The polychromatic feldspar ceramic block.
Mill. Polish. Done.

VITABLOCS TriLuxe forte with four-layer shade gradient makes optimized reproduction of the natural play of colors possible in the esthetic zone. Chairside treatments can be performed easily and efficiently in just one session.

The four-layer shade gradient also ensures highly esthetic results. From inlays and veneers to full crowns, VITABLOCS TriLuxe forte offers you a wide range of design options to ensure the best possible care for your patients.

Simple, efficient, and highly esthetic too

Chairside treatments can be performed easily and efficiently in just one session.

Reliable and durable

Impressive scientific and clinical data demonstrate the long-term stability of the material, both in terms of function and esthetics.

Used successfully – worldwide

Practitioners have come to rely on VITABLOCS and CAD/CAM technology as an integral part of their practice success, and for both standard and complex cases.

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 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)

Front tooth crowns are a challenging task, especially in terms of esthetics. Dr. Conejo demonstrates the successful restoration of two central incisors in this case.

Go to the case report

"The final images show that the VITABLOCS TriLuxe forte blanks selected for the patient resulted in restorations that absolutely resembled natural teeth."

Initial situation
A 25-year-old patient visited the dentist's office because she was dissatisfied with the esthetics of her crown restorations on 11 and 21. During the clinical examination, a deficient all-ceramic crown was observed on tooth 11 and a VMK crown on 21. From a morphological perspective, both crowns appeared too square and too massive. The incisal edges did not harmonize with each other, or with tooth 21 and the course of the lower lip. The all-ceramic crown on 11 was far too opaque compared to the natural dentition and therefore appeared lifeless. The shade of the VMK crown on 21 did not match the restoration of the adjacent tooth or the remaining natural tooth structure. The decision was made to provide the two teeth 11 and 21 with new crowns using the digital workflow. VITABLOCS TriLuxe forte was selected as the restoration material because the blanks have a natural appearance,⁶ are true to the VITA shade standard⁷ and have a natural shade gradient.⁸ The successful use of feldspar ceramics in the anterior region has also been proven several times in clinical studies.^{9, 10}

Solution
The crowns were slit and removed from the stumps following local anesthesia. After careful subsequent preparations and cleaning of the stumps, retraction cords were placed. Tooth shade determination followed with VITA classical A1 – D4. The shade B1 was chosen and was documented in photographs in the laboratory using the corresponding shade tabs for orientation. An intraoral scan with Primescan was used to create a virtual model in the CEREC Software 5.1, which could be used to design the crowns made of VITABLOCS TriLuxe forte. After the preparation limits had been defined, the biogeneric proposal of the software was modified. Monolithic fabrication enabled a slimmer crown design that complied with the esthetic requirements and harmonized with the morphology of the adjacent teeth. After the two restorations had been nested in the block geometry 15.5 x 19 x 39 mm for the VITA Rapid Layer Technology, the crowns could be fabricated simultaneously with CAD/CAM support in the VITA SYSTEM 3D-MASTER shade 1M1 in the CEREC MC XL milling unit.

Integration and conclusion
After the crowns had been separated from their attachments, they were ground back and the micromorphology was worked out with fine diamonds. Rubber polishers were used for smoothing. Minimal characterizations and the glaze were then applied using the VITA AKZENT Plus stain system. This was followed by an intraoral fit check with blue silicone. Finally, the restorations were conditioned on the lumen side with hydrofluoric acid and silane. Fully adhesive cementation was carried out using the universal bonding system PANAVIA V5 (Kurary Noritake, Tokyo, Japan). The final images show that the VITABLOCS TriLuxe forte blanks selected for the patient resulted in restorations that absolutely resembled natural teeth. The monolithic restorations blended harmoniously into the center of the maxillary front. Consideration of the esthetic rules and the natural morphology in combination with the right choice of material were decisive factors in the success of the treatment.

The initial situation with the unattractive crowns on teeth 11 and 21.	The tooth shade was determined using the VITA classical A1 - D4.
The nesting of the crowns in the VITABLOCS TriLuxe forte blank.	After finishing, the two crowns were clinically tried in.
A blue silicone was used to check the fit on the lumen side.	The shade effect, morphology and texture harmonized with the natural teeth and lip contour.

