Shade Selection
Recommended Shade Guides: Vita Lumin or Vita 3D-Master Shade Guide.


GENERAL CONSIDERATIONS

Technique Tips

  • Ensure even reduction of the anatomic form.
  • Provide enough room for the ceramic to allow adequate strength.
  • Sharp transitions and sharp internal edges/line angles or undercuts MUST be avoided.
  • Margins should have a pronounced chamfer or shoulder with butt joint margins. Avoid tapered margins, feathered edges or bevelled shoulders.
  • Ensure there is an adequate path of insertion.

Suggested Margin Preparation

 
  • Shoulder with rounded axio-cervical line angle, uniform circular ablation.
 
  • Chamfer preparation (with reduced mechanical support of the crown). Particularly used with reduced substructure (e.g., after repeated crowning).

Common Preparation Errors

  1. Insufficiently defined and finished preparation margins.
  • Uneven preparation limit ("gutter" preparation, vertical unevenness).
  • Irregular marginal reduction of layers (horizontal unevenness).
  • Wrong shape of preparation limit.
  • Unnecessarily deep subgingival preparation.
  • Preparation in root dentin.
  1. Poorly controlled tooth reduction.
  • Excessive reduction, especially in the upper anterior teeth (vestibular) and premolars.
  • Excessive incisal/occlusal reduction causing reduced retention and stability.
  • Insufficient reduction at the palatal side of the upper anterior teeth (malfunction occlusion).
  • Excessive taper.
 
  • Incorrect preparation of the labial surface: Preparation in one plane; therefore insufficient reduction of substance. Fracture of the crown may result due to insufficient wall thickness of the crown.
 
  • Incorrect preparation of the labial surface, risk of damage to the pulp.

ANTERIOR CROWN PREPARATION



  • Reduce lingual surface 1.5 mm at the area of centric contact (not less than 1.0 mm) and 0.8 to 1.0 mm along the remaining lingual surface.





  • Incorporate taper of 8 to 10 degrees (never more than 12º)





  • Tooth preparation length should reflect a 1.5 to 2.0 mm occlusal (incisal) reduction.

  • Original position of teeth.
   
  • Preferred final position of teeth.
   
  • Actual preparation required to achieve preferred final position of teeth.

ANTERIOR 3-UNIT BRIDGE PREPARATION




Technique Tips

  • Very important: Ensure there is adequate space occlusal-gingivally and buccal-lingually for interproximal joints.
  • In the anterior region, the connector dimensions are to be 4 mm (occlusal-gingival) and 4 mm (buccal-lingual).
  • In the premolar region, connector dimensions are to be 5 mm (occlusal-gingival) and 4 mm (buccal-lingual).
  • Maximum pontic spans will vary from patient to patient depending on the tooth position, size, condition and arch position of the retainers.
  • Pontic spans should not exceed 9 mm posterior to canine and 11 mm anterior to canine.
  • Measurements for this determinant are made from the unprepared abutment surfaces next to the edentulous space.

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