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Treating cervical caries in anterior teeth is a routinely challenge in our practice. To safeguard aesthetics and sound tissues, as in any other challenge, different approaches can be used, as long as feasible and repeatable.
Fig.1
Initial situation, a young patient who will receive an orthodontic treatment, has cervical caries and hypomineralized enamel at teeth 23 and 24.
Fig.2
Isolation was done by using a heavy sheet of rubber dam with floss knots retracting the gingiva, exposing more of the tooth structure to have a better vision and access to the lesion.
Fig.3
The patient refused infiltration treatment for financial reasons. Preparation was minimally invasive, as lesions were cleaned by Aluminum oxide sandblasting (AquaCare).
Fig.4
After sandblasting teeth were perfectly clean, and ready for the bonding procedures.
Fig.5
Etching with phosphoric acid for 30 seconds.
Fig.6
Tooth surfaces after etching. As the preparation was limited within the enamel, an enamel composite shade is the only one needed.
Fig.7
Enamel shade from the CompoSite system (White Dental Beauty, Optident UK) has a great shade matching due to its superior mimicking properties, and also has very good manipulation characteristics.
Fig.8
Restorations were finished by enhance cups (Dentsply, USA) and polished using the simplified Lucida system, star felt and sub-micron, hybrid and water-soluble paste.
Fig.9
Final situation after polishing, enamel shade from the CompoSite system (White Dental Beauty) has a natural shade matching and high polishability that helps us get natural fillings when it is polished by the right polishing system.
Fig.10
Recall visit.
Conclusions
In this kind of cases, a minimally invasive treatment is always the right choice, while satisfying the highly esthetic needs of our patients by applying an easy procedure associated with using a good equipment and products, as the first step to achieve an excellent final result.
Bibliography
1-Manauta J, Salat A. Layers An Atlas of Composite Resin Stratification. 2012. Quintessence Pub.
2-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; 5: 102-124.
3-Angie Segatto. Smart Powder for cavity preparation 2 – The key to success. 2017
