09.11.2017 Aufrufe

Labline-Magazin: Ein Artikel von RDT Hiroki Goto

Einheit aus roter und weißer Ästhetik bei komplexer Implantatrekonstruktion. Zahntechnische Umsetzung: Hiroki Goto (Kalifornien/USA). Das Zirkonoxid-Gerüst wurde im Seitenzahnbereich mit Malfarbe charakterisiert (Internal Live Stain, Kuraray Noritake). Der Frontzahnbereich wurde mit Noritake CZR (Kuraray Noritake) über die Schichttechnik individualisiert.

Einheit aus roter und weißer Ästhetik bei komplexer Implantatrekonstruktion. Zahntechnische Umsetzung: Hiroki Goto (Kalifornien/USA).

Das Zirkonoxid-Gerüst wurde im Seitenzahnbereich mit Malfarbe charakterisiert (Internal Live Stain, Kuraray Noritake). Der Frontzahnbereich wurde mit Noritake CZR (Kuraray Noritake) über die Schichttechnik individualisiert.

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DENTAVANTGART<br />

VOLUME VI ISSUE 04 WINTER 2016<br />

INTERVIEW<br />

DDS. GIORGOS<br />

MDT. OLIVIER TRIC &<br />

MDT. YUGO HATAI<br />

MDT. OLIVER BRIX<br />

GO YOUR OWN WAY<br />

AND NEVER TRY TO<br />

COPY ANYONE<br />

DIMITRAKOPOULOS<br />

ίασις<br />

RESTORING<br />

THE ANTERIOR<br />

AREA<br />

MSC. SUSAN E. TRIC<br />

STRATIFICATION:<br />

THE ART OF LAYERING<br />

AND ITS CLINICAL<br />

APPLICATION<br />

THE SMILE BIBLE<br />

A DENTISTRY<br />

COMMUNICATION TOOL<br />

BETWEEN CLINICIANS<br />

AND TECHNICIANS,<br />

CLINICIANS AND<br />

PATIENTS AND<br />

TECHNICIANS AND<br />

PATIENTS


50 WINTER 2016


THE HYBRID<br />

RESTORATIVE<br />

DESIGN<br />

PURSUIT OF ESTHETIC AND<br />

LONGEVITY<br />

<strong>RDT</strong>. <strong>Hiroki</strong> <strong>Goto</strong><br />

Sheets, Paquette and Wu Dental Practice<br />

Newport Beach, California U.S.A.<br />

In today’s world of comprehensive dentistry, there are numerous<br />

options for treatment plans and material choices. It is critical that<br />

the dentist and dental technician work together to choose the<br />

best combinations of options given the biological, mechanical,<br />

esthetic and biomechanics needs of patient. And I’ve recognized<br />

that blending of traditional concepts matched with some of<br />

the newer, for example CAD/CAM technologies is appropriate.<br />

A ceramist should have options to reproduce the color for each<br />

different material and restorative design.<br />

WINTER 2016<br />

51


2<br />

Maxilla situation 1<br />

3<br />

Maxilla situation 2<br />

4<br />

Substructure Placement<br />

In this case, according to the difficulty of porcelain work with the<br />

screw retain type superstructure, due to the massive volume of the<br />

zirconia framework, the machine milled titanium bar substructure<br />

is designed. Therefore its porcelain work has less risk from the heat<br />

control.<br />

Tooth #12 through #22 is micro layering technique and others are<br />

stain technique.<br />

5, 6<br />

Floss test with provisional restoration<br />

52 WINTER 2016


7<br />

Framework after sintering<br />

8<br />

Fundamental Internal Stain<br />

(Noritake CZR SS Stain and IS Stain)<br />

9<br />

Simple porcelain layering<br />

(Noritake CZR Porcelain)<br />

WINTER 2016<br />

53


The mechanical properties of zirconia make it the suitable material for the framework of<br />

the restoration. Esthetics is achieved with the micro porcelain layering of the minimal facial<br />

cutback design. Hybrid method is the fusion of accuracy ensured by the high-tech dental<br />

equipment and artistry ensured by human hands.<br />

10<br />

Detailed characteristics of IS stain<br />

11<br />

Final control and correction layering<br />

54 WINTER 2016


12, 13<br />

High shine polish in sanitary areas<br />

14<br />

Complete restoration<br />

WINTER 2016<br />

55


15<br />

Esthetics with lips<br />

16<br />

Final outcome in the mouth<br />

<strong>RDT</strong>. HIROKI GOTO<br />

Graduated from the Ai-Shi Dental Technology<br />

School in 1992 and completed post graduate<br />

courses at the International Dental Academy in<br />

Tokyo. He was mentored by Mr. Naoki Aiba and<br />

Mr. Willi Geller through their prestigious Oral<br />

Design Courses.<br />

Mr. <strong>Goto</strong> has been the Laboratory Manager for<br />

the Sheets, Paquette and Wu Dental Practice,<br />

a private prosthodontic practice in Newport<br />

Beach, California since 2004.<br />

He is an accomplished laboratory technician,<br />

ceramist, and educator with over 25 years of<br />

experience in Japan, Canada and the United<br />

States, and he has served as an international<br />

instructor for Noritake in Europe, Central<br />

America, South America, Japan and the<br />

United States. Mr. <strong>Goto</strong>’s work can be found in<br />

peer-reviewed publications worldwide and he<br />

lectures and teaches hands-on courses on both<br />

national and international levels.<br />

56 WINTER 2016


‘Order now - fully available’<br />

KATANA Multi-Layered Zirconia Series<br />

Taking natural looking prosthetics to a new level<br />

Series<br />

Tanslucency(%) Strength(MPa) Applications<br />

Thanks to our advanced multi-layering technology<br />

it enables you to obtain levels of colour<br />

gradation, trans lucence and opacity that reflect<br />

the natural look of teeth for the perfect result<br />

every time.<br />

UTML<br />

SMTL<br />

ML<br />

43%<br />

(Ultra Tanslucency)<br />

38%<br />

(Super Tanslucency)<br />

31%<br />

(High Tanslucency)<br />

557MPa<br />

748MPa<br />

1125MPa<br />

Anterior Posterior Bridge<br />

6<br />

6<br />

6<br />

6<br />

6<br />

3 units in Anterior<br />

3 units in Posterior<br />

Full arch<br />

WHY NOT EXPERIENCE THE BENEFITS OF KATANA MULTI-LAYERED ZIRCONIA SERIES FOR YOURSELF?<br />

For more information, please contact us at +49 (0) 69 - 305 358 33 or visit www.kuraraynoritake.eu<br />

Kuraray Europe GmbH BU Medical Products, Philipp-Reis-Str. 4, 65795 Hattersheim am Main, Deutschland,<br />

WINTER 2016<br />

57

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