With these guidelines followed we can GUARANTEE a perfect fitting crown and a pleasant experience for your patients!
- Take the shade 1st so that the teeth do not dry out.
- Neutral surrounding colors. (no red lipstick or clothing)
- Use the Rite Light 2 color corrected light wand. With using this system everyone is looking at the color/shade using the same light source which is critical to have consistent shade results.
- Use the Classic Vita Shade Guide first. In the new age of Esthetic Zirconia the blocks and pucks that we mill from are only available in Classic Vita Shades. If a shade is unable to be matched using the Classic Shade then the 3D Vita Shade Guide can be used.
- Take Pictures with the shade tab next to the tooth
- Must be a Chamfer Margin.
- Parallel the proximal contacts of the adjacent teeth when necessary.
- No sharp edges or corners.
- Take a separate bite in addition to the triple tray.
- Confirm proper occlusal reduction.
- The best impression material we have seen over our 40 year span in the industry is from Ultradent. The Fast Set Medium is used to fill the tray and the Fast Set Super Light is to be injected around the margins. *Call for tips on what works best for our clients.
- If you are considering a scanning system for your impressions we recommend the Itero and Sirona systems. We can easily accept scan files from either of these machines and have had great success both of them. (If you already have a different scanning system we do accept scan files from all Intra Oral Scanners)
4. Anterior Crowns
- Always take a pre-op impression that includes at least the 2nd bicuspids if not a full arch. This gives us a
more accurate starting point for length, angle, and incisal edge position which is invaluable for our lab techs.
5. Esthetic Zirconia
- We recommend using Esthetic Zirconia unless Gold or PFM is necessary. If the prep has a chamfer margin and an accurate impression, I can promise that the fit will be the best it can possibly be. We have been using an Esthetic Zirconia called iluzion for several years now and the results as to fit and shade have been amazing!
6. Crowns Under a Partial
- If taking a traditional impression, it must be taken with the partial in place. Please verify that there is only a very thin film of impression material between the pallet of the partial and the ridge.
- If you have a scanner, a pre-op scan can be taken which allows the patient to wear their partial while the crown is being made. If a scan impression is going to be used please call us before the appointment so that we can have a plan since there are several parameters to be considered when dealing with a partial.
- We have found that our best and longest lasting relationships were built on a very open line of communication. Unlike with large labs you will communicate directly with the lab manager/technician over every aspect of each restoration.
- A Report Card will be included with each crown we send out. Using these we build a client profile based on your feed back, which allows us to create a restoration that suits your specific needs instead of making a
"cookie cutter" crown.
- Having easy access to either the Doctor or a designated Primary Contact person in the office has proven to be a great asset as well. We can keep this open line of communication through text, email, or by phone whichever works best for your practice.