before and after restoration of broken tooth

Making restoration shade seamless

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.

broken upper right incisor

Fig.1

Initial situation.

rubber dam isolation for composite restoratio

Fig.2

Rubber dam isolation and bevel preparation.

bevel preparation of class 4 cavity

Fig.3

After the bevel was prepared, etching and bonding procedures were carried out.

palatal composite build up for composite incisor restoration

Fig.4

The palatal wall was built to make the restoration easier. We now just have to fill the box.

layered composite resin on central incisor

Fig.5

Dentin and enamel composite masses were layered to match the color of the incisor and make the restoration seamless.

composite resin restoration after reshaping

Fig.6

After finishing.

composite restoration on central incisor after polishing

Fig.7

Polishing procedures were carried out using the Diatech Shape Guard polishers (Coltene, Switzerland).

final result of composite direct restoration

Fig.8

Right after rubber dam removal.

polarized picture of composite restoration for shade assessment

Fig.9

A polarized picture was taken thanks to the polarising filter of MDP SmileLite to check color integration.

composite restoration check after rehydration

Fig.10

After 2-day rehydration.

composite restoration of upper central incisor

Fig.11

The restoration after 6 months.

composite restoration after one year

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