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CDE0211

40 I I industry report _ IPS e.max Press cosmeticdentistry 2_2011 Komet) was used to bevel the facial incisal edge back 0.5 mm (Fig. 4). The value was drawn in and a centred diamond disc (Komet K6974) was used to carefully cut in the value area, making certain that a halo effect was established (Fig. 5). Using a contour stone (Komet 9001), the incisal facial area was smoothed out to create a canvas for the internal effects. To create the internal effects, grey, vanilla and salmon IPS e.max Essence stains were applied and fired (Fig. 6). IPSe.maxOpalEffect4(OE4)wasplacedtoshape theinternallobestructuressoftly.Oncetheinternal lobes had been formed, they were feathered out (Fig. 7). IPS e.max Mamelon (MM) Light was added to reproduce a natural halo effect (Fig. 8). After a thorough and careful evaluation, the external effects were fired. A red pencil was used to identify the line angles, as well as places for a segment of high-value pow- der. IPS e.max Opal Effect 3 (OE3) was applied to the line angles in thin segments, as well as to strategic places, to achieve a natural optical effect and re- establish the heights of the contour (Fig. 9). The segments of IPS e.max OE3 were built to 0.5 mm, which was the exact thickness of the initial facial cut-back, making it faster and easier to return to the original full contour. IPS e.max OE3 was fired to ensure that the high-value segments mimicked the enamel optics found in the natural teeth, after which the IPS e.max Transpa Incisal 1 (TI1) was built flushwiththepreviouslyfiredOE3heightofthecon- tourandhigh-valuesegmentstofullcontour(Fig.10). The restorations were bisque baked. Then, after using a diamond bur (Komet 842R) to smooth the facialsurface,acoarserubberwheel(Komet9472C) was used to re-establish the deflective zones and redefine the line angles (Fig. 11). The facial lobes were recreated with a diamond bur (Komet 842R) after the desired amount of perikymata had been added with a diamond bur (Komet 850 016). The restorations were then glazed and polished. _Conclusion Today’s patients have become increasingly more Internet savvy, demanding higher aesthetics and longer-lastingrestorations.Inmyopinion,IPSe.max Press offers the ceramist—for the first time in the history of this industry—a restorative material that is both beautiful and incredibly strong. It surpasses our patients’ expectations, as demonstrated in the case illustrated here (Figs. 12–14). _Acknowledgement I would like to acknowledge Dr James Gorczyca from Boise, Idaho, for his exceptional excellence in dentistry._ Fig. 11_A coarse rubber wheel was used to re-establish the deflective zones and redefine the line angles. Fig. 12_Completed restoration on the model. Figs. 13 & 14_Post-op 1:2 view of the patient’s new smile. Dr Bradley L.Jones 8854W.Emerald St.,Suite 270 Boise,ID 83704 USA brad@secondonlytonature.com www.secondonlytonature.com cosmeticdentistry _contact Fig. 14 Fig. 13 Fig. 12Fig. 11