style italiano styleitaliano diastema closure with single shade

Diastema Closure: a single shade opacity aesthetic approach

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.

style italiano styleitaliano diastema closure with single shade

Fig.1

A 29 years old girl come to our practice in order to improve the aesthetic of her smile.

style italiano styleitaliano diastema closure with single shade

Fig.2

Color matching and analysis was made before rubber dam isolation.

style italiano styleitaliano diastema closure with single shade

Fig.3

Color matching and analysis with polarized filter.

style italiano styleitaliano diastema closure with single shade

Fig.4

Printed wax-up with silicon index.

style italiano styleitaliano diastema closure with single shade

Fig.5

The teeth were isolated with rubber dam and the air polished was performed.

style italiano styleitaliano diastema closure with single shade

Fig.6

Teflon was used to cover the other teeth and the etching phase was performed with 3M™ Scotchbond™ Etching Gel.

style italiano styleitaliano diastema closure with single shade

Fig.7

Adhesion phase with 3M™ Scotchbond™ Universal Adhesive.

style italiano styleitaliano diastema closure with single shade

Fig.8

After curing the bonding agent, the first layer of 3M™ Filtek Universal Restorative was placed following the silicone mold.

style italiano styleitaliano diastema closure with single shade

Fig.9

Image of the palatal wall.

style italiano styleitaliano diastema closure with single shade

Fig.10

After adapting of the sectional matrix with liquid dam, 3M™ Filtek Universal Restorative was placed on proximal wall.

style italiano styleitaliano diastema closure with single shade

Fig.11

The whole tooth was restored with one single shade of 3M™ Filtek Universal Restorative.

style italiano styleitaliano diastema closure with single shade

Fig.12

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 .

style italiano styleitaliano diastema closure with single shade

Fig.13

Both the lateral teeth was restored by one single shade 3M™ Filtek Universal Restorative following the silicone mold.

style italiano styleitaliano diastema closure with single shade

Fig.14

The buccal view of the restoration before the finishing and polishing procedures.

style italiano styleitaliano diastema closure with single shade

Fig.15

Finishing procedures with 3M™ Sof-Lex™ Extra-Thin Contouring and Polishing Discs.

style italiano styleitaliano diastema closure with single shade

Fig.16

The surface perykimata was made using Perio bur from StyleItaliano Finishing Kit (Komet) at a very low speed without water irrigation.

style italiano styleitaliano diastema closure with single shade

Fig.17

Bedge Spiral Wheel of 3M™ Sof-Lex™ Diamond Polishing System was used to finish the surface.

style italiano styleitaliano diastema closure with single shade

Fig.18

Pink 3M™ Sof-Lex™ Spiral WhSpiral Wheel of 3M™ Sof-Lex™ Diamond Polishing System was used to polish the surface.

style italiano styleitaliano diastema closure with single shade

Fig.19

Buccal view of final restoration.

style italiano styleitaliano diastema closure with single shade

Fig.20

Polarized and fluorescence view of the diastema closure with single shade material.

styleitaliano

Fig.21

Review one week later

styleitaliano

Fig.22

Review one week later.

Conclusions

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.

Bibliography

-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.