Ivories can easily get chipped at the front. For this Cramer grand, I first re-glued 2 dozen of the fronts, then had to fill the chipped ones.
Here, I used an epoxy resin with a splash of white guache. It’s far from perfect, but finding ivory replacements is increasingly difficult, these days.
I find the guache-resin mixture difficult to apply – but it remains quite plastic for at least 3 hours, so can be moulded with a knife, to deal with the inevitable sag of larger fillings.
– O, to be a dentist! (not!).