SPECIAL

EDITION

My veneer cases with

IPS Style
®

Carola Wohlgenannt

1
My veneer cases
with IPS Style ®

 Page

Case 1: Reshaping peg-shaped teeth

and extending the length of teeth with veneers 6

Case 2: Straightening misaligned teeth

with non-prep veneers 16

Case 3: Anterior veneers with IPS Style

®

Canine build-up with IPS e.max 

®
24

Summary I – an all-ceramist.
®
IPS Style – a metal-ceramic.

We – a perfect team. 35
4
I often use all-ceramics in my work and I teach courses in the field of all-ceramic
restorative solutions. A large share of my work is solved with IPS e.max®. In this
Special Edition, I will focus on the IPS Style® metal-ceramic. Metal-ceramic is
not exactly a material associated with all-ceramic restorative treatments. In my
opinion, however, these two materials are not mutually exclusive: For me as a
ceramist, each ceramic material has its own specific merits and field of applica-
tion. The fabrication method, application procedure and, in some cases, the
financial means of patients are decisive factors when I decide on which mate-
rial to use.

IPS Style Ceram is the material of choice for me when fabricating veneers. They
have to meet high esthetic standards, especially if they are placed in the ante-
rior region.

Refractory dies were used in all the restorations presented in this report. This
approach requires a particularly high level of skill and long-term experience.
The final outcome can only be seen once the restorations are seated in the
patient’s mouth.

5
 Case 1
Reshaping peg-shaped teeth and
extending the length of teeth with veneers

6
 MAKE IT EASY.
Initial situation

The patient came to see me in my laboratory because she

was unhappy with the esthetics of her anterior teeth.

Her two lateral incisors were disproportionately small com-

pared with teeth 13 and 23. Teeth 11, 12, 21 and 22 should
additionally be extended in direction of the soft tissues. The
idea was to provide the lateral and central incisors with
ultra-thin veneers made of IPS Style.

I always begin work on a veneer by creating a wax-up. If

the teeth are layered one after the other, the integrity of
the entire dental arch can be maintained more easily during
the individual working steps. Starting with the lateral inci-
sors 12 and 22, I built the veneers layer by layer using
IPS Style.

Dentist:
Dr Christian Schult

Case planning/Photographic documentation/

Dental lab work:
MDT Carola Wohlgenannt

7
 The layers

Tip:
It is essential to thoroughly wet the refractory dies of the model before
applying the wash and the layers. A moist substrate prevents the formation
of bubbles. In addition, the ceramic does not dry out during the layering
procedure. This is crucial as the veneer remains on the refractory die for the
entire layering procedure until the glaze is applied. Fabrication errors or shade
mismatches only show up once the restorations are placed in the patient’s
mouth. Good preparatory work is therefore crucial.

8
The layering process begins by applying a wash. For this, I applied and fired
IPS Style Ceram Opal Effect OE1 in a thin layer.

Subsequently, I applied IPS Style Ceram Cervical Transpa CT yellow to the cervi-
cal region to prevent the ceramic from spalling in the marginal areas during the
second firing cycle. I applied and fired a thin layer of IPS Style Ceram Opal Effect
OE1 along the incisal margin. Next, I established the width of the tooth using
IPS Style Ceram Dentin A1 and I fired this layer too.

The wax-up assisted in placing the dentin structure correctly.

To outline the length of teeth 12 and 22, I created an incisal shield using
IPS Style Ceram Incisal I1.
9
 Next, I imitated the internal structures such as the mamelons using IPS Style
Ceram Mamelon MM light. Then, I added layers of IPS Style Ceram Incisal I1
and various translucent Impulse materials to complete the veneer.

Tip:
For veneers, I always add some IPS Style Ceram Incisal or IPS Style Ceram
Transpa T neutral Impulse material to the dentin material before I apply it. This
leads to a more translucent result that looks more natural. It is important to
apply the material slightly proud of the margins for the last firing cycle. The
margins will then be ground to the exact shape and a thin taper before glaze
firing the veneer.

10
The IPS Style veneers after the first firing.

The bright brilliance of IPS Style Ceram never ceases to fasci-

nate me. Its firing stability is also exceptionally high:
The layered contour is retained after the firing process.
Shrinkage is minimal.

