e.max
®
IPS
Winner Book
The 2
Award
The IPS e.maxÂŽ Smile Award serves as a source of inspiration for dental technicians and dental practitioners. Furthermore, the submitted entries from around the world showcase the individuality, quality and versatility of the IPS e.max system. With the IPS e.max Smile Award Ivoclar Vivadent would like to offer dedicated and talented dental practitioners and dental technicians a platform for demonstrating their skill and expertise. The work of the most successful teams will be duly honoured and made available to a wide dental public. The IPS e.max Smile Award 2016 was presented in three regional categories: Asia | Pacific, Europe | Middle East | Africa, North America | South America.
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The international
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judges
ANABELL BOLOGNA
OLIVER BRIX
URS BRODBECK
AUGUST BRUGUERA
CHRISTIAN COACHMAN
GALIP GÃœREL
DAVID HORNBROOK
SHAN JIANG
SHIGEO KATAOKA
The experts panel of the IPS e.max Smile Award 2016 was made up of highly-acclaimed dentists and dental technicians from various parts of the world. Their different cultural backgrounds enabled them to appreciate the esthetic diversity of the international entries and judge the IPS e.max projects objectively.
SIDNEY KINA
RAFAEL LAPLANA
MATT ROBERTS
TONY ROTONDO
JAEJUN RYU
ANDREA SHEPPERSON
MICHELE TEMPERANI
CHANG-WOO WOO
GONZALO ZUBIRI 5
ASIA | PACIFIC
IPS e.max® SMILE AWARD
1 PLACE st
DR TETSUYA UCHIYAMA DENTIST, JAPAN
"This piece of work embodies ultimate natural beauty. The shape and colour of the teeth are in harmony with the age of the patient. The perfect blend of science MICHIRO MANAKA DENTAL TECHNICIAN, JAPAN 6
and emotion." Prof. Jaejun Ryu, Member of the judging panel
Initial situation
The 66-year-old patient complained about severe functional impairments due to defective metal-ceramic restorations. Moreover, she was dissatisfied with the colour of her front teeth. She wished to regain full chewing function, proper occlusion and a natural looking dentition. The greatest challenge in this case, however, was to effectively conceal the devitalized and differently stained teeth.
Final situation
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Gingiva management measures produced a significant improvement showing a harmonious gingival margin on tooth 13. After eight
Crowns and bridges: IPS e.maxÂŽ ZirPress (A3) on a ZrO2 framework, IPS e.maxÂŽ Ceram
months, the provisional was replaced with the permanent restoration. The teeth were modelled with wax until the contacts and functional parameters had been effectively recreated. The restorations were waxed up on ZrO2 frameworks and then pressed on with IPS e.max ZirPress. Finally, the restorations were cut back and then individually customized with IPS e.max Ceram Dentin and Incisal materials as well as Impulse and Mamelon materials.
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ASIA | PACIFIC
IPS e.max® SMILE AWARD
2 PLACE nd
DR JINEEL HAM DENTIST, KOREA
"The ceramics are stunning in terms of anatomy, texture, line angles and finishing. The efforts to create harmony with modified provisionals indicate a high awareness of the smile in HASEONG YOO DENTAL TECHNICIAN, KOREA 10
harmony with the face." Dr Andrea Shepperson, Member of the judging panel
This patient had previously been treated with metal-ceramic crowns, but now wanted a more esthetic and natural-looking solution. The initial examination revealed unsatisfactory tooth shapes and an asymmetrical gingival margin. Detailed planning of the final restoration helped to effectively recreate the pink-white esthetics with regard to the length-to-width ratio and achieve a harmonious overall result. Initial situation
Final situation
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e.max
IPS
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The metal-ceramic crowns were removed and the gingiva was slightly modified with the aim of creating an esthetic emergence profile. The four provisionals which were placed consecutively provided an excellent guideline for the permanent restorations. The loss of canine guidance due to crown lengthening was counteracted with two veneers (labial layering) on tooth13 and 23. The final restoration showed excellent function and esthetics.
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Crowns and veneers: IPS e.max® Press (MT B1, Impulse O1), IPS e.max® Ceram
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ASIA | PACIFIC
IPS e.max® SMILE AWARD
3 PLACE rd
DR BAIJUN SUN DENTIST, CHINA
"This case had a very high complexity due to the need for reproducing the colour of the dark abutment teeth. In the end, however, a very high brightness BENHUI DU DENTAL TECHNICIAN, CHINA 14
was achieved." Shigeo Kataoka, Member of the judging panel
The teeth of this 45-year-old female patient had previously been restored with composite veneers, which in the meantime had become severely stained due to many years of tetracycline treatment. The patient was very eager to improve the esthetic appearance of her front teeth. According to the treatment plan, 18 esthetic veneers would be placed for this purpose. The aim of the treatment was visualized with the help of a mock-up. All the relevant parameters were checked on the basis of a chairside-fabricated provisional.
