Innovative composites in anteriors

Modern materials and techniques can help dentists in performing non-invasive adhesive composite restorations. These can be non-expensive and non-aggressive solutions for every day dentistry, especially in anterior teeth trauma cases, direct restorations can be often the perfect solution.

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Fig.1
The tooth was both vital and non symptomatic and, agreeing with the patient/colleague, we decided to perform a direct composite restoration.

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Fig.2
Local anesthesia was performed, followed by rubber dam placement.

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Fig.3
All the non-sustained enamel was removed with a diamond bur; no bevel was needed because of the fracture’s shape.

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Fig.4
After performing the adhesive procedures, the palatal shell was made with enamel resin composite.

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Fig.5
Just one body shade was used to reproduce dentin; thanks to the great mimic effect granted by the new materials, the number of layers can be easily reduced. This allows us to simplify composite layering and also shade correcting procedures.

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Fig.6
A final enamel layer was applied, then finishing and polishing procedures were performed.

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Fig.7
Two weeks control: a slight enamel crack is still visible, but it was decided not to remove it, in order to be as much conservative as possible.

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Fig.8
Two weeks control.

Bibliography

1. Manauta J, Salat A. Layers, An atlas of composite resin stratification. Chapter 4 and 5, Quintessence Books, 2012.
2. Salat A, Devoto W, Manauta J. Achieving a precise color chart with common computer software for excellence in anterior composite restorations. Eur J Esthet Dent 2011;6:280–296.
3. Devoto W, Saracinelli M, Manauta J. Composite in everyday practice: how to choose the right material and simplify application techniques in the anterior teeth. Eur J Esthet Dent. 2010 Spring;5(1):102-24.
4. Vichi A, Fraioli A, Davidson CL, Ferrari M. Influence of thickness on color in multi- layering technique. Dent Mater 2007;23:1584–1589

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