Go backstage Nytko at M&M Nytko DentaLabor and see how we craft aesthetic zirconia crowns with the cutback technique. This is a type of prosthetic work partially veneered only on the labial/buccal side; it is used to increase aesthetics in zirconium oxide frameworks while maintaining a functional and safe palatal/lingual area and occlusion. This work was veneered by Maciej Nytko with Creation ceramics by Willy Geller, on a model printed by us. The construction itself was cut and designed by Michał Nytko.
In this case, the combined work might seem overcomplicated, but after hearing the doctor’s reasoning, it definitely made sense. (no.3;2) Specifically, the doctor did not want to remove the patient’s last two incisors.
From our technician’s perspective, the decision to leave those two teeth is illogical, considering such a large and expensive restoration, but I understand and respect the doctor for not removing them—as most would probably do.
However, keeping them greatly complicated the situation. Firstly, we did not want to permanently connect the implant-supported work to natural teeth, especially since their prognosis was uncertain, but we also didn’t want to make two separate crowns that might soon fail (for example, in 2 years) and leave the patient in a difficult situation, incurring more costs. Here Dr. Nytko showed great creativity and also took a risk by coming up with this idea and asking me whether it was feasible.
Could we make zirconia telescopes for the incisors, which would serve as a kind of support and safety buffer for a screw-retained prosthetic on three implants, with a total of eight points in the bridge, including three pontics (over two telescopes and one span) from the last implant? Thanks to this innovation, the patient keeps her teeth, and even if she loses them, we can cut an element shaped like a glass support or simply fill it with a light composite inside the screw-retained prosthesis at the site of the former telescopes.
This is a type of prosthetic work partially veneered only on the labial/buccal side; it is used to increase aesthetics in zirconium oxide frameworks while maintaining a functional and safe palatal/lingual area and occlusion. This work was veneered by Maciej Nytko with Creation ceramics by Willy Geller, on gypsum models cast from a two-stage impression. The construction itself was cut and designed by Michał Nytko in Exocad software. See more here.
