Clinical Case in collaboration with Dr. Paulo Monteiro.
Diastema is a challenge for dental clinician. Many treatments and materials are available for closing diastema. If we choose restorative way, the possibility of a distema closure with single shade material could be the dream of every clinicians. In this article the diastema was closed with only one material with a single shade.
A 29 years old girl come to our practice in order to improve the aesthetic of her smile.
Color matching and analysis was made before rubber dam isolation.
Color matching and analysis with polarized filter.
Printed wax-up with silicon index.
The teeth were isolated with rubber dam and the air polished was performed.
Teflon was used to cover the other teeth and the etching phase was performed with 3M™ Scotchbond™ Etching Gel.
Adhesion phase with 3M™ Scotchbond™ Universal Adhesive.
After curing the bonding agent, the first layer of 3M™ Filtek Universal Restorative was placed following the silicone mold.
Image of the palatal wall.
After adapting of the sectional matrix with liquid dam, 3M™ Filtek Universal Restorative was placed on proximal wall.
The whole tooth was restored with one single shade of 3M™ Filtek Universal Restorative.
After a first finishing of the anterior tooth by 3M™ Sof-Lex™ Extra-Thin Contouring and Polishing Discs, both the lateral teeth was etched with 3M™ Scotchbond™ Etching Gel .
Both the lateral teeth was restored by one single shade 3M™ Filtek Universal Restorative following the silicone mold.
The buccal view of the restoration before the finishing and polishing procedures.
Finishing procedures with 3M™ Sof-Lex™ Extra-Thin Contouring and Polishing Discs.
The surface perykimata was made using Perio bur from StyleItaliano Finishing Kit (Komet) at a very low speed without water irrigation.
Bedge Spiral Wheel of 3M™ Sof-Lex™ Diamond Polishing System was used to finish the surface.
Pink 3M™ Sof-Lex™ Spiral WhSpiral Wheel of 3M™ Sof-Lex™ Diamond Polishing System was used to polish the surface.
Buccal view of final restoration.
Polarized and fluorescence view of the diastema closure with single shade material.
Review one week later
Review one week later.
New technologies and material allow the dental clinician to have a good aesthetic results. In this article, one single shade was used to close the diastema in one appointment, making such treatment more convenient and economic than ceramic.
Diastema is a challenge for dental clinician, but the possibility of a distema closure with single shade material could be the dream of every clinicians.
-W. Devoto, M. Saracinelli, J. Manauta, Composite in everyday practice: how to choose the right material and simplify application techniques in the anterior teeth, Eur. J. Esthet. Dent. Off. J. Eur. Acad. Esthet. Dent. 5 (2010) 102–124.
-R. Monterubbianesi, G. Orsini, G. Tosi, C. Conti, V. Librando, M. Procaccini, A. Putignano, Spectroscopic and Mechanical Properties of a New Generation of Bulk Fill Composites, Front. Physiol. 7 (2016). doi:10.3389/fphys.2016.00652.
-J.W.V. van Dijken, U. Pallesen, Posterior bulk-filled resin composite restorations: A 5-year randomized controlled clinical study, J. Dent. 51 (2016) 29–35. doi: 10.1016/j.jdent.2016.05.008
-J. Manauta, A. Salat A, Layers, An atlas of composite resin stratification. Quintessence Books, 2012. Print.