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

Front tooth crowns are a challenging task, especially in terms of esthetics. Dr. Conejo demonstrates the successful restoration of two central incisors in this case.

Go to the case report

"The final images show that the VITABLOCS TriLuxe forte blanks selected for the patient resulted in restorations that absolutely resembled natural teeth."

Initial situation
A 25-year-old patient visited the dentist's office because she was dissatisfied with the esthetics of her crown restorations on 11 and 21. During the clinical examination, a deficient all-ceramic crown was observed on tooth 11 and a VMK crown on 21. From a morphological perspective, both crowns appeared too square and too massive. The incisal edges did not harmonize with each other, or with tooth 21 and the course of the lower lip. The all-ceramic crown on 11 was far too opaque compared to the natural dentition and therefore appeared lifeless. The shade of the VMK crown on 21 did not match the restoration of the adjacent tooth or the remaining natural tooth structure. The decision was made to provide the two teeth 11 and 21 with new crowns using the digital workflow. VITABLOCS TriLuxe forte was selected as the restoration material because the blanks have a natural appearance,⁶ are true to the VITA shade standard⁷ and have a natural shade gradient.⁸ The successful use of feldspar ceramics in the anterior region has also been proven several times in clinical studies.^{9, 10}

Solution
The crowns were slit and removed from the stumps following local anesthesia. After careful subsequent preparations and cleaning of the stumps, retraction cords were placed. Tooth shade determination followed with VITA classical A1 – D4. The shade B1 was chosen and was documented in photographs in the laboratory using the corresponding shade tabs for orientation. An intraoral scan with Primescan was used to create a virtual model in the CEREC Software 5.1, which could be used to design the crowns made of VITABLOCS TriLuxe forte. After the preparation limits had been defined, the biogeneric proposal of the software was modified. Monolithic fabrication enabled a slimmer crown design that complied with the esthetic requirements and harmonized with the morphology of the adjacent teeth. After the two restorations had been nested in the block geometry 15.5 x 19 x 39 mm for the VITA Rapid Layer Technology, the crowns could be fabricated simultaneously with CAD/CAM support in the VITA SYSTEM 3D-MASTER shade 1M1 in the CEREC MC XL milling unit.

Integration and conclusion
After the crowns had been separated from their attachments, they were ground back and the micromorphology was worked out with fine diamonds. Rubber polishers were used for smoothing. Minimal characterizations and the glaze were then applied using the VITA AKZENT Plus stain system. This was followed by an intraoral fit check with blue silicone. Finally, the restorations were conditioned on the lumen side with hydrofluoric acid and silane. Fully adhesive cementation was carried out using the universal bonding system PANAVIA V5 (Kurary Noritake, Tokyo, Japan). The final images show that the VITABLOCS TriLuxe forte blanks selected for the patient resulted in restorations that absolutely resembled natural teeth. The monolithic restorations blended harmoniously into the center of the maxillary front. Consideration of the esthetic rules and the natural morphology in combination with the right choice of material were decisive factors in the success of the treatment.

The initial situation with the unattractive crowns on teeth 11 and 21.

The tooth shade was determined using the VITA classical A1 - D4.

The nesting of the crowns in the VITABLOCS TriLuxe forte blank.

After finishing, the two crowns were clinically tried in.

A blue silicone was used to check the fit on the lumen side.

The shade effect, morphology and texture harmonized with the natural teeth and lip contour.

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

The perfect smile – with bleached shades. The veneer case extends from tooth 14 to 24 and showcases the diversity and esthetic impact of the material.

Go to the case report

"The patient got the film-worthy smile he had always hoped for. The digital workflow resulted in an esthetic and functional restoration with feldspar ceramic veneers in a very short time."

Initial situation
A 35-year-old patient was one of those people who wanted a bright, film-worthy smile. It became clear during the initial examination why he was not satisfied with his current situation. The central incisors of the esthetic zone tended to be in end-to-end occlusion, which is why significant abrasion and chipping were also visible. This had repeatedly been treated unsuccessfully with direct composite fillings. Lateral incisor 12 was also clearly abraded. The opposing tooth 22 was outside the dynamic occlusion, due to a vestibular tilt and was not affected. The buccal corridor proved to be too large due to the narrow course of the dental arch. Veneers were planned from 14 to 24 to level the dental arch, harmonize the incisal edges, and establish a physiological bite situation at the same time.

