Pushing the Esthetic Button:
Veneer Rehabilitations in the Digital Workflow

Dr. Mahmoud Ezzat Ghazi
Dentist, Cairo, Egypt 

More and more patients wish to have their smiles optimized with veneers. For such cosmetic procedures, practitioners have always looked for materials with a natural play of colors and light, which provide a thin-layer thickness for minimally invasive treatments. The hybrid ceramic VITA ENAMIC multiColor with an integrated color and translucency gradient finally offers the chance of highly esthetic and very efficient CAD/CAM restorations [1]. The stable dual-network structure [2] consists of a porous pre-sintered and polymer-infiltrated feldspar ceramic and enables layer thicknesses up to 0.2 millimeters [3] with absolutely precise marginal areas [4]. In combination with the Digital Smile Design (DSD), the final outcome becomes predictable and can be anticipated with the patient. In the following case report, Dr. Mahmoud Ezzat Ghazi presents the digital and manual steps necessary by the laboratory and dental practice to successfully rehabilitate in the esthetic zone. 

VITA ENAMIC multiColor veneer restoration: Initial situation vs. result

The new esthetic zone showed a natural play of light and colors. The initial situation with a gummy smile & short incisors in the esthetic zone.

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Clinical Case Studies Overview

Success strategy for high loads

Time efficiency: Restorations in one session

  • [1] Steinbrenner H. Multichromatic and highly translucent hybrid ceramic Vita Enamic. Int J Comput Dent 2018; 21(3): 239-250.
  • [2] Coldea A, Swain MV, Thiel N. In-vitro strength degradation of dental ceramics and novel PICN material by sharp indentation. J Mech Behav Biomed Mater 2013 Oct; 26: 34-42.
  • [3] Dirxen C, Blunck U, Preissner S. Clinical performance of a new biomimetic double network material. Open Dent J 2013 Sep 6; 7: 118-22.
  • [4] Azarbal A, Azarbal M, Engelmeier RL, Kunkel TC. Marginal Fit Comparison of CAD/CAM Crowns Milled from Two Different Materials. J Prosthodont 2018 Jun; 27(5): 421-428.