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Inside Dental Technology
April 2016
Volume 7, Issue 4
Peer-Reviewed
Fig 1. Preoperative photo showing chipped and worn anterior teeth.

Figure 1

Fig 2. Retracted pre-op view of teeth in MIP.

Figure 2.

Fig 3. Incisal view of anterior teeth showing rotations and spacing at presentation.

Figure 3

Fig 4 and Fig 5. Occlusal views of the patient at initial presentation.

Figure 4

Fig 4 and Fig 5. Occlusal views of the patient at initial presentation.

Figure 5

Fi 6. Mandibular incisal wear pattern on the incisors and cuspids.

Figure 6

Fig 7. Orthodontic endpoint; note the spaces created to allow for equilibration and restorative material.

Figure 7

Fig 8. Palatal view of tooth preparations with finish lines at the apical extent of the wear facet.

Figure 8

Fig 9. Articulated casts of the tooth preparations.

Figure 9

Fig 10. Final feldspathic veneers bonded to the teeth.

Figure 10

Fig 11. As the teeth being prepared are within a reasonable color range the restorations can be fabricated using a more transparent restorative material

Figure 11

Fig 12. The study cast of the provisional is mounted using the reference table and transferred from the Kois Dento-Facial Analyzer.

Figure 12

Fig. 13 Cross-mounted working model; the physical references from the articulator can now be used to design the final restorations to duplicate the tooth position of the provisional.

Figure 13

Fig 14. Completed restorations on the articulated stone woking-cast to verify against the references.

Figure 14

Fig 15. The first layer of sintered ceramic on the refractory dies, used as a base layer to control the transparency and value of the final restorations.

Figure 15

Fig 16. As the dentin layer of ceramic is built it can be verified against the platform on the articulator to ensure sufficient space is left for the characterization of subsequent layers.

Figure 16

Fig 17. Contouring of the restorations begins by aligning the mid-line with the pin on the articulator and adjusting the central incisors to the appropriate incisal plane.

Figure 17

Fig 18. The following restorations are added and then adjusted to the platform and contoured.

Figure 18

Fig 19. Patient's smile with completed restorations bonded and the posterior teeth equilibrated.

Figure 19

Fig 20. Retracted MIP of the final restorations.

Figure 20

Fig 21. The final restoration on #27 fractured whilst patient was asleep.

Figure 21

Fig 22. Fabrication of the flat-plane nightguard.

Figure 22

Fig 23. Seated flat plane maxillary night guard.

Figure 23

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