Solution
Natural product: Feldspar ceramics - VITABLOCS TriLuxe forte feldspar ceramic was chosen as the material for the eight planned veneers. The feldspar ceramic blocks are the world's first blanks for subtractive fabrication in the digital workflow, which have been used to successfully fabricate millions of restorations over the past 35 years. Feldspar is a natural product that exhibits the same optical properties as dental tooth structure.¹It can be fabricated precisely² and with dimensional accuracy³ and is also proven to bond adhesively to non-retentive preparations.⁴ In clinical studies, veneers made of VITABLOCS have repeatedly demonstrated a high success rate.^{5, 6} During the nesting process in the polychrome block, a natural shade gradient can be adjusted to suit the patient.⁷

Digitaler Workflow - A virtual mock-up was created based on an intraoral scan (Primescan, Dentsply Sirona, Bensheim, Germany) and transferred to the patient's mouth using an additively manufactured model. A guided mock-up preparation was then carried out in order to limit the removed tooth structure to only the required amount. The treatment session was concluded with a new intraoral scan and the temporary restoration. The eight restorations were designed in the exocad software and stored virtually in the blocks. Six blanks were then produced simultaneously in the block holder with CAD/CAM support in the CORiTEC 150i PRO milling unit (imes icore, Eiterfeld, Germany). After preparation and finishing, the restorations were successively integrated with full adhesion.

Integration and conclusion
The patient got the film-worthy smile he had always hoped for. The slight shade discrepancy with the lower teeth – which could still be adjusted with bleaching – did not bother him at that point. The digital workflow resulted in an esthetic and functional restoration with feldspar ceramic veneers in a very short time. VITABLOCS TriLuxe forte proved to be a genuine economical alternative to layering on refractory casts or platinum foils, which means that these kinds of cosmetic procedures can now be offered to an even wider range of patients.

Initial situation with the severely abraded teeth 11 and 21.	he virtual mock-up was designed in the exocad software.
Six ground VITABLOCS TriLuxe forte blanks in a block holder.	The eight finished and polished feldspar ceramic veneers on the control model.
The etched preparations before application of the adhesive.	Lateral view of the bright, film-worthy smile.

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

The perfect smile – with bleached shades. The veneer case extends from tooth 14 to 24 and showcases the diversity and esthetic impact of the material.

Go to the case report

"The patient got the film-worthy smile he had always hoped for. The digital workflow resulted in an esthetic and functional restoration with feldspar ceramic veneers in a very short time."

Initial situation
A 35-year-old patient was one of those people who wanted a bright, film-worthy smile. It became clear during the initial examination why he was not satisfied with his current situation. The central incisors of the esthetic zone tended to be in end-to-end occlusion, which is why significant abrasion and chipping were also visible. This had repeatedly been treated unsuccessfully with direct composite fillings. Lateral incisor 12 was also clearly abraded. The opposing tooth 22 was outside the dynamic occlusion, due to a vestibular tilt and was not affected. The buccal corridor proved to be too large due to the narrow course of the dental arch. Veneers were planned from 14 to 24 to level the dental arch, harmonize the incisal edges, and establish a physiological bite situation at the same time.

Solution
Natural product: Feldspar ceramics - VITABLOCS TriLuxe forte feldspar ceramic was chosen as the material for the eight planned veneers. The feldspar ceramic blocks are the world's first blanks for subtractive fabrication in the digital workflow, which have been used to successfully fabricate millions of restorations over the past 35 years. Feldspar is a natural product that exhibits the same optical properties as dental tooth structure.¹ It can be fabricated precisely² and with dimensional accuracy³ and is also proven to bond adhesively to non-retentive preparations.⁴ In clinical studies, veneers made of VITABLOCS have repeatedly demonstrated a high success rate.^{5, 6} During the nesting process in the polychrome block, a natural shade gradient can be adjusted to suit the patient.⁷

Digitaler Workflow - A virtual mock-up was created based on an intraoral scan (Primescan, Dentsply Sirona, Bensheim, Germany) and transferred to the patient's mouth using an additively manufactured model. A guided mock-up preparation was then carried out in order to limit the removed tooth structure to only the required amount. The treatment session was concluded with a new intraoral scan and the temporary restoration. The eight restorations were designed in the exocad software and stored virtually in the blocks. Six blanks were then produced simultaneously in the block holder with CAD/CAM support in the CORiTEC 150i PRO milling unit (imes icore, Eiterfeld, Germany). After preparation and finishing, the restorations were successively integrated with full adhesion.