The ultra-thin IPS Style veneers show a natural translucency and opalescence
under transmitted light. There is a lively interplay of shades, emanating from
the depth of the tooth.
 Following the corrective firing, the surface characteristics were applied. The
structures and contours of the layered tooth can be rendered visible more clear-
ly by dusting the surfaces with silver powder. This makes it easier to perform a
final check after completing the surface design.

Before glaze firing the veneers, I ground

the margins so that they ran neatly along
the markings on the refractory die.

Tip:
In addition to high esthetics, the strength of a material plays an especially
important part in veneer work. IPS Style is extremely stable even when used in
ultra-thin layer thicknesses. As the metal-ceramic and the IPS e.max all-ceram-
ic are based on the same shade system, both types of material can be used
side by side in the same patient without any difficulty.

12
 The layers in detail

To prevent the ceramic from spalling during the second firing cycle, I applied
IPS Style Ceram Cervical Transpa CT yellow and IPS Style Ceram Cervical Transpa
CT orange-pink to the cervical area after the wash (first firing). I placed an ini-
tial layer of IPS Style Ceram Dentin A1, mixed with IPS Style Ceram Cervical
Transpa CT yellow, to define the width of the tooth. Then I began with the
actual layering procedure by building up an incisal shield (IPS Style Ceram
Incisal I1). This method helps me establish the appropriate length of the tooth.
At this step, I also imitated the mamelons, using IPS Style Ceram Mamelon MM
light. The mamelons were placed to impart the tooth with a lively appearance
once the veneer was in situ.

I used an alternating layering technique to build up the incisal area. To repro-

duce the light-optical properties of the tooth as closely as possible, I used a
variety of translucent Impulse materials. I mixed them with small quantities of
IPS Ivocolor Essences and applied them in alternating layers in tandem with the
IPS Style Ceram Opal Effect materials. In between, I always used IPS Style
Ceram Incisal.

Tn + E03
Tn + E09

I1 IPS Style Ceram Dentin A1

MM light C Ty + C Top
D A1 + I1 IPS Style Ceram Incisal I1

OE1
I1 D A1 + C Ty IPS Style Ceram Transpa T neutral

IPS Style Ceram Cervical Transpa CT

yellow

IPS Style Ceram Cervical Transpa CT

OE4 I1 orange-pink

IPS Style Ceram Mamelon MM

yellow-orange
I1
OE4
IPS Style Ceram Mamelon MM light

OE2 OE2 IPS Style Ceram Opal Effect OE1

D A1
+ C Ty I1
IPS Style Ceram Opal Effect OE2

C Ty
+ C Top IPS Style Ceram Opal Effect OE4
MM light
OE1 OE1
IPS Ivocolor Essence E03 lemon

IPS Ivocolor Essence E09 terracotta

D A1 + I1
Tn + E03 Tn + E03
Tn + E09

13
 The final result

The esthetic requirements placed on a restoration are especially high for ve-
neers in the anterior region. To achieve a beautiful invisible transition between
the veneer and the soft tissues, a precise preparation and translucent layering
technique are of decisive importance. The preparation margins should be
marked beforehand and then accurately reworked under the microscope.

Working on refractory dies is challenging and relatively risky because the result
cannot be entirely predicted. On the positive side, refractory dies enable the
fabrication of restorations that demonstrate total accuracy of fit and they allow
professionals to use any material they want.

Tip:
IPS Style remains stable even during multiple firings and therefore results in
highly accurate outcomes when used on a refractory die. The metal-ceramic
assists in achieving a tight marginal seal.

14
15
 Case 2
Straightening misaligned teeth
with non-prep veneers

16
MAKE IT NATURAL.
Initial situation

The patient came to see me because she wanted to have

her crooked teeth straightened: tooth 21 was clearly over-
lapping tooth 11.

As it is our policy to always try and find a treatment that is

gentle to the tooth structure, I decided to use a non-prep
treatment approach for this case. The idea was to create a
harmonious outline without any invasive intervention.

Dentist:
Dr Christian Schult

Case planning/Photographic documentation/

Dental lab work:
MDT Carola Wohlgenannt

17
 I began the planning procedure
by compiling a short photograph-
ic documentation. It was impor-
tant for me to provide the patient
with a visual impression of the
esthetic possibilities of non-prep
veneers right from the outset.
With this in mind, I prepared in-
dividual composite mouldings.