Initial situation
Final situation
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IPS
e.max
The teeth of the patient were prepared, impressions were taken and provisionals were placed. Clearly improved results were achieved at this preliminary stage. The permanent veneers were layered on refractory dies using IPS e.max Ceram. A mixture of Mamelon and Essence (white) materials produced the opacity required for concealing the dark tooth structure. The restorations were individualized with Dentin and Transpa as well as Opal Effect materials. The placed veneers showed excellent symmetry and a very pleasing esthetic result.
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Veneers: IPS e.maxÂŽ Ceram 17
EUROPE | MIDDLE EAST | AFRICA
IPS e.max® SMILE AWARD
1 PLACE st
PROF. DR PETRA GIERTHMÜHLEN DENTIST, GERMANY
"This case had an excellent full rehabilitative approach. This beautiful result is the culmination of a reliable esthetic UDO PLASTER DENTAL TECHNICIAN, GERMANY 18
solution and great team work." Michele Temperani, Member of the judging panel
This patient's teeth showed significant loss of tooth structure. As a result, the lengthto-width ratio was negatively affected and the incisal edges were not in harmony with the smile line. Several of the severely eroded teeth had been repaired with fillings. The objective of the comprehensive minimally invasive treatment plan was to restore the tooth proportions and the esthetic appearance of the smile and to Initial situation
redefine the occlusion.
Final situation
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A digital mock-up served as a guide during the treatment. The placement of CAD/CAM-fabricated PMMA provisionals allowed the esthetics and function and the increased vertical dimension of occlusion to be tested over a longer period of time. The permanent restorations were pressed and customized with the staining technique (lower jaw) and the layering technique (upper jaw). The defect-oriented treatment approach enabled the dental team to reliably restore the function and esthetics of the severely compromised dentition.
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Anterior crowns in the upper jaw: IPS e.max速 Press (LT A1) and IPS e.max速 Ceram Veneers and onlays in the lower jaw: IPS e.max速 Press (MT A1) and IPS e.max速 Ceram
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EUROPE | MIDDLE EAST | AFRICA
IPS e.max® SMILE AWARD
2 PLACE nd
DR FERRAN LLANSANA DENTIST, SPAIN
"Perfectly handled with ultra thin veneers. A very positive impact on JUAN SAMPOL REUS DENTAL TECHNICIAN, SPAIN 22
the entire face." Dr Galip Gürel, Member of the judging panel
Initial situation
This young female patient consulted our practice about a smile makeover. Her teeth showed wide and rounded interincisal angles. Tooth 13 exhibited a slight vestibular inclination. The front teeth lacked canine guidance. Tooth 11 showed a slightly lingual orientation. The aim of the treatment was to optimize and lighten the appearance of the teeth.
Final situation
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In order to visualize the esthetic improvements proposed by the dental technician, a wax-up was created. With the help of the wax-up, the incisal edges and the new smile together with the correct morphology were evaluated. Subsequently, the teeth were whitened and lightly prepared in order to facilitate the placement of the restorations. The somewhat bulky vestibular portion of tooth 13 was reduced using a minimally invasive approach. The veneers were layered on refractory dies using IPS e.max Ceram Dentin, Incisal and Impulse materials. Due to the outstanding chameleon effect of the veneers, the restorations blended in seamlessly with the natural tooth structure.
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Veneers: IPS e.maxÂŽ Ceram 25
EUROPE | MIDDLE EAST | AFRICA
IPS e.max® SMILE AWARD
3 PLACE rd
DR ANNA GIORGADZE DENTIST, GREECE
"It is a highly complex technical case, which has been very well executed and documented in a ILIAS PSARRIS DENTAL TECHNICIAN, GREECE 26
spectacular way." August Bruguera, Member of the judging panel
Initial situation
When this patient initially consulted our practice, her dentition showed severe signs of erosion. She asked us to give her a beautiful smile. Her wish formed the basis for developing a treatment plan aimed at providing her with a high-standard esthetic and functional result. Her short teeth compromised the smile line. In order to achieve a harmonious appearance, we planned to place twelve veneers and seven crowns.
Final situation
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With the help of lab-fabricated provisional restorations, we were able to visualize the crown lengthening measures which would have a positive effect on the width-to-length ratio. The gingiva did not have to be modified.
The permanent restorations included IPS e.max Press crowns, occlusal veneers and veneers, which were completed with IPS e.max Ceram. Particular attention was paid to faithfully imitating the natural light effects.