Integration and conclusion
The patient got the film-worthy smile he had always hoped for. The slight shade discrepancy with the lower teeth – which could still be adjusted with bleaching – did not bother him at that point. The digital workflow resulted in an esthetic and functional restoration with feldspar ceramic veneers in a very short time. VITABLOCS TriLuxe forte proved to be a genuine economical alternative to layering on refractory casts or platinum foils, which means that these kinds of cosmetic procedures can now be offered to an even wider range of patients.

Initial situation with the severely abraded teeth 11 and 21.

The virtual mock-up was designed in the exocad software.

Six ground VITABLOCS TriLuxe forte blanks in a block holder.

The eight finished and polished feldspar ceramic veneers on the control model.

The etched preparations before application of the adhesive.

Lateral view of the bright, film-worthy smile.

> 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.

Go to the case report

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

Go to the case report

"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, the dental laboratory Highfield Design shows that VITABLOCS TriLuxe forte also represents added value for any laboratory portfolio.

Go to the case Report

Lukas Wichnalek, Norbert Wichnalek, Arbnor Saraci und Patricia Strimb, HIGHFIELD.DESIGN, Augsburg, Deutschland

„The validated grinding strategy quickly showed that feldspar ceramic blanks provide real added value for our laboratory portfolio.“

Initial situation
A patient was diagnosed with extensive defects in the posterior region of the upper jaw on 16, 17 and 26. After removal of the old fillings and the secondary caries, it became clear due to the extent of the defect that long-term stabilization would only be possible with indirect restorations. After placing composite build-up fillings, a crown was planned on 16 and a partial crown made of the feldspar ceramic VITABLOCS TriLuxe forte, on 17 and 26. During the follow-up session, preparations were made, the situation was scanned intraorally (itero, Align Technology, Tempe, Arizona, USA) and the data set was sent to the laboratory.

Solution
Recipe for success: Validated workflow - To achieve precise, dimensionally accurate and efficient grinding results, the CAD and CAM software, the grinding unit, the tools and the milling strategy all need to work harmoniously. That means perfect interaction has to be tested in advance, a process known as validation. Material, software and machine manufacturers work together to find this recipe for success. They ensure that the CAM software used can provide the machine with precise step-by-step control commands regarding which tools need to be used when, how and in what sequence in order to achieve optimum grinding results with the lowest possible instrument wear and in the shortest possible time. The material manufacturer checks the grinding results of the technology partner until the ideal production process has been found. The relevant hardware and software requirements can be requested from the corresponding CAD/CAM system partner.

Proven grinding strategy - In this case, the imes-icore CORiTEC 350i PRO machine must first receive precise control commands from the CORiTEC iCAM V5 smart CAM software (both imes-icore, Eiterfeld, Germany) in order to carry out actions at the appropriate speed and feed rate in the individual production steps on the blank. This results in only one defined grinding speed. The immersion depth, the angle and the movement pattern of the grinding path for a specific tool geometry or grain size also needs to be defined for each work step for a restoration. The closer the grinding paths are to each other, the smoother the surface of the workpiece will be.

