Comprehensive treatment of the esthetically oriented patient presents many different challenges to the restorative team. As the ever-increasing variety of ceramic materials integrates into our treatment plan, we often find ourselves treating a patient with one or more teeth requiring aggressive restorations in the same arch with teeth that could be treated with more conservative and esthetically bonded veneers. This leaves the practitioner with the choice of stretching the bonded restoration beyond its intended use and doing veneers on everything; treating all of the teeth with more aggressive restorations resulting in a loss of tooth structure and reduced esthetic results; or trying to mix veneers and crowns of dissimilar materials to get a harmonious result. This presentation explores the strategies that use ceramic materials to successfully solve this restorative dilemma of blending traditional bonded restorations with implant-based restorations, zirconium-based crowns, and lithium-disilicate restorations while preserving an acceptable level of esthetic blend among the materials. This presentation also provides a strategy for choosing the optimal material for varying clinical situations that fulfill the patientís desires in a responsible, predictable way.
Matthew Roberts, CDT, is founder of CMR Dental Laboratory in Idaho Falls, Idaho, and of Team Aesthetic Seminars. Mr Roberts lectures nationally and internationally and has worked with many leading clinicians. He is an accredited member of the American Academy of Cosmetic Dentistry and serves on the editorial boards of many leading dental laboratory journals.