Using a single shade for anterior composite restorations sounds like a dream; using it with a stamp technique sounds like seventh heaven. The replica of one central incisor (or both) is always a big challenge with direct techniques. Imagine you could simplify the whole composite mass layering procedure by just using one highly charged flowable composite… in one shade.
How? A simple wax up is the starting point to create a transparent silicone index. With just a few steps you will then get a beautiful result, as the one dental technicians get in the lab by pressing the composite for indirect restorations or Toronto bridges. Nothing more, nothing less.
This works for most of the clinical cases, but, for the more difficult ones, you can add stains or enamel masses if wish.
In this picture is the pre operative frontal view of the teeth to be restored.
And the pre operative palatal view.
Details of the isolation after the preparation of the cavities
Details of the preparations from a palatal view.
The adhesive procedure was then carried out, with the aid teflon tape and ligatures.
The silicone index is then fit to check the shape and the adaptation. It is then filled with a highly charged flowable composite and polymerized.
The flowable that was used is, in this case, a single shade. As you can see color and anatomical integration look good, so we will proceed to the polishing procedures.
In this picture you can see the anatomical adaptation from the palatal side.
Details after the finishing and polishing procedures.
One month check
One month check (palatal view)
Details of the integration of the restorations done only with one shade.
The usage of highly charged flowable materials in anteriors is allowed to obtain good results in our daily routine work. Thus we can simplify to the bone also very difficult procedures, as creating different layers of composite material, layering dentine and enamel masses, and using stains.
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