focus

Here are some clarifications of what I have done:

E-max impulse V1 same day veneers

Patient had suffered accident and lost part of her front teeth.

First pictures are just how I analyze her other teeth for any additional trauma and what kind of texture she have on her other teeth.

Treatment started at 8.00 local anesthesia and minimal prepping of teeth (400um). Design process was 80% biocopy and only missing edge was designed individually. This really helps with design because when you give the software what 80% of the teeth should be then program gives a great initial proposal. This way design process was less than 10minutes.

Anterior teeth really need a lot of handling after milling. Surface texture must be handmade. Some parts are roughened and some parts are polished and line angles are made clearer. Glaze only emphasize surface textures not other way around. I made a two rounds with e-max stains to get everything right.

Material e-max Impulse is a great material for anterior teeth. I used Impulse V1 here. It is a medium translucency (versus high translucency and low translucency) After first staining there were some parts that were too see though so I added some more stain called crema to mask area lacking tooth structure and to create mamellon effect.

At 12.00 I bonded laminates in place. I used variolink veneer cement.

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