NEWS AND DENTAL EDUCATION
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E-max crowns |
E-max crowns |
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E-max Veneers |
E-max Veneers |
Even if the preparations demonstrate a dark shade (e.g. as a result of discolouration or titanium abutments), all-ceramic restorations may be fabricated. Inform your laboratory about the die shade and the dental technicians then selects the IPS e.max lithium disilicate material in the required opacity in order to redesign the true-to-nature esthetic appearance.
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E-max press |
Blocks of E-max press |
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Zirconia Bridge |
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It is zirconium dioxide ( ZrO2), a white solid used in ceramic glazes and refractory coatings, and as a synthetic substitute for diamonds in jewellery.
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Zirconium dioxide |
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Zirconium
This is a metallic element with the atomic number of 40 and the symbol Zr. Despite the fact that zirconium can only be found in a combined form in nature, it is very abundant on Earth, being a highly reactive element. This element belongs to the transition metals, a group of neighboring metals on the periodic table of elements which includes palladium, silver, cobalt, copper, zinc, and nickel, among many others
Despite the fact that zirconium can only be found in a combined form in nature, it is very abundant on Earth, being a highly reactive element. This element belongs to the transition metals, a group of neighboring metals on the periodic table of elements which includes palladium, silver, cobalt, copper, zinc, and nickel, among many others.
Zirconium(IV) oxide |
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Three phases are known: monoclinic <1,170 °C, tetragonal 1,170–2,370 °C, and cubic >2,370 °C. The trend is for higher symmetry at higher temperatures, as is usually the case. A few percentage of the oxides of calcium or yttrium stabilize the cubic phase. The very rare mineral tazheranite (Zr,Ti,Ca)O2 is cubic. Unlike TiO2, which features six-coordinate Ti in all phases, monoclinic zirconia consists of seven-coordinate zirconium centres. This difference is attributed to the larger size of Zr atom relative to the Ti atom. [Taken from Wikipidia]
Zirconia is chemically unreactive. It is slowly attacked by concentrated hydrofluoric acid and sulfuric acid. When heated with carbon, it converts to zirconium carbide. When heated with carbon in the presence of chlorine, it converts to zirconium tetrachloride. This conversion is the basis for the purification of zirconium metal and is analogous to the Kroll process. [Taken from Wikipidia]
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Zirconia is a very hard ceramic that is used as a strong base material in some full ceramic restorations. The zirconia used in dentistry is zirconium oxide which has been stabilized with the addition of yttrium oxide. The full name of zirconia used in dentistry is yttria-stabilized zirconia or YSZ.
Cross-section of a zirconia crown |
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The zirconia substructure (core) is usually designed on a digital representation of the patients mouth, which is captured with a 3d digital scan of the patient, impression, or model. The core is then milled from a block of zirconia in a soft pre-sintered state. Once milled, the zirconia is sintered in a furnace where it shrinks by 20% and reaches its full strength of approximately 850MPa.
Milling of zirconia block |
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The zirconia core structure can be layered with aesthetic feldspathic porcelain to create the final color and shape of the tooth. Because bond strength of layered porcelain fused to zirconia is not strong, “monolithic” zirconia crowns are often made entirely of the zirconia ceramic with no aesthetic porcelain layered on top. Zirconia is the hardest known ceramic in industry and the strongest material used in dentistry. Monolithic zirconia crowns tend to be dense in appearance with a high value and they lack translucency and fluorescence. For aesthetic reasons, many dentists will not use monolithic crowns on anterior (front) teeth.
Translucency of a zirconia crown |
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By using crowns made of metal zirconia, then merge the porcelain on the outside, zirconia crowns allow light to pass as a normal tooth would and that gives a natural look, unlike other metal cores that block the light. The normal too hot/cold sensations that can be felt with other crowns does not normally occur because of reduced thermal conductivity, this being another strong point for zirconia.
Quality Assurance |
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A lady came to our clinic complained that she wanted an immediate replacement of her front teeth that were just extracted a week ago due to gum problem. She said that she didn’t dare to go out of her house due to her disfigured appearance. She was sad and embarrassed
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There reason why she lost her front teeth was due to deep-bite (her lower teeth were biting at the back of her upper front teeth) which result in stripping of the gum on the palate (traumatic occlusion). Eventually, this lead to periodontitis (gum disease) and loosening of her teeth. Sadly, she had to have her upper teeth removed.
After examination and assessment of her teeth, we came out with a few treatment plans:
After discussed with her, she decided to go for the third option – a dental bridge. She preferred the zicornia type of material for aesthetic reason.
For a mean time to allow gum healing, we prepare a ‘vacuum formed’ denture which she used to cover the missing teeth.
A temporary denture |
She wear the denture while waiting for the gum to heal |
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Final outcome, a 6 unit zicornia bridge was cemented onto her teeth…
Final result |
6 unit zicornia bridge |
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Possible problems/risks for a dental bridge:
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A lady came to our clinic requested for dental implant to replace her missing upper left canine. Upon examination and radiography image taken, we found out that her missing canine is hidden way up in her upper jaw bone. (OPG below – white arrow)
The condition where the canine teeth develop displaced from their normal position is referred as etopic canine.

If we leave the etopic canine there and place an implant over the gap, there might be a chance that the implant will hit the etopic tooth. Therefore, after discussed with her, we decided to remove the tooth surgically and at the same time, we placed the implant into the gap. The extracted socket with be filled up with bone graft.

End result!!


This young man came to us complaining of his broken tooth (upper left central incisor). The tooth was root treated (RCT) many years ago and it fractured at the level below gum margin.
Before |
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The tooth was un-saveable and extraction was the only choice.
Treatment option:
After discussed with him, he decided to have dental implant to replace that broken tooth and later crown for the right central incisor.
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A young lady came to our clinic wanted all the gaps between her front teeth to be closed. She stopped her braces treatment about a year ago (due to studying oversea) leaving all her front teeth moving by themselves creating gaps and misalignment..
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After examination and assessment of her teeth, we came out with a few treatment plans:
After discussed with her, we finally decided to have her upper four incisors crowned and resin composite on both of her upper canine to reduce the distance between the canines to accommodate the incisors.
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Possible problems/risks for crowding the teeth:

A young lady came to our clinic complaint that she was not happy about her face because of her lower jaw was too long. On top of that, her teeth weren’t aligned well. After examination and a few x-ray, we found that she had a few problems:
Facial view
Front |
Oblique |
Side |
Radiography view
OPG |
LatCeph |
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