Initial situation

Trying in the composite veneers

Emotional reassurance is crucial in such cases. To win the trust of the patient right
from the outset, I first prepared mouldings using the SR Nexco® lab composite. The
shade of these mouldings should be as close to the target shade as possible to
help the patient imagine what the final result could look like. The advantage of
these mouldings was that they enabled me to assess if the final veneers would
integrate into the dental arch harmoniously. In contrast to digital before and after
simulations, mouldings allow patients to not only see how the veneers would
change their esthetic appearance but also to experience what it would feel like to
wear them.

Tip:
Before and after comparisons are very helpful to reassure patients emotionally
while they are undergoing the treatment.

18
The layers

After having applied a thin wash (first firing) using IPS Style Opal Effect OE1,
I began to build up the veneer in layers. As usual, I first work on incisor 12 and
then on 22 before I completed both anterior teeth.

Tip:
I mix my own blends of materials to create veneers. This way, I can extend the
customization possibilities of the existing materials to meet the needs of the
individual situation even more closely. The use of refractory dies enables me to
meet even the most exacting esthetic requirements of patients with IPS Style.
Shade adjustments can be applied using the IPS Ivocolor® stains after the
glaze firing.

Master model with refractory dies

19
 The IPS Style veneers show a pleasing esthetic effect already after two firing
cycles, even without any additional characterizations. The aim of us dental
technicians is to optimally design the incidence of light, colouration, transpar-
ency and translucency and, ultimately, the natural appearance of the restora-
tion. However, I only consider a restoration a success if the patient is also happy
with it.

Tip:
It is often best to add some translucent material – such as IPS Style Transpa T
neutral – to the ceramic material. Under no circumstances should the veneers
be layered too opaque.

Tip:
IPS Style is very robust and is
therefore suited for creating
veneers on refractory dies.
The metal ceramic is also
suitable for ultra-thin layer
thicknesses in cases where
only limited space between
0.2 mm to 0.7 mm is avail-
able.

20
 The layers of the central incisor
in detail

Before I embarked on the actual layering process, I provided the dentin body
with the requisite brightness value, for which I used pure IPS Style Ceram
Dentin A1. As usual, I then began to build up the incisal shield to establish the
length of the tooth. Subsequently, I created the outer contours of the veneer,
using IPS Style Ceram Dentin A1 and then the mamelons using IPS Style Ceram
Mamelon MM light. For the alternating layering technique in the incisal area,
I used IPS Style Ceram Transpa T neutral, blended with IPS Ivocolor Essence E03
lemon and E09 terracotta. The latter impart a warm and natural hue. To imitate
the halo effect, I employed a small quantity of IPS Style Ceram Cervical Transpa
CT orange-pink, mixed with IPS Style Ceram Incisal I1 and Dentin A1. The un-
derlying mamelons lend additional depth and naturalness to the veneer.

To complete the veneer, I covered the entire veneer, starting from the middle
section of the tooth, with various translucent Impulse materials, IPS Style Ceram
Incisal I1 and IPS Style Ceram Opal Effect OE1 and OE2.

I1 + C Top

OE1

Tn + E03
Tn + E09
IPS Style Ceram Dentin A1

MM light IPS Style Ceram Dentin A2

D A1 + C Ty

OE2 IPS Style Ceram Incisal I1

I1 +
D A1 IPS Style Ceram Transpa T neutral

IPS Style Ceram Cervical Transpa CT

yellow
OE2
IPS Style Ceram Cervical Transpa CT
D A1 D A1 orange-pink

OE2
IPS Style Ceram Mamelon MM light

IPS Style Ceram Opal Effect OE1

D A1 + I1
IPS Style Ceram Opal Effect OE2
D A1
+ C Ty
IPS Ivocolor Essence E03 lemon
MM light
OE1 OE1
I1 I1 IPS Ivocolor Essence E09 terracotta

I1 + C Top OE1 Tn + E09

Tn + E03 Tn + E03
Tn + E09
21
 The final result

The ultra-thin and yet highly stable IPS Style veneers were suitable to be
inserted as non-prep veneers, as planned. Shortly before placing the veneers,
the shade match was assessed. Optically, the veneers blended in with their
natural surroundings seamlessly. Once placed, they integrated harmoniously
into the dental arch. A great deal of experience is required to place a veneer
directly like in this case.

