Hey guys, getting into incorporating my milled crowns into larger tx plans. Sorry if this is confusing but go with me for a second–
Full arch or full mouth cases with posterior long span bridgework that I’m not comfortable doing in-house emax. Anyone have great esthetic results marrying anterior emax HT with posterior lava bridgework?
My basic question boils down to: when you have a big case that you just have to use lab for some reason, are you sending it all to be done there or keeping what you can of the case in house and combining with lab work. Hate to give up all the control and cost savings but seems like headaches waiting to happen. Interested in hearing others’ experiences
In my experience, Emax LT matches solid monolithic zirconium like Bruxzir where emax HT will be too gray. Emax MT matches porcelain fuzed to zirconium, where they layered some translucency. Emax MT also matches high translucency monolithic zirconium like Bruxzir Anterior. Emax HT matches cube X ultra high translucency monolithic zirconium. I have little problem mixing and matching but it depends on what your lab is doing with the zirconium they use.
While it’s never ideal to mix and max materials I feel like I can get away with it in some cases. I agree with Wally’s assessment and would use lab made FCZ for the bridges and e.max LT milled in house for the single units. However, for your really demanding esthetic patients, I tend to play it safe and send it to the lab. If you have a good one they will figure out the shade and opacity match – just make sure you send them stump shades if you’re using e.max or empress. Let us know how it turns out.
But we did a full mouth where anteriors 6-11 are empress multi, posterior is emax lt, lower anteriors emax lt because 24-26 is a bridge. Posterior bridges and implant crowns made by outside lab using Emax lt. It all blended in nicely as empress multi is a lt.