Controlled processes - The penetration depth determines how much material is removed with one tool revolution or how deep the tool enters into the material. Here, the following applies: the greater the penetration depth, the greater the flexural load on the instrument. As a result, it is important to weigh the time saved versus the load placed on the instruments. The geometry is first coarsely preground, which is known as roughening. Here, coarse-grained tools are used for oversized work. The final dimensions are then created during the finishing process using finer-grained tools. Information for a validated digital workflow can be found here:
1. System compatibility: After the appropriate material has been selected, the material manufacturer VITA Zahnfabrik offers a System Compatibility tab on its website (www.vita-zahnfabrik.com), where the hardware used to validate the processing of the blank is listed.
2. Processing recommendation: If the user is using an open CAD/CAM system where no material-specific processing template is stored in the CAM software, a processing recommendation for the corresponding material can be downloaded from the Downloads tab under Instructions for Use. Among other information, it contains material-specific recommended tools, processing parameters and tool paths.
3. Generic strategy: If you prefer not to enter each step of the grinding strategy manually, you can always simply select a generic strategy in the CAM software as an "emergency plan." The choice of the blank is not product-specific but simply refers to a material class (e.g., lithium disilicate, wax, etc.). However, it is important to bear in mind that generic strategies usually do not deliver the best results.

Reliable recipe for success - The validated grinding strategy with the associated CORiTEC grinding tools glass ceramics with diameters of 2.5/6.0mm, 1.0/6.0mm and 0.6/6.0mm conical were stored in the CAM software CORiTEC iCAM V5 smart (imes-icore, Eiterfeld, Germany) and were available when the material blank was selected. This was followed by nesting the constructions in the VITABLOCS TriLuxe forte blanks. The three blanks were then clamped in the block holder of the imes-icore CORiTEC 350i PRO grinding unit, and the grinding task was issued. On average, the grinding machine needed approximately 18 minutes for each restoration. The tool wear amounted to approximately 3.50 euros per restoration, with the larger diameters naturally being subjected to more of a load due to the longer use, and the smaller diameters successively less, resulting in different service lifespans. The validated grinding strategy was successful from the very start and produced absolutely precise and highly monolithic, esthetic restorations.

Integration and conclusion
The history of VITABLOCS must be rewritten and clarified. The historical misconception that this is only a CEREC material has been clearly refuted. In the case presented, a validated grinding strategy was able to quickly demonstrate that feldspar ceramic blanks have provided true added value to laboratory portfolios for many years. The ceramic formula, the shade fidelity to the VITA shade standard and the natural shade gradient provide a fundamental basis for achieving the right shade and a toothlike effect.10 With the block holders, up to six blocks can be processed simultaneously on the imes-icore CORiTEC 350i PRO, ensuring that the grinding unit is used to its full capacity. In a very short time, economic and highly esthetic single-tooth restorations were created with absolute precision in the digital workflow, representing added value for any laboratory.

Initial condition with preparations at 16, 17 and 26.	Cranial view of the incorporated restorations.
Function check of the exocad software's virtual articulator.	Block holders for three or six blanks are available for the imes-icore CORiTEC 350i PRO grinding unit.
In a very short time with the validated grinding strategy absolutely precise and lifelike restorations were created.	Harmonious transition between restoration and tooth on partial restoration 26.

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

In this case report, the dental laboratory Highfield Design shows that VITABLOCS TriLuxe forte also represents added value for any laboratory portfolio.

Go to the case Report

„The validated grinding strategy quickly showed that feldspar ceramic blanks provide real added value for our laboratory portfolio.“

Initial situation
A patient was diagnosed with extensive defects in the posterior region of the upper jaw on 16, 17 and 26. After removal of the old fillings and the secondary caries, it became clear due to the extent of the defect that long-term stabilization would only be possible with indirect restorations. After placing composite build-up fillings, a crown was planned on 16 and a partial crown made of the feldspar ceramic VITABLOCS TriLuxe forte, on 17 and 26. During the follow-up session, preparations were made, the situation was scanned intraorally (itero, Align Technology, Tempe, Arizona, USA) and the data set was sent to the laboratory.

Solution
Recipe for success: Validated workflow - To achieve precise, dimensionally accurate and efficient grinding results, the CAD and CAM software, the grinding unit, the tools and the milling strategy all need to work harmoniously. That means perfect interaction has to be tested in advance, a process known as validation. Material, software and machine manufacturers work together to find this recipe for success. They ensure that the CAM software used can provide the machine with precise step-by-step control commands regarding which tools need to be used when, how and in what sequence in order to achieve optimum grinding results with the lowest possible instrument wear and in the shortest possible time. The material manufacturer checks the grinding results of the technology partner until the ideal production process has been found. The relevant hardware and software requirements can be requested from the corresponding CAD/CAM system partner.

