Direct composite restorations can be a great solution to restore aesthetics and function in the anterior area if we know how to handle the material, and if we use the right protocol. The increased use of direct composite restorations can be mainly attributed to patient demand for aesthetic restorations in a very short time and on a budget, but also to the availability of composite materials with high strength and excellent aesthetics.
Fig.1
Initial situation.
Fig.2
Rubber dam isolation and bevel preparation.
Fig.3
After the bevel was prepared, etching and bonding procedures were carried out.
Fig.4
The palatal wall was built to make the restoration easier. We now just have to fill the box.
Fig.5
Dentin and enamel composite masses were layered to match the color of the incisor and make the restoration seamless.
Fig.6
After finishing.
Fig.7
Polishing procedures were carried out using the Diatech Shape Guard polishers (Coltene, Switzerland).
Fig.8
Right after rubber dam removal.
Fig.9
A polarized picture was taken thanks to the polarising filter of MDP SmileLite to check color integration.
Fig.10
A polarized picture was taken thanks to the polarising filter of MDP SmileLite to check color integration.
Fig.11
The restoration after 6 months.
Fig.12
Final result after 14 months.
Conclusions
Composite restorations are a very good option to restore the aesthetics and function in the anterior region, in a very short time and with a low budget. Also, in some cases, this kind of restoration can be useful when analysing shade for future ceramic indirect restoration.
Bibliography
1. Manauta J, Salat A. Layers-An atlas of composite resin stratification .Quintessence Books, 2012.
2. Devoto W, Saracinelli M, Manauta J. Composite in everyday practice:how to choose the right material and simplify application techniques in anterior teeth. EJED 2010, vol.5, No.1
