Class I severe crowding with excessive overbite and over-jet. 24 months treatment time

  BEFORE 

AFTER 

Patient was missing 4 anterior teeth that were replaced with a fixed bridge. Lava was the material of choice due to durability and aesthetics.

Our patient presented with bonding on her upper and lower front teeth and porcelain fused to metal crowns on her upper and lower posterior teeth. There was nothing dentally wrong with them except she said the teeth looked " lifeless and blah". We decided to do all porcelain restorations for her, I chose Lava as my material. Your typical all porcelain crown materials are all zirconia crowns like bruxir with great strength characteristics for anyone who grinds their teeth but are too opaque for anterior teeth. IPSEmax is a fantastic combination of strength and aesthetics. Empress has the best aesthetics! If i am only working on anterior teeth or on a single anterior tooth and if the patient is not a bruxer (grinder), it is the best material to create a natural lifelike smile. Due to its translucency used with the right cement I can alter the shade and the value of the crown/ veneer to get the best match. However  it is not as strong. I like Lava because it is the best combination of strength and beauty. It has a zirconia substructure and a layer of feldspathic Lava ceram. It gives me lifelike translucency and durability. We added surface texture, positioned line angles and planned the extent of translucency to give her smile a softness and brightness that better suited her face as compared to the flat bonding.  Choice of materials varies with each patient--their aesthetic requirements, how much they clench/ grind their teeth, willingness to wear a night guard, whether they want a Hollywood smile or a natural look. If left to my own judgement I choose a natural look.