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Crowns, occlusal veneers: IPS e.max® Press (HT and LT BL3), IPS e.max® Ceram
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NORTH AMERICA | SOUTH AMERICA
IPS e.max® SMILE AWARD
1 PLACE st
DR LUIS R. SANCHEZ RAMIREZ DENTIST, USA / MEXICO
"A clinically and technically accomplished case. The layering, morphology and tooth ALEN ALIC DENTAL TECHNICIAN, USA / CROATIA 30
proportions have been expertly solved." Dr Anabell Bologna, Member of the judging panel
This patient presented to our practice with hypodontia (in this case: tooth agenesis of the upper lateral incisors). Her teeth had been restored with veneers three years previously. She was dissatisfied with the shape, proportions and colour of her teeth. Photoshop Smile Design (PSD) was used to visualize possible improvements. The digital plan was then transferred to a digital articulator and a wax-up was produced. Initial situation
Final situation
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IPS
e.max
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The old veneers were removed and the rather extensive existing preparations were reworked in detail. Before the provisionals were incorporated, the operator defined the tooth colours. The front teeth were restored with pressed veneers which were customized with additional layering ceramic. The non-prep veneers for the posterior teeth were layered on refractory dies using IPS e.max Ceram. The result after the restorations were placed was impressive: a harmonious overall apperance with natural-looking teeth and healthy soft tissue.
Pressed veneers: IPS e.max® Press (LT BL3), IPS e.max® Ceram Layered veneers: IPS e.max® Ceram 33
NORTH AMERICA | SOUTH AMERICA
IPS e.max® SMILE AWARD
2 PLACE nd
DR GABRIELA M. PAPPATERRA TORBAY DENTIST, COLOMBIA / VENEZUELA
"The realistic look of the form with the physiognomy of the patient is very convincing. The beauty and the natural look of the final result is achieved through the LIBARDO GARCÍA TOLOSA DENTAL TECHNICIAN, COLOMBIA 34
subtlety of stratification." Gonzalo Zubiri, Member of the judging panel
The patient had previously been treated with inadequate direct composite restorations. The restorations were unattractive and did not look lifelike. In addition, fractures were evident in two teeth. A closer analysis showed a low smile line and short anterior teeth. The objective in this case was to achieve a functionally stable and esthetic reconstruction with lifelike shading using IPS e.max Press Multi.
Initial situation
Final situation
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e.max
With the help of the Digital Smile Design protocol developed by Dr C. Coachman, the anterior teeth were optically lengthened and a mock-up was produced. This was used to check the static and dynamic situation. The provisional restoration was fabricated once the teeth had been prepared according to minimally invasive principles. Subsequently, six polychromatic IPS e.max Press Multi veneers were pressed. They were internally stained and individually layered in the incisal third using IPS e.max Ceram. In the mouth, the restorations visibly optimized the smile line. Their lifelike appearance and natural-looking shade progression produced a harmonious overall picture. 36
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Veneers: IPS e.max® Press Multi (A1), IPS e.max® Ceram
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NORTH AMERICA | SOUTH AMERICA
IPS e.max® SMILE AWARD
3 PLACE rd
C.D. LUCIO A. QUEVEDO HERNÁNDEZ DENTIST, MEXICO
"The shape and form worked well with the patient's smile. The surface morphology was very natural looking as well. The case displayed harmony without perfect symmetry. I loved the RAMÓN A. SÁNCHEZ HERNÁNDEZ DENTAL TECHNICIAN, MEXICO 38
incisal translucency." Matt Roberts, Member of the judging panel
Initial situation
This 40-year-old patient came to our practice, requesting a smile makeover. Apart from labial composite restorations showing marginal leakage and poor fit, we established that the patient had an inflamed gingiva and rotated canine. With the help of the Digital Smile Design protocol developed by Dr C. Coachman we were able to redefine the width-to-length ratio.
Final situation
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A mock-up was used to evaluate the esthetic parameters, the tooth proportions and the integration of the restorations in the patient's mouth. Next, surgical crown lengthening was performed. Following the healing phase, the veneers were pressed with IPS e.max Press HT A2 and customized with IPS e.max Ceram. The result shows excellent esthetic and functional integration of the restoration and a harmonious overall appearance.
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Veneers: IPS e.max® Press (HT A2), IPS e.max® Ceram
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Š Ivoclar Vivadent AG, Schaan/Liechtenstein 684834/en/2016-06-13
www.ivoclarvivadent.com Ivoclar Vivadent AG
Bendererstr. 2 | 9494 Schaan | Liechtenstein | Tel.: +423 235 35 35 | Fax: +423 235 33 60