Composites in the aesthetic zone: Yes, we can

In a rehabilitation in the aesthetic area, there are many treatment options and different materials to use.
Composites have gained an important role in the aesthetic rehabilitation.
Due to the existence of different composites that replicate the lost tooth tissue, it can be a pleasant and stable aesthetic result.

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Fig.1
Patient with a dental fracture at 11 and a poor composite restoration at 21. The treatment plan was a direct composite in both teeth.

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Fig.2
Wax-up for the execution of silicone lingual matrix.

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Fig.3
Selection of composites in order to mimic the dental tissues . It was chosen UD2 / GE3 from Enamel HRi.

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Fig.4
It is important to light cure the composite samples to better evaluate the color.

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Fig.5
After rubber dam isolation.

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Fig.6
With a round bur to remove any unsupported enamel e smooth all the preparation.

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Fig.7
After the old composite removal.

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Fig.8
Enamel etching with phosphoric acid (Kerr).

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Fig.9
Thoroughly wash the ecthing agent.

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Fig.10
Application of primer agent only in dentin (Primer of Optibond FL).

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Fig.11
Application of adhesive agent (Optibond FL).

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Fig.12
Palatal enamel on the silicone matrix in position.

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Fig.13
Palatal shell using GE3.

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Fig.14
V3 SuperCurve Matrix matrix adaptation to make the interproximal wall.

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Fig.15
Composite adaptation in interproximal enamel wall with the LM -Arte Applica.

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Fig.16
First layer of dentin to ensure the rigth adaptation on the palatal shell.

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Fig.17
Final layer of dentin, making sure it gets dentin composite fingerprints on the enamel bevel.

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Fig.18
Final layer of GE3 enamel composite.

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Fig.19
Final layer of GE3 enamel composite.

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Fig.20
Polishing with Enamel Plus Shiny A.

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Fig.21
Polishing with Enamel Plus Shiny B.

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Fig.22
Polishing with Enamel Plus Shiny C (aluminium oxide paste).

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Fig.23
Final result after polishing.

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Fig.24
Macro aspect of superficial texture.

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Fig.25
Follow-up after 15 days.

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Fig.26
Smile picture.

Conclusions

Composites have an important role when rehabilitating the anterior area. With a simple layering technique it is possible to achieve very good aesthetic results.

Bibliography

1. Dietschi D, Ardu S, Krejci I. A new shading concept based on natural tooth color applied to direct composite restorations. Quintessence Int 2006:37:91–102.
2. Vanini L, Mangani F, Klimovskaia O. Conservative Restoration of Anterior Teeth. Viterbo, Italy: Acme, 200
3. Paolone G, Orsini G, Manauta J, Devoto W, Putignano A. Composite shade guides and color matching. Int J Esthet Dent. 2014 Summer;9(2):164-82.

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