Dr.

Ruiz/LAInstituteLaboratoryRequirements:

Onlays:

Restorativematerial:eMaxformostcases,Empressonhighestheticcases.Alwayshigh
translucency,withfewexceptions.
Checkforclearance,ifthinnerthat1.5mmadjustpreparationusingeggshapebur.Make
reductioncopingifpossible
Broadproximalcontactarea
Nonworkingcusptobeapproximatelythesameheightasadjacentteeth,neverhigherthan
workingcusp.CurveofWilson.Properoverjet,insurenopossibilityofinterference.
Workingcusptobenaturallyacute(pointed)andnotflat.
Occlusalcontactalongcentralgroves,marginalridgesandtipsofworkingcusp,ifnormalbite.
Donotoverdeepengrovestoavoidweakeningthematerial.

AllCeramicCrown

Anterior

Layeredzirconiaforanteriorwitha0.3mmfacialzirconiacopingwithproperdesignincluding
maximumlingualsupportforocclusion.ZirconiashouldbecementedwithRRGI.
IfeMaxisuseditrequires0.5mmreduction(space),1mmlingualandincisalspaceorreduction.
Emaxshouldbebonded.
Anteriorteethonocclusalcontact
1.5minimumoverjetwithgoodcingulumsupportingacentricstop.
Solidlingualridgeforcanineguidance.

Posterior

Layeredzirconiaforbicuspidsandfirstmolars&fullzirconiafor2ndand3rdmolars
Onlayeredzirconia,copingdesignwith0.5mmfacial&occlusalthicknessandfullmarginalridge
supportandcontactsonzirconiatoavoidanyunsupportedporcelain.
ZCRPress(Noritake)withhightranslucencyoverzirconiacoping.
Preparationshouldbe0.5mmcervicalaxialreduction(space),transitioningto1mmmidfacial
axialreduction(space)and1.5occlusalreductions(space).
Checkforclearance,ifthinnerthat1.5mmocclusalspace,adjustpreparationusingeggshape
bur.Makereductioncopingifpossible
Broadproximalcontactarea
Nonworkingcusptobeapproximatelythesameheightasadjacentteeth,neverhigherthan
workingcusp.CurveofWilson.Properoverjet,insurenopossibilityofinterference.
Workingcusptobenaturallyacute(pointed)andnotflat.
Occlusalcontactalongcentralgroves,marginalridgesandtipsofworkingcusp
Donotoverdeepengrovestoavoidweakeningthematerial.


Veneers:

Feldesphaticlayeredveneerswithminimalthicknessandideal50%translucency,unless
indicatedotherwise.
PressableoreMaxonlywhenthespaceexceeds1mm,andinthatcaselayerporcelainfor
characteristics,notjuststain.(rarelyused)
Alwaysuseapprovedprovisionaltoduplicateapprovedprovisionalincisaledgeposition,tooth
width,andtoothfullness.Ofcourseenhancingesthetics,confirmingwithasiliconematrix.
MatchtransitionallineanglesasthenaturalLAInstitutemodel.
MatchincisalembrasuresasnaturalLAInstitutemodel.
Havepinkgingivamodeltoinsuregingivalembrasureclosure.
Subtletextureandincisaledgeeffects.
Alwayslingualridgeoncaninesforcanineguidanceonporcelainwhenneeded.
Veryminorshadegradationstartingoncanines,shademorechroma,towardstheback.

NightGuards/Splint

Fabricatedonasemiprecisionarticulator

Fullcoveragesoft/hard

11/2mmminimumthickness

Equalcontacts,flatocclusaltable.

Smallanteriorandcanineguidanceramps.

11/5mmoverjet(freedomforenvelopoffunction)

Minimumfacialacrylicwrapforesthetics,morewrapinposteriorforretention.

Implantabutments:

Ifzirconia,facialandproximalmarginsmmbelowgingiva,lingualmarginsmmabove
gingiva.
Iftitatnium,facialandproximalmarginsmmbelowgingival,lingualmarginabovegingiva.
Usuallywithmoderatetissuedisplacementtoenhanceemergenceprofile,