Improved color matching of metal ceramic restorations. Part II: Procedures for visual communication

Most ceramic restorations are fabricated in a location remote from the dental office. Successful fabrication of matching life-like ceramic restorations necessitates a collaborative effort between the dentist and the ceramist. To meet the demands for visual communication of shade and surface texture, the following steps are recommended. 1. A means of communicating and recording surface texture that facilitates blending the restorations with the natural dentition should be used. 2. The system should use an esthetics prescription form that functions with the Shade Indicator Chart system to relate the shade of opaque, body, and incisal porcelains and their arrangement to the ceramist. 3. An easily made identification mold to form shade tabs is needed. 4. Identification shade tabs should be made to verify and document shade formulations selected with the Shade Indicator Chart system. 5. Methods for precisely mapping and reproducing individual characterization patterns are needed. This information permits the visualization of the end result, allowing the artistic expression of the ceramist to create vital-appearing restorations intrinsically and in harmony with the natural dentition.