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Lab talk, the good, the bad, and the ugly
Porcelain
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<blockquote data-quote="JonB" data-source="post: 45767" data-attributes="member: 3047"><p>I'm sorry - but this is so typical of too much input from the patient, too little input from the lab and a dentist that may or may not have a clue what is wrong.</p><p></p><p></p><p>What ever happened to case planning the lower first - THEN - doing the upper? I bet most techs under 40 don't even know that's how its supposed to be done... seems like most dentist don't either so don't feel bad. Its too often driven by the patient who wants maximum esthetics first and deal with the problems later.</p><p>Yes there was trauma - so what has the rush achieved? An ugly restoration attempt.</p><p></p><p>You want natural contours like the photo posted? You're gonna need a different technician to do it - whomever contoured that mess in your mouth doesn't have a clue what a natural contour should be or how its achieved. You have classic chicklets - we've all seen them - often times in areas of the country that is affluent enough to have better. </p><p></p><p>Your shade is determinant on a lot of things. We did a shade match on a patient that B1 looked dingy and Authentic W++ was just right. W++ is what we call American Standard white... or in common vernacular, toilet bowl white. The final shade had more to do with skin tones and hair color than anything inside her mouth. Most people with dark hair or olive skin or light tans cannot have anything in a bleach shade - not and have it look natural. The question isn't whether its a B1, BL1 or a BL4 - its what is the color of the majority of your natural teeth, and only then at least two weeks after your last bleaching treatment.</p><p></p><p>It's time for a total restart on your mouth. Do it right - in the right order, by a qualified dentist who uses a qualified lab. You can't go to a hack and expect the moon! Asking us here should only tell you to do that - everything else is second guessing - no matter who is doing the guessing!</p><p></p><p>Start with a good series of photographs, made with a professional level camera and a ring light. This iphone crap is worthless to all of us!</p></blockquote><p></p>
[QUOTE="JonB, post: 45767, member: 3047"] I'm sorry - but this is so typical of too much input from the patient, too little input from the lab and a dentist that may or may not have a clue what is wrong. What ever happened to case planning the lower first - THEN - doing the upper? I bet most techs under 40 don't even know that's how its supposed to be done... seems like most dentist don't either so don't feel bad. Its too often driven by the patient who wants maximum esthetics first and deal with the problems later. Yes there was trauma - so what has the rush achieved? An ugly restoration attempt. You want natural contours like the photo posted? You're gonna need a different technician to do it - whomever contoured that mess in your mouth doesn't have a clue what a natural contour should be or how its achieved. You have classic chicklets - we've all seen them - often times in areas of the country that is affluent enough to have better. Your shade is determinant on a lot of things. We did a shade match on a patient that B1 looked dingy and Authentic W++ was just right. W++ is what we call American Standard white... or in common vernacular, toilet bowl white. The final shade had more to do with skin tones and hair color than anything inside her mouth. Most people with dark hair or olive skin or light tans cannot have anything in a bleach shade - not and have it look natural. The question isn't whether its a B1, BL1 or a BL4 - its what is the color of the majority of your natural teeth, and only then at least two weeks after your last bleaching treatment. It's time for a total restart on your mouth. Do it right - in the right order, by a qualified dentist who uses a qualified lab. You can't go to a hack and expect the moon! Asking us here should only tell you to do that - everything else is second guessing - no matter who is doing the guessing! Start with a good series of photographs, made with a professional level camera and a ring light. This iphone crap is worthless to all of us! [/QUOTE]
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Lab talk, the good, the bad, and the ugly
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