the crown.

  

  The shade gradient can be controlled through the position of the restoration in the block.

  

  The finalized crown on the model after minimal characterization using VITA AKZENT Plus.

  

  The highly esthetic result using VITABLOCS TriLuxe forte feldspar ceramic.

   

   > Download the case report as e-Paper (including literature references)

Dr. Önder Özdenkaya has been an avid user of VITABLOCS TriLuxe forte since 2011 and shows how he maintains full control at every stage of production.

• Go to the case report

   

  "I would give VITABLOCS five stars because I've been using it very happily and successfully since 2011 and have full control over every fabrication step."

  Initial situation
  Our patient was unhappy with the shade and shape of his upper anterior teeth. Tooth 22 in particular appeared strongly discolored following root canal treatment and had been restored with an inadequate composite filling. Photo documentation and digital smile design clearly showed: The narrow dental arch of the anterior teeth with its palatal tilt did not harmonize with the buccal corridor. The positioning of the tooth axes was irregular.
  
  Solution
  As part of digital smile design, all esthetic parameters were optimized virtually, and an intraoral mock-up created on this basis. Following a final discussion with the patient, guided mock-up preparation was carried out (tooth 13 to 23) so that treatment would be as minimally invasive as possible and would not extend beyond the enamel to ensure optimal adhesive bonding. The tooth axes were also corrected during preparation. This was followed by CAD/CAM fabrication of five veneers and one crown on tooth 22. VITABLOCS TriLuxe forte was selected in bleach shade 0M1 in order to meet the patient's wish for teeth that were as bright as possible.
  
  Integration and conclusion
  We chose the polychromatic, bleach-colored VITABLOCS TriLuxe forte 0M1 so we could meet the patient's demanding esthetic requirements. Thanks to monolithic fabrication as part of the digital workflow, minimally-invasive removal of substance during preparation was still possible despite correcting the tooth axes.

   

  Initial situation with dark tooth color and irregular tooth axes.	The mock-up simulated the final restorations in terms of function and esthetics.
  Minimally-invasive preparations thanks to mock-up and monolithic fabrication using VITABLOCS TriLuxe forte.	Five veneers and a crown directly after the digital workflow.
  Particularly during fully-adhesive seating the irregular tooth axes were clear to see again.	The bright restorative reconstruction result with bleach-colored VITABLOCS TriLuxe forte 0M1.

  
  

   

Dr. Önder Özdenkaya has been an avid user of VITABLOCS TriLuxe forte since 2011 and shows how he maintains full control at every stage of production.

• Go to the case report

  

  "I would give VITABLOCS five stars because I've been using it very happily and successfully since 2011 and have full control over every fabrication step."

   

  Initial situation
  Our patient was unhappy with the shade and shape of his upper anterior teeth. Tooth 22 in particular appeared strongly discolored following root canal treatment and had been restored with an inadequate composite filling. Photo documentation and digital smile design clearly showed: The narrow dental arch of the anterior teeth with its palatal tilt did not harmonize with the buccal corridor. The positioning of the tooth axes was irregular.
  
  Solution
  As part of digital smile design, all esthetic parameters were optimized virtually, and an intraoral mock-up created on this basis. Following a final discussion with the patient, guided mock-up preparation was carried out (tooth 13 to 23) so that treatment would be as minimally invasive as possible and would not extend beyond the enamel to ensure optimal adhesive bonding. The tooth axes were also corrected during preparation. This was followed by CAD/CAM fabrication of five veneers and one crown on tooth 22. VITABLOCS TriLuxe forte was selected in bleach shade 0M1 in order to meet the patient's wish for teeth that were as bright as possible.
  
  Integration and conclusion
  We chose the polychromatic, bleach-colored VITABLOCS TriLuxe forte 0M1 so we could meet the patient's demanding esthetic requirements. Thanks to monolithic fabrication as part of the digital workflow, minimally-invasive removal of substance during preparation was still possible despite correcting the tooth axes.
  
  

  

  Initial situation with dark tooth color and irregular tooth axes.

  

  The mock-up simulated the final restorations in terms of function and esthetics.

  

  Minimally-invasive preparations thanks to mock-up and monolithic fabrication using VITABLOCS TriLuxe forte. 

  

  Five veneers and a crown directly after the digital workflow. 

  

  Particularly during fully-adhesive seating the irregular tooth axes were clear to see again.

