Dave Juliani I think we sometimes forget all of the great materials available to us to solve our patients clinical needs. The single unit anterior restoration is the most challenging esthetic procedure we face. Anterior esthetics require the consideration of not only the base shade, but also characterization needs, shape, texture, and light reflection. And just when we get ALL of that correct, our adhesive bonding choice could compromise the final outcome.
This patient presented to the office with a fractured #7 veneer. She had considered replacing it in the past but the repairs had held up and were fairly esthetic until recently. I chose Empress Cad (Leucite Porcelain) for its translucency and its ability to let light (even with the LT) to pass through it and allow the color of the tooth to increase the natural look of the final restoration. It can be easily textured in the software and polished to the desired effect. Variolink Esthetic Cement was chosen for its long term shade stability (100% Amine Free), multiple shade options, and easy clean up. We used neutral shade for this case but it also comes in light and warm shades.
