Fig.1
During a ski race, a patient experienced a traumatic impact with a gate, resulting in a brief loss of consciousness. He sought immediate dental evaluation the following day due to concerns about his upper central incisor, which had sustained visible damage.

Fig.2
Although extensive treatment was not possible at that moment, it was essential to address the dark space that was causing discomfort and irritating the patient’s tongue. A provisional restoration was created using Filtek Easy Match (Solventum, Saint Paul, Minnesota, USA) in the Natural shade. This approach not only provided immediate relief and satisfaction for the patient but also served as a preliminary step for future treatment. Within two minutes, the provisional restoration was complete, and during the follow-up visit, the patient expressed great satisfaction with the outcome.

Fig.3
When seeing the patient again for the definitive restoration, determining the final shade will be much easier. If the restoration appears too light, a warm shade will be chosen; if it’s too dark, a bright shade will be selected instead.

Fig.4
Putty Express 2 (Solventum, Saint Paul, Minnesota, USA) is the ideal material for creating an intramural silicon index. Its excellent consistency, ease of manipulation, and high stability make it perfect for accurate impressions, ensuring precise results for dental restorations. The material’s durability and ability to capture fine details are essential for achieving a reliable and functional index.

Fig.5
When the patient returns, he is extremely satisfied with the color and shape. At this point, no further adjustments are needed—only replicating the exact incisal shape and reprinting the tooth.
The process begins by placing the rubber dam, followed by cavity preparation. The enamel is then sandblasted using the Rondoflex Kavo with 50-micron aluminum oxide. This ensures optimal bonding for the next steps in the restoration.

Fig.6
Etching the enamel.

Fig.7
The enamel is then etched using Scotchbond Universal Etchant by Solventum (Saint Paul, Minnesota, USA) for 30 seconds, ensuring a clean and properly prepared surface for optimal adhesion.

Fig.8
Now, the adhesive is ready for application.

Fig.9
The Scotchbond Universal Plus adhesive (Solventum, Saint Paul, Minnesota, USA) is applied using the dedicated brush, ensuring even distribution across the cavity. It is left to work for 20 seconds, allowing proper bonding before curing the adhesive.

Fig.10
The adhesive is then cured using the Elipar DeepCure light cure unit (Solventum, Saint Paul, Minnesota, USA), following the manufacturer’s recommended curing time for optimal results.

Fig.11
Once the adhesive is cured, a single mass of Filtek Easy Match (Solventum, Saint Paul, Minnesota, USA) material is applied to the cavity.

Fig.12
Adapt the resin composite on the cavity using small spatula.

Fig.13
Stamp the shape using the silicon index.

Fig.14
The light cure unit is used again to ensure optimal curing of the Filtek Easy Match material, providing a strong and durable restoration.

Fig.15
Finishing is done by carefully removing any small excess material using Sof-Lex Pop-On Discs by Solventum, ensuring a smooth and polished surface for a natural appearance and optimal patient comfort.

Fig.16
The clinical result of the disc action.

Fig.17
To achieve the bright, smooth surface the patient deserves, the restoration is polished using Sof-Lex Diamond Polishing Spiral (Tan) by Solventum, enhancing the finish and providing a natural, lustrous appearance.

Fig.18
Polishing of the tooth with the Sof-Lex Diamond Polishing Spiral (Pink) by Solventum.

Fig.19
The final surface achieves a flawless, natural shine, enhancing both the aesthetic appeal and the long-term durability of the restoration.

Fig.20
The transillumination image is attached to demonstrate how seamlessly the restoration integrates, even from this angle. The patient is informed about the visible fracture lines—both horizontal and vertical—caused by the trauma.

Fig.21
The patient is thrilled, and what was once a complex match has been transformed into an Easy Match.

Fig.22
Before and after.

Conclusions

The case highlights the effectiveness of using Filtek Easy Match for anterior restorations, ensuring a natural and durable outcome. Through careful planning, material selection, and precise technique, the restoration integrated well with the tooth structure, addressing both aesthetic and functional needs. The patient is satisfied with the results, and the restoration is well-positioned for long-term success despite the trauma-induced fractures.

Bibliography

1. Eid H, White G. Class IV preparations for fractured anterior teeth restored with composite resin restorations. Journal of Clinical Pediatric Dentistry. 2003 Apr 1;27(3):201-11.
2. Heintze SD, Rousson V, Hickel R. Clinical effectiveness of direct anterior restorations—a meta-analysis. Dental materials. 2015 May 1;31(5):481-95.
3. Romero MF, Austin JG, Todd M. Restoration of a large class IV fracture using direct composite resin: A clinical report. The Journal of Prosthetic Dentistry. 2017 Oct 1;118(4):447-51.