Anterior teeth with Unica

Saving time in restorative daily practice is an important task. The restoration of anterior teeth is often difficult to perform because the high aesthetic request. Today we have a lot of new tools in order to simplify such procedures. In this article we combine the Unica Matrix with a Bulk-One technique. This combination allows the clinician to make the procedure easier, including also a procedure as the veneering after composite substitution. A 38 years old female came to our dental office in order to improve her smile.

style italiano styleitaliano 3m

Fig.1
Pre-operative picture of the old restorations.

style italiano styleitaliano 3m

Fig.2
The polarized filter was used to highlight teeth morphologies.

style italiano styleitaliano 3m

Fig.3
Pre-operative occlusal view.

style italiano styleitaliano 3m

Fig.4
Removal of the old restorations and rubber dam isolation.

style italiano styleitaliano 3m

Fig.5
Placement of UNICA matrices (Polydentia) by means of plastic wedges to stabilize them.

style italiano styleitaliano 3m

Fig.6
Etching of the dental surfaces using 3M™ Scotchbond™ Etching Gel

style italiano styleitaliano 3m

Fig.7
After bonding procedures using 3M™ Scotchbond™ Universal Adhesive, mesial and distal walls of the tooth 1.1. were made using 3M™ Filtek Universal Restorative.

style italiano styleitaliano 3m

Fig.8
The reconstruction of 1.1. was performed, and the proximal walls of 2.1 made by using the previously described methods.

style italiano styleitaliano 3m

Fig.9
Restorations before the finishing and polishing procedures.

style italiano styleitaliano 3m

Fig.10
Polarized picture of the restorations before the finishing and polishing procedures.

style italiano styleitaliano 3m

Fig.11
Finishing procedures using beige Spiral Wheel of 3M™ Sof-Lex™ Diamond Polishing System.

style italiano styleitaliano 3m

Fig.12
Polishing procedures with pink Spiral Wheel of 3M™ Sof-Lex™ Diamond Polishing System.

style italiano styleitaliano 3m

Fig.13
Final restoration.

Conclusions

In this article, the author suggests a possible combination to solve a problematic anterior case. UNICA matrix has allowed to reconstruct the mesial and distal walls together with the cervical margin. Moreover, the bulk one technique shows an acceptable aesthetic result. The author can conclude that the new tools are available to the dental clinician to simplify the procedures, without being afraid of them.

Bibliography

[1] J. Manauta, A. Salat, A. Putignano, W. Devoto, C.F. Villares, L.S. Hardan, Natural, polarized light and the choice of composite: a key to success in shade matching of direct anterior restorations- Part I., Odonto-Stomatol. Trop. Trop. Dent. J. 39 (2016) 11–19.
[2] R. Hirata, W. Kabbach, O.S. de Andrade, E.A. Bonfante, M. Giannini, P.G. Coelho, Bulk Fill Composites: An Anatomic Sculpting Technique, J. Esthet. Restor. Dent. Off. Publ. Am. Acad. Esthet. Dent. Al. 27 (2015) 335–343. doi:10.1111/jerd.12159.
[3] R. Monterubbianesi, G. Orsini, G. Tosi, C. Conti, V. Librando, M. Procaccini, A. Putignano, Spectroscopic and Mechanical Properties of a New Generation of Bulk Fill Composites, Front. Physiol. 7 (2016). doi:10.3389/fphys.2016.00652.
[4] F.H. Coelho-de-Souza, D.S. Gonçalves, M.P. Sales, M.C.G. Erhardt, M.B. Corrêa, N.J.M. Opdam, F.F. Demarco, Direct anterior composite veneers in vital and non-vital teeth: a retrospective clinical evaluation, J. Dent. 43 (2015) 1330–1336. doi:10.1016/j.jdent.2015.08.011.
[5] N.J.M. Opdam, F.H. van de Sande, E. Bronkhorst, M.S. Cenci, P. Bottenberg, U. Pallesen, P. Gaengler, A. Lindberg, M.C.D.N.J.M. Huysmans, J.W. van Dijken, Longevity of posterior composite restorations: a systematic review and meta-analysis, J. Dent. Res. 93 (2014) 943–949. doi:10.1177/0022034514544217.

RELATED CASES

Making a patient smile with diastema closure. A minimally invasive approach

With the direct composite technique that helps to preserve the tooth structure in a fast and comfortable way for the patient, diastema closure is no longer a difficult procedure in clinical, everyday work.