Proven grinding strategy - In this case, the imes-icore CORiTEC 350i PRO machine must first receive precise control commands from the CORiTEC iCAM V5 smart CAM software (both imes-icore, Eiterfeld, Germany) in order to carry out actions at the appropriate speed and feed rate in the individual production steps on the blank. This results in only one defined grinding speed. The immersion depth, the angle and the movement pattern of the grinding path for a specific tool geometry or grain size also needs to be defined for each work step for a restoration. The closer the grinding paths are to each other, the smoother the surface of the workpiece will be.

Controlled processes - The penetration depth determines how much material is removed with one tool revolution or how deep the tool enters into the material. Here, the following applies: the greater the penetration depth, the greater the flexural load on the instrument. As a result, it is important to weigh the time saved versus the load placed on the instruments. The geometry is first coarsely preground, which is known as roughening. Here, coarse-grained tools are used for oversized work. The final dimensions are then created during the finishing process using finer-grained tools. Information for a validated digital workflow can be found here:
1. System compatibility: After the appropriate material has been selected, the material manufacturer VITA Zahnfabrik offers a System Compatibility tab on its website (www.vita-zahnfabrik.com), where the hardware used to validate the processing of the blank is listed.
2. Processing recommendation: If the user is using an open CAD/CAM system where no material-specific processing template is stored in the CAM software, a processing recommendation for the corresponding material can be downloaded from the Downloads tab under Instructions for Use. Among other information, it contains material-specific recommended tools, processing parameters and tool paths.
3. Generic strategy: If you prefer not to enter each step of the grinding strategy manually, you can always simply select a generic strategy in the CAM software as an "emergency plan." The choice of the blank is not product-specific but simply refers to a material class (e.g., lithium disilicate, wax, etc.). However, it is important to bear in mind that generic strategies usually do not deliver the best results.

Reliable recipe for success - The validated grinding strategy with the associated CORiTEC grinding tools glass ceramics with diameters of 2.5/6.0mm, 1.0/6.0mm and 0.6/6.0mm conical were stored in the CAM software CORiTEC iCAM V5 smart (imes-icore, Eiterfeld, Germany) and were available when the material blank was selected. This was followed by nesting the constructions in the VITABLOCS TriLuxe forte blanks. The three blanks were then clamped in the block holder of the imes-icore CORiTEC 350i PRO grinding unit, and the grinding task was issued. On average, the grinding machine needed approximately 18 minutes for each restoration. The tool wear amounted to approximately 3.50 euros per restoration, with the larger diameters naturally being subjected to more of a load due to the longer use, and the smaller diameters successively less, resulting in different service lifespans. The validated grinding strategy was successful from the very start and produced absolutely precise and highly monolithic, esthetic restorations.

Integration and conclusion
The history of VITABLOCS must be rewritten and clarified. The historical misconception that this is only a CEREC material has been clearly refuted. In the case presented, a validated grinding strategy was able to quickly demonstrate that feldspar ceramic blanks have provided true added value to laboratory portfolios for many years. The ceramic formula, the shade fidelity to the VITA shade standard and the natural shade gradient provide a fundamental basis for achieving the right shade and a toothlike effect.10 With the block holders, up to six blocks can be processed simultaneously on the imes-icore CORiTEC 350i PRO, ensuring that the grinding unit is used to its full capacity. In a very short time, economic and highly esthetic single-tooth restorations were created with absolute precision in the digital workflow, representing added value for any laboratory.

Initial condition with preparations at 16, 17 and 26.

Cranial view of the incorporated restorations.

Function check of the exocad software's virtual articulator.

Block holders for three or six blanks are available for the imes-icore CORiTEC 350i PRO grinding unit.

In a very short time with the validated grinding strategy absolutely precise and lifelike restorations were created.

Harmonious transition between restoration and tooth on partial restoration 26.

>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

Dr. Julio Gomez Paris, Rosario, Argentina

"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

Dr. Mon Li und ZT Sally Hsieh, Taipei, Taiwan

"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.