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          08 clinical section                                                          DENTAL TECHNOLOGY, OCTOBER-DECEMBER 2017






















          FIG 11: Veneers ready for placement                          FIG 12: Restorations on the model after CAD/CAM-supported fabrication of the ceramic veneers


















          FIG 13: Adhesive cementation of the ceramic veneers  FIG 14: Close-up of the veneers after seating  FIG 15: Texture and tooth shape look natural
          with a rubber dam in place                                                                   and harmonize with each other.





















          FIG 16: Lip appearance and portray picture with the completed restorations. The expectations of the patient have been met.




          unit for machining (Figure 11). For the fab-  oric acid for 60 seconds, rinsed under run-
          rication of the veneers, we decided to use the  ning water and dried with compressed air.
          IPS Empress CAD Multi blocks, which feature  The  veneers  were  then  conditioned  with  CONCLUSION
          a lifelike shade transition from the dentin to  silane.                            Modern  materials  in  esthetic  dentistry  allow
          the incisal. We selected a block in shade A1.  A universal primer (Monobond® Plus) was  pleasing results to be achieved with consider-
          Each  veneer  was  positioned  in  the  block  in  applied, allowed to react for 60 seconds and  ably more ease than before. It may be consid-
          such a way that the translucency of the incisal  dried.                            ered a substantial progress that the resulting
          area  matched  our  requirement.  Once  the  The  prepared  teeth  were  etched  with  37%  restorations  meet  not  only  high  esthetic
          veneers were milled, we checked their fit on  phosphoric acid gel (Total Etch) and rinsed.  requirements but also essential functional cri-
                                                                          ®
          the prepared dies of the model and assessed  Fluoride-releasing  Excite F  DSC  adhesive  teria.  State-of-the-art  planning  tools,  digital
          their contact points with each other. The sur-  was applied (without light-curing).  auxiliaries, CAD/CAM-supported manufactur-
          face  texture  was  lightly  reworked  (Figure  The veneers, which were coated with luting  ing and promising materials lead to excellent
          12).  To  achieve  a  highly  esthetic  result,  we  composite, were seated.       results  and  ensure  high  patient  satisfaction.
          additionally  characterized  the  veneers  with  The luting composite was tack-cured for 1 to  However, never mind the CAD/CAM technolo-
          Stains and Essence materials (IPS Ivocolor®)  2 seconds (Bluephase with Polywave LED) to  gies, the skills and experience of a seasoned
          before we glaze-fired them (Figure 11).    facilitate the clean-up of excess luting com-  dental technician will remain indispensable.
                                                     posite.
          SEATING THE CERAMIC VENEERS                Final light curing of all veneers for 40 sec-
          At the try-in, the shade and fit were checked.  onds
          All ten veneers showed an excellent fit in the  Removal  of  the  rubber  dam  and  occlusal
          mouth. The next step was adhesive bonding.  check. At the last step, the restorations were
          Prior to the bonding procedure, a rubber   polished.                                 About the AUTHORS
          dam was placed to isolate the treatment field  The  ceramic  restorations  show  an  appealing
          and keep it dry. As the natural teeth were not  esthetic appearance in the mouth and harmo-            Cyril Gaillard
          discoloured, we were able to use a translucent  nize beautifully with the smile of the young           Jérôme Bellamy
                                                                                                                 14 Rue Montesquieu
          luting  composite  (Variolink®  Esthetic)  to  patient. The planned situation was accurately
                                                                                                                 33000 Bordeaux
          insert the veneers (Figure 13). The veneers  transferred  to  the  final  restoration  (Figures        France
          were seated using the following protocol:  14 to 16).                                                  contact@cyrilgaillard.com
           The restorations were etched with hydroflu-
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