Cosmetic improvements and small fractures with composites
Sometimes it is a nightmare to try to stratify composites in small spaces for cosmetic improvement and small fractures. Thanks to the good optical properties of some composite materials it is possible to use the single mass approach with an optimal aesthetic result, enough to satisfy most aesthetic expectations. In small restorations the single mass approach is easier and faster compared to stratifying. So we present a cosmetic small shape modification and a little fracture restored with composite.
The Single mass and freehand approach was used, and has some undeniable advantages. We will mention the three main advantages:
1. Easier to stratify. It is almost impossible to stratify 3 masses (enamel, dentin, opalescent mass) in a reduced space like in the one available in the following clinical case.
2. Lets the clinician focus on other essential aspects of the anterior direct restoration (shape and texture)
3. Eliminates the need of wax-up or direct mock-up to build the silicone key.
Big class IV with large bevel are also indicated for a single mass approach (when all the attention has to go to the modelling stage).
The styleitaliano suggestions for the single mass restorations are the following ones:
– Small restorations, as a small class IV or a little diastema
– Contained restorations, as class III or class V restorations
– Large-extended lesions as large class IV especially if they have large or infinite bevel
Small modifications can dramatically change a smile. Cosmetic modifications with composite for a smile improvement with the free hand technique and single mass approach are the fastest, easiest, cheapest way of treating small fractures or small shape modifications. With the single mass technique we obtain optimal aesthetic results, being able to satisfy most of the patients and their aesthetic demands. In order to get greater aesthetic results when layering, it can sometimes be convenient to use the technique we presented in this article.
Saracinelli M. Simplified no prep reshaping in anteriors. Single mass combined technique. Styleitaliano.
Salat A. Composite modeling using ultrathin spatulas. Styletialiano.
Manauta J. Single shade anteriors. Styleitaliano.
Devoto W, Saracinelli M, Manauta J. Composite in everyday practice: how to choose the right material and simplify application techniques in anterior teeth. EJED 2010, vol.5, No.1, 102124.
Yu B, Lee YK. Translucency of varied brand and shade of resin composites. Am J Dent 2008; 21: 229232.