The veneers are very subtle and can-

not be seen by the naked eye. With-
out having to remove any tooth
structure, the smile and well-being
of the patient has been noticeably
improved.

22
23
 Case 3
Anterior veneers with IPS Style –
Canine build-up with IPS e.max

24
MAKE IT UNIQUE.
Initial situation

The patient wished to have more youthful-looking teeth. It

was necessary to grind the natural teeth because of the
existing fillings.

Dentist:
Dr Christian Schult

Case planning/Photographic documentation/

Dental lab work:
MDT Carola Wohlgenannt

25
 The layers

To establish the vertical expanse and the segmentation of the incisors, I first
created a wax-up. This way, I was able to check the total length of restoration
easily after each firing process. It is crucial to keep an eye on the proportions
right from the outset.

Tip:
Markings on the model dies allowed me to check the thickness of the materi-
als applied to the veneer as I layered them. I measured the dies before I began
to apply the ceramic materials. The markings stayed in place whilst
I layered the veneer. This allowed me to
check the thickness of the ceramic as
I went along and to ensure that
I adhered to the minimum
thickness.

26
You may wonder why a ceramist like me happens to be so fascinated by
IPS Style. After having completed many cases with this metal-ceramic, I can
exactly tell you why: It is the bright brilliance, excellent esthetics and high firing
stability that make IPS Style the ideal veneering ceramic for me.

Tip:
There are many things that need to be considered when processing ceramics
on refractory dies. Handling is more difficult than handling pressed ceramics.
However, the bright brilliance of the results obtained with this method is
worth the extra effort. To attain best results, each single working step should
be adhered to when creating veneers with IPS Style. In the process, degas-
sing and dewetting the dies is just as important as marking out the marigns
correctly and applying a wash (first firing).

27
 The layers in detail

As usual in these cases, I began by levelling out the margins in the cervical area,
for which I used IPS Style Ceram Cervical Transpa CT yellow. In this way, I
achieved a smooth transition between the veneer and gingiva. The materials
feature a somewhat more intense translucency. Gradually, I incorporated small
quantities of IPS Style Ceram Dentin A1. I used IPS Style Ceram Opal Effect OE3
to establish the width of the dentin body in this case. Using IPS Style Ceram
Incisal I1, I created the incisal shield, which defines the length of the tooth. The
mamelons were imitated using IPS Style Ceram Mamelon MM light, MM
yellow-orange and MM salmon. They provide the tooth with structure and
naturalness.

I employed an alternating layering technique in the incisal area to achieve opti-

cal light reflection effects along the incisal edge and opalescent effects along
the mesial and distal zones.
Here, I applied IPS Style Ceram Opal Effect OE1 and OE2 as well as small quan-
tities of IPS Style Ceram Transpa T neutral. In addition, I added a thin layer of
IPS Style Ceram Dentin A2 and IPS Style Ceram Incisal I1 to the incisal edge.
I then finalized the tooth surface with the Impulse material IPS Style Ceram
Transpa T neutral.

D A1 + I1

I1 + Tn
Tn + OE1

C Ty
MM light IPS Style Ceram Dentin A1

C Ty + D A1 IPS Style Ceram Incisal I1

I1 I1 +
+ C Ty C Ty +
+ Tn Tn IPS Style Ceram Transpa T neutral
I1 + C Ty

OE3 IPS Style Ceram Cervical Transpa CT

OE2 yellow

D A1 + OE2
IPS Style Ceram Mamelon MM
I1 yellow-orange
OE3
IPS Style Ceram Mamelon MM light
I1 +
C Ty
IPS Style Ceram Mamelon MM salmon
D A1 +
C Ty
IPS Style Ceram Opal Effect OE1
I1 I1

C Ty IPS Style Ceram Opal Effect OE2

MM light
OE1 OE1
IPS Style Ceram Opal Effect OE3

OE2

D A1 OE1 OE1 D A1
OE2
+ I1 + I1
D A1
+ I1

28
Variation

As already pointed out above, as a ceramist, I find it important to have access

to all ceramic materials. This allows me to select the material that meets the
specific needs of the individual case. As regards the fabrication of veneers with
IPS Style, there is an additional plus that comes into play: I can combine this
metal-ceramic with restorations made of IPS e.max Press, because both ceram-
ic systems share the same shade system. Depending on the indication, dentists
find it important to offer their patients an alternative material, such as
IPS e.max Press, which features increased strength and fracture resistance.