  

  The bright restorative reconstruction result with bleach-colored VITABLOCS TriLuxe forte 0M1.

   

   

  
  

   

Dr. Andrés Powditch shows why VITABLOCS TriLuxe forte has been one of the most esthetic and reliable materials for decades.

• Go to the case report

   

  "I work with VITABLOCS because it has been the most esthetic and reliable CAD/CAM material since 1986. If you want to achieve the right shade and translucence, VITABLOCS TriLuxe forte is without a doubt the best CAD-CAM material to solve the problem."

  Initial situation
  A patient who was not a full-time resident in Chile presented in our dental practice because the esthetic appearance of his lower front teeth bothered him. An incisor (tooth 32) had been lost, which had caused tooth 31 and 33 to tilt and rotate. The advanced recession of tooth 31 and localized periodontitis were particularly noticeable. The patient did not want orthodontic treatment. He insisted on fast restorative treatment.
  
  Solution
  Following professional teeth cleaning, a three-dimensional X-ray image (DICOM) was taken, and virtual models (STL) of the teeth separately and in occlusion were generated by scanning intraorally. Both datasets were matched so that the bone level and tooth soft tissue could be taken into consideration in CEREC Smile Design and in the resulting model design. Based on this virtual planning, the aim was to even out the lower anterior jaw in one session by restoring tooth 42 and 41 with veneers, and tooth 33 and 31 with crowns made from VITABLOCS TriLuxe forte.
  
  Integration and conclusion
  The feldspar ceramic VITABLOCS TriLuxe forte was the ideal choice for a CAD-CAM material in this case because it offers a highly precise shade match and translucence. The VITA AKZENT Plus stain and glaze system provided an individual touch to suit the patient. Once they had been created in the practice laboratory, it was possible to seat the four restorations adhesively in just a single session.

   

  Because anterior tooth 32 was missing, tilting had occurred in the lower jaw.	Because of a localized infection, the teeth were first cleaned professionally.
  The lower jaw was scanned and a virtual model generated.	Virtual upper and lower jaw in articulation in CEREC Smile Design.
  The restorations were constructed using CEREC Smile Design.	Seated restorations made from VITABLOCS TriLuxe forte on tooth 33, 31, 41 and 42.

  
  

   

Dr. Andrés Powditch shows why VITABLOCS TriLuxe forte has been one of the most esthetic and reliable materials for decades.

• Go to the case report

  

  "I work with VITABLOCS because it has been the most esthetic and reliable CAD/CAM material since 1986. If you want to achieve the right shade and translucence, VITABLOCS TriLuxe forte is without a doubt the best CAD-CAM material to solve the problem."

   

  Initial situation
  A patient who was not a full-time resident in Chile presented in our dental practice because the esthetic appearance of his lower front teeth bothered him. An incisor (tooth 32) had been lost, which had caused tooth 31 and 33 to tilt and rotate. The advanced recession of tooth 31 and localized periodontitis were particularly noticeable. The patient did not want orthodontic treatment. He insisted on fast restorative treatment.
  
  Solution
  Following professional teeth cleaning, a three-dimensional X-ray image (DICOM) was taken, and virtual models (STL) of the teeth separately and in occlusion were generated by scanning intraorally. Both datasets were matched so that the bone level and tooth soft tissue could be taken into consideration in CEREC Smile Design and in the resulting model design. Based on this virtual planning, the aim was to even out the lower anterior jaw in one session by restoring tooth 42 and 41 with veneers, and tooth 33 and 31 with crowns made from VITABLOCS TriLuxe forte.
  
  Integration and conclusion
  The feldspar ceramic VITABLOCS TriLuxe forte was the ideal choice for a CAD-CAM material in this case because it offers a highly precise shade match and translucence. The VITA AKZENT Plus stain and glaze system provided an individual touch to suit the patient. Once they had been created in the practice laboratory, it was possible to seat the four restorations adhesively in just a single session.

  

  Because anterior tooth 32 was missing, tilting had occurred in the lower jaw.

  

  Because of a localized infection, the teeth were first cleaned professionally.

  

  The lower jaw was scanned and a virtual model generated.

  

  Virtual upper and lower jaw in articulation in CEREC Smile Design.

  

  The restorations were constructed using CEREC Smile Design.

  

  Seated restorations made from VITABLOCS TriLuxe forte on tooth 33, 31, 41 and 42.