Challenging case on #8,9 any thoughts?

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ZionDental

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So this pictures are driving me nuts right now. I been staring at them over few days and my mind is about to explode. First i tried MTBL3 cutback on incisal and stained to lil less than shade B1 because the photo dr sent me B1 looked lil more yellowish than her teeth. But when i finished the glazing it has too much glossy feeling. As you can see in the photo her teeths feel dead... like no shining or glossy feeling like how normal teeth have. And i feel some grayish overall. the crowns arent tried in yet but i m thinking of redoing it with LT BL3 and shade lil bit with lil bit of cutback and add enamel. What do you guys think? if i do full contour on veeneer the thickness can go upto .8 or .9mm the crown has more than 1.4mm. Any opinions are appreciated!!!!
 

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JMN

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Watching intently and glad I'm a denture guy right now.
 
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Looks like a LiSi MT-B-1. No layer, just a low temp glaze.
 
Contraluz

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Any opinions are appreciated!!!!

Try MO1, on both. The neighboring teeth are not ‘esthetic’ and with MO1 you block out most of the underlying colors. When doing the wash, give it the desired shade. You still have to layer, though...

If in doubt, I go one ingot ‘more opaque’. I have learned it the hard way... As a matter of fact, as soon as I layer, I choose LT, on most of the cases (unless the prep shade looks like it is on the pics above). It seems, even with MT, the results are slightly low in value.

(Cue the LiSi comments...)

Hope that helps,

M
 
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Contraluz

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Wrong answer... Admin, please delete this post...
 
millennium

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So this pictures are driving me nuts right now. I been staring at them over few days and my mind is about to explode. First i tried MTBL3 cutback on incisal and stained to lil less than shade B1 because the photo dr sent me B1 looked lil more yellowish than her teeth. But when i finished the glazing it has too much glossy feeling. As you can see in the photo her teeths feel dead... like no shining or glossy feeling like how normal teeth have. And i feel some grayish overall. the crowns arent tried in yet but i m thinking of redoing it with LT BL3 and shade lil bit with lil bit of cutback and add enamel. What do you guys think? if i do full contour on veeneer the thickness can go upto .8 or .9mm the crown has more than 1.4mm. Any opinions are appreciated!!!!
Do you have pictures of your first attempt in the mouth?
 
Contraluz

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Looks like a LiSi MT-B-1. No layer, just a low temp glaze.

Not knowledgeable on LiSi but, I think you are right, stain and glaze should work in this particular case.

(I want to add: If this LiSi MT-B1 is enough to block-out the underlying colors!)

M
 
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Do you have pictures of your first attempt in the mouth?

The first attempt is not in yet. I just have strong feeling it wont be matching too well so i have trying to do another before 1st insertion. As you can see even the shade tap looks glossy and shinier than her teeth. And my crowns are already looking like that shade tap
 
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Is Lisi MT B1 same as Ivoclar MT B1?
No, its not the same. Less bright, a bit less color.

I use a couple different temps for glaze, as well as different glazes. Just depends on the finish I want to achieve. On something less glossy like those, Id not use InSync or Ivoclars newer glaze in the jar. They can get too glassy. Id use the old e.max fluoro in the syringe and only go up to 700, maybe a bit lower.
 
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No, its not the same. Less bright, a bit less color.

I use a couple different temps for glaze, as well as different glazes. Just depends on the finish I want to achieve. On something less glossy like those, Id not use InSync or Ivoclars newer glaze in the jar. They can get too glassy. Id use the old e.max fluoro in the syringe and only go up to 700, maybe a bit lower.


Oh Lisi is less bright than ivolclar ingot? Or other way around?
Good thing i have all the glazes i will try to use old fluro glaze. Thnx for the tip!
 
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Oh Lisi is less bright than ivolclar ingot? Or other way around?
Good thing i have all the glazes i will try to use old fluro glaze. Thnx for the tip!
My experience and observations are the e.max looks brighter in my hand than the LiSi, but in the mouth the e.max looses value. Neither one is perfect in all cases, you just have to have them on hand and have a little experience with each so you can know what to expect.
 
rkm rdt

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Should be 2 crowns and not a veneer and crown. It doesn't make sense to veneer the discoloured tooth.
This case cries out for 2 crowns to avoid open embrasures in my opinion.
 
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My experience and observations are the e.max looks brighter in my hand than the LiSi, but in the mouth the e.max looses value. Neither one is perfect in all cases, you just have to have them on hand and have a little experience with each so you can know what to expect.

got cha! thanks for ur advices! appreciate it!!!
 
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Should be 2 crowns and not a veneer and crown. It doesn't make sense to veneer the discoloured tooth.
This case cries out for 2 crowns to avoid open embrasures in my opinion.

I totally agree with you on that!
 
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Should be 2 crowns and not a veneer and crown. It doesn't make sense to veneer the discoloured tooth.
This case cries out for 2 crowns to avoid open embrasures in my opinion.
This is the only way.
Too many moving targets.

Sent from my SM-G935V using Tapatalk
 
Affinity

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Didnt you make stump dies accordingly? You should be able to tell if it is blocked out, they will have to be stained with a stump die to match..
 
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Didnt you make stump dies accordingly? You should be able to tell if it is blocked out, they will have to be stained with a stump die to match..

problem is I cant tell if I can trust that shade tab he chose for that patients teeth. Neither of them seem right to me.
 

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