Javier Pimienta Case 1

  • 1. Pre op situation: maladaptive metal ceramic prothesis on implants that does not fulfill the function and esthetic needs. Photo & Restoration by Javier Pimienta

Case Description

fig 1: Pre op situation: maladaptive metal ceramic prothesis on implants that does not fulfill the function and esthetic needs.

fig 2: Virtual diagnostic wax up made with CAD ceramic mind software from Armann Girrbach and printed with a resin using 3D printer from Akuretta.

fig 3: Conditioned soft tissue.

fig 4-5: Shade analysis was made through cross polarized photography.

fig 6: Monolithic zirconia was made after function and esthetics was established. Pre colored A1 shade HT plus Zirconia (1100 MPa) from Armann Girrbach. MiYO Pink color for gingiva and grey for incisal third was infiltrated prior to sintering the Zirconia.

fig 7-8: All the final details applied on sintered zirconia with MiYO Liquid Ceramic system

fig 9-11: Final results.

fig 12: Final results in cross polarized photo.

fig 13-15: Final results smile and dynamic angles.

fig 16-17: Retracted facial analysis of pre op and post op.

Once sintered, the aesthetic coating is made with MiYO, a state of the art liquid ceramic that allows us to perform pink and white aesthetics in thicknesses of 0.05 mm. The advantage of this system is that we can achieve a more than acceptable naturalness in terms of color without altering the anatomy generated by our CADCAM. A monolithic with all its biomechanics properties that defies its optical properties, appearing to be more than just a monolithic