The purpose of this article is to show a case where the dental and gingival aesthetics were involved. A periodontal treatment was performed aiming to health and gingival aesthetic and teeth were treated with direct composites and this is the main restorative material on this case, which gives treated teeth the same physical and optical properties under different light sources, thus avoiding metamerism phenomenon.
Initial view of the smile before the treatment.
Close-up view of the anterior teeth showing a fractured Class IV restoration on 11, a composite “veneer” on 21, a PFM crown on 22 and gum inflammation and retraction on this zone.
Close-up view of the “Veneer”, the PFM Crown and the gum condition.
The periodontal treatment was performed and a provisional crown was fit on 22.
Close-up view of the provisional and the gum.
A “transitional” veneer was built on 21 after the old restorations removal. Note the aspect and gum profile.
Close-up aspect of the six anterior teeth.
A prepared composite resin crown was cemented in 22 position (U-200 3M) and all composite restorations were removed.
Aspect after blasting with aluminum oxide, etching and the adhesive application (Optibond – FL).
Palatal enamel and dentin stratification.
Removing of the dam and the retraction cords.
After a week, the geometry of the teeth were refined.
Secondary anatomy “map”.
Final aspect of the smile.
Palatal view of the incisal edge alignment before the treatment.
Palatal view of the incisal edge alignment, 6 months after the procedures.
Black and white shot to evaluate the value balance.
Close-up view of the six anterior teeth, a little dehydration can be noted on 12.
This article presents the versatility of application of composite resin, solving a common case in the daily practice. The knowledge of the material properties is very important for solving cases in a simple way, with actual results and benefits for the dentist and patient.
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