Th 321567

Anterior Procera® zirconia crowns with No-Prep Vivaneers™

June 1, 2009
This patient presented with some interproximal decay and some failing composites on teeth Nos. 7 to 10

Michael DiTolla, DDS, FAGD

For more on this topic, go to and search using the following key words: interproximal decay, composites, Reverse Preparation Technique, Dr. Michael DiTolla.

This patient presented with some interproximal decay and some failing composites on teeth Nos. 7 to 10 (Fig. 1). The teeth were prepared using the Reverse Preparation Technique to ensure adequate reduction for the laboratory (Figs. 2 and 3).

Fig 1 and 2
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The caries were stained, removed, and the deficient areas were built up with a self-etching flowable composite.

Fig 3 and 4
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Procera® Zirconia crowns were placed on teeth Nos. 7 to 10. To finish, no-prep Vivaneers™ were placed on the cuspids and bicuspids, resulting in an esthetic smile (Figs. 4 to 6).

Fig 5 and 6
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Dr. Michael DiTolla is the Director of Clinical Research and Education at Glidewell Laboratories in Newport Beach, Calif. He lectures nationwide on both restorative and cosmetic dentistry. Dr. DiTolla has several free clinical programs available online or on DVD at For more information on this article or his seminars, visit

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