Canine to canine direct composite veneers

A clinical case by our Community member Dr Muhammed Bahadeen Mustafa

This article and its content are published under the Author’s responsibility as an expression of the Author’s own ideas and practice. Styleitaliano denies any responsibility about the visual and written content of this work.

Various clinical scenarios, such as tooth discoloration, extensive fractures, misalignment, or dental caries, can significantly impair the aesthetic appearance and harmony of a smile, impacting quality of life. Direct composite veneers offer an appealing option to restore the aesthetic appearance of damaged teeth, particularly as they require less removal of healthy tooth structure compared to indirect techniques, which involve laboratory procedures and higher costs. In fact, for a minimally invasive approach, direct composite veneers appear to be the preferred initial choice. Therefore, the objective of this article is to present a case demonstrating the application of direct composite veneers on anterior teeth.

style italiano styleitaliano initial situation before composite veneers restoration

Fig.1
The primary complaint was the yellowish color of the teeth, along with incisal fractures and rough, pigmented restorations.

style italiano styleitaliano composite veneers restorationstyle italiano styleitaliano isolation composite veneers restoration

Fig.2
Isolation and removal of old restoration must be done carefully to preserve as much tooth structure as possible.

style italiano styleitaliano Composite placement on centrals teeth composite veneers restoration

Fig.3
Almost most of the work and anatomy of the tooth must be created before final finishing and polishing.

style italiano styleitaliano composite veneers restoration finishing the centrals

Fig.4
Most of the anatomical features have been successfully recreated.

style italiano styleitaliano composite veneers restoration anatomy of centrals created

Fig.5
In the final result, both the primary and secondary anatomical features have been created.

style italiano styleitaliano composite placement on lateral incisor

Fig.6
Firstly, there is dentin and enamel loss evident on the lateral incisor.

style italiano styleitaliano composite veneers restoration enamel placement

Fig.7
The palatal shell was fashioned using enamel composite.

style italiano styleitaliano composite veneers restoration dentin placement

Fig.8
Next, the lost dentin was compensated by applying dentin composite.

style italiano styleitaliano composite veneers restoration enamel layer placement

Fig.9
For the final enamel layer, A1 was used to achieve a brighter color in the end result.

style italiano styleitaliano Brush for adaptation of composite to the tooth

Fig.10
The enamel composite is adapted using a brush.

style italiano styleitaliano view before the strip pull technique

Fig.11
Outlines of the lateral incisor before employing the strip pull technique.

style italiano styleitaliano composite placement inside the strip

Fig.12
The strip is inserted, and composite is applied inside it. Subsequently, a pulling motion is executed from buccal to lingual.

style italiano styleitaliano composite veneers restoration modeling composite

Fig.13
LM Arte Modella (LM, powered by Styleitaliano) was used for condensation.

style italiano styleitaliano composite veneers restoration Instruments for composite placement and modeling

Fig.14
Two of my favorite instruments are the LM Arte Modella and the LM Arte Fissura  (LM, powered by Styleitaliano).

style italiano styleitaliano composite veneers restoration composite placement on canine

Fig.15
The same principles were applied to the canine, building the mesial and distal walls using the strip technique.

style italiano styleitaliano composite veneers restoration composite placement on canine

Fig.16
Here, the mesial and distal walls were finished, and composite was applied on both sides until they met slightly at the labial ridge.

style italiano styleitaliano composite veneers restoration correct polymerization Eighteeth curing light

Fig.17
An Eighteeth light cure was utilized, with an intensity of 1500 mw/cm², to cure each layer for 10 seconds.

curing pen light style italiano styleitaliano eighteeth
curing pen light style italiano styleitaliano eighteeth
style italiano styleitaliano composite veneers restoration final result

Fig.18
As you can see in the final result, both the primary and secondary teeth anatomies have been meticulously recreated.

style italiano styleitaliano composite veneers restoration final lateral view

Fig.19
From the lateral view, one can observe the anatomies and healthy gum tissues.

Conclusions

Composite veneers have traditionally been chosen as a conservative and aesthetically pleasing treatment option for anterior teeth. By selecting the appropriate material and product, achieving a highly promising and long-lasting outcome is possible.

Bibliography

Manauta J, Salat A. Layers, An atlas of composite resin stratification. Quintessence Publishing Co; 2012.

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