This patient came to the clinic seeking for an aesthetic improvement. As wear of the central incisors wasn’t the only issue to be addressed, the patient was advised to get an orthodontic alignment prior to restoring the incisors.
Fig.1
Before treatment with aligners.
Fig.2
During the treatment with aligners.
Fig.3
After the treatment of 24 months with B Invisible aligners.
Fig.4
For the restorations, the CompoSite kit (White Dental Beauty) was chosen, Teeth were isolated before proceeding to restoration.
Fig.5
An old composite restoration was first removed from the upper left lateral incisor.
Fig.6
Frosty white enamel after correct etching.
Fig.7
Then a bonding agent was applied.
Fig.8
After filling the lateral incisors, we proceeded to place the Unica matrix regular to build the outer frame of the new shape. For the palatal and proximal build-up the E shade was chosen.
Fig.9
Then, the frame of the adjacent incisor was created with the same procedure.
Fig.10
After shaping the outer frame and proximal walls.
Fig.11
The outer build up was finished before layering the dentin mass.
Fig.12
After the restorations were finished and all excess material removed, they were polished with the LucidaTM composite polishing system.
Fig.13
After treatment.
Fig.14
Final result.
Fig.15
A satisfied smiling patient with her newly shaped central incisors.
Conclusions
Although an orthodontic alignment implies a treatment will be longer, it makes a difference in placing the foundation to a stable and satisfying result. The patient will often then need minimally invasive intervention to get the desired aesthetics.
Bibliography
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