Minimal invasive Anterior Directs in a single appointment

Multiple diastemas and changing old fracture restoration of a central incisor in single appointment with minimal invasive direct composite restorations.

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Fig.1
Young male patient represents multiple diastemas and old restoration on tooth no. 21.

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Fig.2
Palatal view of incisors and old restoration done by using dentin pins.

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Fig.3
Evaluating color match by placing small layers of appropriate composites and light cure. Better to use SmileLite and cross polarizing filter.

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Fig.4
Preparing silicone index trough wax-up.

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Fig.5
Rubber dam placement to provide clean and dry working field, removing old restoration and mimimal preparations.

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Fig.6
After etching procedure, using 35 % orthophosphoric acid gel for 30 seconds.

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Fig.7
After applying adhesive and masking dentin pins by using flowable opaquer with Applica LM Arte instrument.

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Fig.8
Constructions of thin layered palatal enamel walls by using silicone index.

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Fig.9
Creating dentin mamelons and applying some characterization stains to achieve natural esthetics.

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Fig.10
Placing buccal enamel layer.

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Fig.11
Using transparent matrices for approximal walls.

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Fig.12
Just after the final finishing an polishing. Actually No. 11 is larger than the no. 21, making that incisal notch is for creating an illusion for feeling equal mesio distal dimensions.

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Fig.13
Palatal view of new restorations.

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Fig.14
New smile.

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Fig.15
Lateral view of new smile.

Conclusions

With composites it is easy to find simple solutions for our patients only in one appointment.

Bibliography

1. Vanini L, Mangani FM. Determination and communication of color using the five color dimensions of teeth.  Pract Proced Aesthet Dent. 2001 Jan-Feb.
2. Manauta J, Salat A. Layers, an Atlas of composite resin stratification, Quintessence 2012.
3. Paolone G., Orsini G., Manauta J., Devoto W., Putignano A., Composite Shadeguides and Color Matching. IJED, Vol 9, No. 2, Summer 2014.

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