Dentaltown August 2018 - 33
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Fabrication of final restorations
With computer-aided manufacturing (CAM) technology, lithium disilicate blocks
(e.g., IPS E.max CAD) are milled into restorations, rather than using traditional pressed
processes, to impart monolithic strength to the restorations.4 Using in-office wet milling
technology (e.g., E4D/Planmeca), simple restorations can be completed in one visit, while
more complex treatments can be completed much more efficiently.
The monolithic properties of machinable lithium disilicate also contribute to its
high aesthetics. With a single ceramic block, a full-contour restoration fabrication
eliminates the challenges associated with working with different materials.5 Although
lithium disilicate achieves high aesthetics without the need for layering,6 it can be layered,
stained and glazed for more individualized characterization and anterior restorations.7
Fig. 20: The restoration design was
superimposed into the scan of the preparations.
Fig. 18: The final approved restoration design
was used for milling the definitive restorations.
Fig. 19: View of the designed restorations,
with color turned off.
Fig. 21: Alternative view of the restoration
design superimposed onto the preparations,
with color turned off, before milling. A
3D-printed model of the preparations was
also created for use in making the surface
texture and viewing the arrangement of the five
monolithic units.
Figs. 22 and 23: The monolithic lithium disilicate crowns were stained, glazed and placed onto the
printed model and ready for delivery.
dentaltown.com \\ AUGUST 2018
33
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