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It is very important that the ceramist is always involved in the design of the<br />
copings. Do not leave it to whoever does the waxing or scanning. Basically, the<br />
build up starts from here so if something goes wrong, do not blame it on them.<br />
It is the ceramist’s fault if they do not do the design themselves!<br />
Introducing<br />
CALLAPLUS CERAMIC - TREATMENT<br />
I have been a ceramist for quite a while, long enough and experienced<br />
enough to be able to tell the difference between natural dentition and very<br />
well-matched restorations. Going through dental magazines or books, I see<br />
many great restorations but often it is fairly obvious which one is a restoration.<br />
Regardless of how much I train myself to reproduce nature, there is one thing<br />
I just can not control. This is the “micro bubbles” within the porcelain which<br />
tend to appear on the surface of the finished restorations (Figure 26). Worst of<br />
all, this becomes more obvious when polishing after the glaze firing and just<br />
before we finish the job and send it out (the courier is usually pacing the reception<br />
area by now and giving me dirty looks!). Once I see these tiny bubbles<br />
on the surface, I get very upset. My eyes just lock in on them and the restoration<br />
does not look like a tooth to me anymore! It may sound like I am being<br />
very fussy, but it is a serious issue for me.<br />
Natural dentition has very smooth dense layers regardless of the surface anatomy<br />
(Figure 27). It is very annoying to try and get rid of a tiny bubble on a finished<br />
restoration that you have spent so much time creating. I have tried to fix this problem<br />
by condensing the porcelain prior to firing, mixing the porcelain to get rid of<br />
any visible bubbles under the microscope or making sure the porcelain is constantly<br />
wet to avoid wet-dry-wet build-up. I even tried many different firing cycles.<br />
However, nothing seemed to work; I still had those tiny little bubbles which drove<br />
me insane!<br />
Finally I found a solution - the CALLAplus Ceramic treatment (the first in<br />
Australia) from German company TeamZiereis GmbH (Figure 24).<br />
Instead of hand mixing the porcelain powder on a plate, you simply put the<br />
porcelain powder and the liquid together in to the glass container of the<br />
CALLAplus and turn it on. It then sucks the air out of the container and once<br />
you get a full vacuum, you turn the built-in vibrator on. In 30-60 seconds (the<br />
time can be varied), you get bubble free porcelain paste! Figure 25 shows the<br />
amount of air that comes out of the porcelain paste. Scary!<br />
Figure 28 shows the surface of a crown built with the bubble-free porcelain.<br />
This is a dream come true. The advantages of the CALLAplus ceramic treatment<br />
include:<br />
1. You can use any type of porcelain powder and re-use the dried out porcelain<br />
as if it is brand new again (The glass container comes with a lid, so make<br />
sure you put the lid on when you are not using the porcelain to avoid having<br />
dust in it)<br />
Figure 21<br />
Figure 22<br />
Figure 23<br />
Figure 24<br />
Figure 25<br />
<strong>LVI</strong> VISIONS • JANUARY • FEBRUARY • MARCH • APRIL 2008 45