The present case requires the canine guidance to be raised by a build-up. And
this is an indication for which I rely on the IPS e.max Press ceramic. The opales-
cence of the incisal area is important. For this reason, I selected IPS e.max Press
Impulse 01. This gave me a perfect match because opalescent materials were
also used for the veneers. The possibilities of combining these all-ceramic and
metal-ceramic materials are almost limitless.

The veneers made of IPS Style and the canine build-up made of IPS e.max Press
perfectly match each other in colour. They are on a par with each other when
it comes to opalescence and naturalness – even if in this case I used almost
exclusively incisal materials to build up the veneers.

29
 The final result

The canine build-up made of IPS e.max Press and the IPS Style veneers on the
anteriors and incisors perfectly harmonized with each other even after having
been incorporated. Despite their thin thickness, the veneers looked vibrant and
provided an excellent depth effect. The translucent incisal edge enhanced the
perception of depth by imitating the reflection of refracted light. I used IPS Style
Ceram Dentin A1 and IPS Style Ceram Incisal I1 to achieve the refracted light
effect.

30
31
 My preferred firing protocol

For the wash, cervical and first dentin firings, I always follow the directions
given in the IfU of the manufacturer, in this case Ivoclar Vivadent. For the sec-
ond dentin firing, I usually decrease the temperature by 5 °C. I conduct the
glaze firing at 800°C without vacuum, but I decrease the holding time to
10-20 seconds. This way, the surface texture is optimally retained.

It is important to calibrate the ceramic furnace on a regular basis and to adjust

it to the ceramic materials being used.

Tip:
You should still see some structure on the ceramic surfaces after the first
dentin firing cycle. To have a better idea of what this should look like, you can
imagine granulated sugar that is roughly soaked in water: the sugar crystals
have already all merged at the bottom, but they can still be seen as separate
crystals at the top. If this is the case, the first dentin firing has been carried
out correctly and the furnace is set to the correct parameters.

32
Firing parameters according to Ivoclar Vivadent

IPS Style Ceram (veneering technique)

Veneers layered on refractory dies

Firing Stand-by Closing time Heating rate Holding time Vacuum Vacuum
temperature temperature on: off

T [°C] B [°C] S [min] t [°C/min] H [min] V1 [°C] V2 [°C]

Veneer - Wash firing

810 403 8:00 50 1:00 450 809

Veneer - Cervical firing

800 403 8:00 50 1:00 450 799

Veneer - Dentin/Impulse firing

800 403 8:00 50 1:00 450 799

Veneer - Incisal firing

800 403 8:00 50 1:00 450 799

Veneer - Stain and Glaze firing

750 403 8:00 50 1:00 – 1:30 450 749

33
34
Summary

I – an all-ceramist.
IPS Style – a metal-ceramic.
We – a perfect team.

As a ceramist, I have the advantage to always be able to

access the materials that match both the specific needs of
the case at hand and the financial means of the patient be-
ing treated. Creating veneers on refractory dies is certainly
a supreme discipline. However, I find the results that I can
achieve with this technique unparalleled in their esthetics.
Given its bright brilliance, IPS Style is the right companion
for me.

I would like to thank my patients and Dr Christian Schult

for their confidence and excellent collaboration. Working
together is essential to me to achieve high-quality esthetic
restorations.

In my private life, I appreciate nature and all its

diversity. I want to reproduce as much of
this natural diversity in my restorations
as I can. The objective of my work
is to achieve esthetic results and,
ultimately, to make patients
happy. This is what motivates
me in my daily work.
 Descriptions and data constitute no warranty of attributes.
© Ivoclar Vivadent AG, Schaan/Liechtenstein
747008/EN/2020-08-31

Ivoclar Vivadent AG
Bendererstr. 2
9494 Schaan
Liechtenstein
Tel. +423 235 35 35
36 Fax +423 235 33 60
www.ivoclarvivadent.com