Zirconia Ceramic Restoration for Partial Anodontia Treatment- Alina’s Story

Dental bridges for front teeth - Before and after

Full mouth zirconia ceramic restorations for a patient with partial anodontia

Agenesis of permanent teeth, also known as partial anodontia, is a common problem. Recent studies have shown that the incidence of anodontia is increasing. When lateral incisors are missing, parents, dentists and orthodontists are tasked to make the right decisions at an early stage – i.e. during the early years of the young patient’s life. Furthermore, this early decision will determine the dental health and physical appearance of the patient for a whole lifetime.

For full-arch rehabilitations of young patients suffering from dental agenesis dental implants may not be the right choice. This especially includes patients the under age of 25.

If a patient with congenitally missing lateral incisors and consequently, impaired masticatory function is not treated appropriately, this may lead to TMJ dysfunction, gingival recession, tinnitus, and a collapse of the vertical dimension.

The question facing the treatment team is: Should existing gaps be closed, or should they rather be left alone? By closing gaps orthodontically, prosthetic rehabilitation can be dispensed with, but at the cost of compromising both aesthetics and function. Objective factors and a short-term prognosis, both of which would favor closing the edentulous spaces by moving the canines, include: overbite, lip support, tooth color, tooth shape, and root position.

The long-term prognosis, however, shows that modifying the intraoral static relationship and function will change a patient’s overall physical appearance.

Maintaining the gaps is very complex, requiring an interdisciplinary treatment, where an accurate analysis of the occlusion and individual treatment planning are determining factors for success.

This step-by step video presents the individual treatment planning and esthetic dental solution.

Orthodontist: Prof. Andrea Wichelhaus, Alexander Keller,

Restorative Team: Dr. Reza Saeidi Pour, MDT  Otto Prandtner

Zirconia CAD/CAM Technology

Step by step pre-treatment of a full contour zirconia bridge

Material guideline with pre-sintering modification tips and tricks for a zirconia framework.

This video presents the first zirconia with inherent  tooth-like fluorescence. Furthermore the achievement of high translucency is optimized for full-contour anterior and posterior restorations.

 

3 unit dental bridge with monolithic zirconia

Zirconia restoration: Lava Esthetic with MIYO Glaze

A variety of all-ceramic materials are available today. Therefore, the treatment team must choose the optimum all-ceramic material for particular clinical situations. This tutorial describes the guideline, properties of Lava Esthetic in combination with the MiYO esthetic finishing system.

MiYO® Esthetic System is a replacement for existing stain and glaze processes. Therefore, it’s a simple and easy way to match shades and get the depth and translucency needed on monolithic or cutback crowns.

It is an alternative and efficient way to create highly characterized restorations that rival esthetics typically only seen with hand-layered restorations.

 

 

 

Lava Plus 3m - Step by Step

Esthetic shading of the zirconia bridge

The InSync ceramic system provides the ability to create depth and value with a simple systematic approach, setting the ground work to expand our palate of colors and sync our work with what nature has defined for us.

Optimized for Use with 3M ESPE Lava Plus High Translucency Zirconia.

Layering ceramic with Insync ZR

Achieving natural and esthetic shading of zirconia ceramic restorations

After many years of testing and working with other low fusing ceramic porcelains our team has come to this conclusion.

After multiple firings the vitality of the InSync Layering Ceramic was easier to control.

Ceramic Glaze

Glaze Material Test

Temperature and material thickness is essential for the esthetic result

We like to rely on a glaze material which performs just perfect at a low temperature. As a result, the glaze material should not change any esthetic features of the high esthetic build-up porcelain, lithium disilicate or zirconia restoration.

The glaze test was performed in a calibrated Dekema D4 furnace. By placing the test material on an elevated platinum foil platform. The firing of the MiYO® glaze material showed no discoloration.

 

 

 

 

Dental restoration training with MiYO® Esthetic System

Esthetic dental restorations with zirconia and lithium disilicate

The MiYO® Esthetic System gives dental technicians the ability to create ultra-thin layered esthetic restorations that rival nature.