The skeleton buildup technique: a systematic approach to the three-dimensional control of shade and shape

Due to the limitations of current shade-matching systems, shade communication has proven inadequate. Techniques for the fabrication of porcelain crowns that match the natural definition must address numerous factors. While all-ceramic restorations are indicated for the rehabilitation of the anterior dentition, these modalities are problematic in the restoration of teeth with discolored substrates. This article presents a systematic procedure for the three-dimensional fabrication of porcelain restorations. Techniques for building porcelain and altering the translucency of ceramic cores are also presented.