Composite resin following planning

A clinical case by our Community member Dr Giovanna Borelli

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.

Many people are self-conscious when they smile, and dentists now have the ability to plan the smile design based on the patient’s facial profile in order to harmonize and balance the smile in a tailored fashion. Accordingly, the aim of this article is to assess a clinical case of anterior composite restorations following a right plan.

styleitaliano style italiano initial situation

Fig.1
A patient visited the dental office asking for an aesthetic solution for her smile. She complained about unsatisfactory old composite resins, teeth size, and color. Plus, she was looking for a more harmonious smile.

styleitaliano style italiano initial situation

Fig.2
Begin by preparing this case to be predictable (a correct treatment plan was based on the patient’s facial profile). Next, the current composite resins were removed.

styleitaliano style italiano rubber dam isolation

Fig.3
Rubber dam isolation was done in an attempt to have a clean field from moisture. Clinicians should practice rubber dam techniques, and never using a rubber dam would not be an acceptable approach.

styleitaliano style italiano palatal wall creation

Fig.4
Through the palatal index, the size and the shape of the planned teeth were transfered to the mouth of the patient.

styleitaliano style italiano composite placement

Fig.5
Dentin placement using a spatula.

styleitaliano style italiano Composite placement

Fig.6
Creation of dentin mamelons using fissura instrument (LM, powered by Styleitaliano).

style italiano styleitaliano lm arte anterior instrument
style italiano styleitaliano lm arte anterior instrument
styleitaliano style italiano composite placement

Fig.7
Using a brush, the composite was well adapted.

styleitaliano style italiano composite placement

Fig.8
Composite placement on the adjacent tooth.

styleitaliano style italiano Flowable resin between the mamelons

Fig.9
A flowable resin composite was placed between the mamelons to emphasize the translucency in the incisal third.

styleitaliano style italiano Opalescent composite resin placement

Fig.10
Opalescent composite resin was placed on the mamelons to emphasize more the details.

styleitaliano style italiano enamel placement with LM Solo Anterior

Fig.11
Freehand layer of enamel following the planning.
The LM Solo Anterior Instrument (LM, powered by Styleitaliano) was used for this layer to adapt the composite to the wall needed. Plus,Tokuyama’s MW composite resin was applied as the final layer for a better polishing of the final situation.

LM arte solo banner style italiano styleitaliano
LM arte solo banner style italiano styleitaliano
styleitaliano style italiano Finishing stage

Fig.12
At the finishing stage, the volume and the position of the edges were adjusted according to the initial treatment plan.

styleitaliano style italiano Finishing stage

Fig.13
Finishing stage.

styleitaliano style italiano Pre-polishing stage

Fig.14
Pre-polishing stage.

styleitaliano style italiano Before following the plan of the new composite resin

Fig.15
Before following the plan of the new composite resin.

styleitaliano style italiano after composite resin

Fig.16
Final result of the upper arch planned according to facial profile. The color choice was chosen based on the face of the patient.

styleitaliano style italiano Before and after composite resin

Fig.17
Before and after.

Conclusions

The development of innovative, yet conservative, state-of-the-art resin composite restorative materials and techniques can commonly meet patients’ cosmetic and functional corrective needs today. Furthermore, regardless of the restorative materials used, a proper treatment strategy should be established for improved patient satisfaction in terms of time and cost.

Bibliography

  1. Freitas, A., & Ottoboni, T. (n.d.). Elementos Constituintes do Sorriso e Planejamento Reverso. Simple.
  2. Heintze SD, Rousson V, Hickel R. Clinical effectiveness of direct anterior restorations—A meta-analysis. Dental materials. 2015 May 1;31(5):481-95.
style italiano styleitaliano Essential Dentistry kit online on demand course
style italiano styleitaliano Essential Dentistry kit online on demand course

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