I am very concerned about esthetics and took your advice re: lab made crowns for my front teeth. My dentist agreed to use a lab based on my concerns. He ordered Prismatik CZ for me, and the case has been sent back twice because they were too dark (I'm a B1). I also thought they were rather flat with some translucency. Is this due to CAD/CAM technology? Is it the same as CEREC? Will Prismatik give a natural esthetic result? Are there better options? I've been wearing ugly temps now for 4 weeks.
I Requested Lab Crowns Vs CEREC for Anterior Teeth. Doc Now Has Ordered Prismatik CZ. Is This Better?
Doctor Answers (3)
Empress Crowns are the best all porcelain crown
I recommend Empress all porcelain crowns made in the lab off of digital impressioins via iTero made by Cadent. I send all patients to the lab for the ceramist to meet them face to face for custom shading.
Material selection for crowns
There are many porcelain options for great esthetics and the quality depends on the lab and dds relationship. I have seen beautiful restorations with procera, emax, empress, and even porcelain fused to metal crowns. I am concerned that the temporaries are "ugly". the provisional restoratios should reflect the contour, shape and feel of what the final crowns should look like. With that being said i feel that in my hands the empress (leucite porcelain) from ivoclar are the most esthetic. They are from Ivoclar and you can look on their website and get some info. I also like for the incisal edges to be cut back and layered vs. just using stains to color the crowns. I feel the cut back porcelain give more depth and natural texture.
Porcelain dental crowns
Ceres crowns are those crown usually made I office they are milled on the spot in the dental office sometimes they can be milled in a dental lab and stained. Prismatik CZ is a porcelain materiL that labs use to fabricate dental crowns. Each lab uses different porcelain systems and as a result depending on who is producing the crown each of the material can be extremely aesthetic. There is a tendency today to use EMAX crown a they are really strong. You should trust the dentist you choose o select the best material to create life like restorations that match you expectations.