Musicians incisors: the TRUMPET
This patient came to the clinic to improve the aesthetics of his smile, which is very important for his job. In particular, he was wondering whether it would be possible to eliminate the stains and improve the buccal appearance of the upper incisors.
Pre-operative buccal view of teeth 1.1 and 2.1, showing a typical erosion lesions due to the beak of the trumpet.
High magnification of the two shallow vestibular craters on 1.1 from a distal angulation.
The erosive patterns and the loss of hard tissues were evident also from mesial angulation.
The polarized picture of the anterior teeth can show the perfect details delineating the limit of the lesions and the surface characterization.
The rubber dam placement.
Etching step of the not-prepared enamel surface using 3M ESPE™ Scotchbond™ Universal Etchant for 20 seconds. It’s mandatory to protect the neighboring teeth to avoid the over etching. Matrix or teflon are good options to obtain an adequate isolation.
After etching, the teeth present the typical opaque aspect of the etched surfaces.
3M™ Scotchbond™ Universal Adhesive application
Bonding step: multiple layers (2-3) of the bonding agent ensure a great resin interdigitation into the etched enamel, which is also increased by a gentle air blow before the polymerization.
Application of one mass of Filtek Universal Restorative (3M, ESPE) composite. With the natural match and chameleon-like properties, Filtek Universal Restorative creates successful restorations with the need of less shades and only one mass.
Post-operative view before finishing and polishing procedures.
Final result. The finishing and polishing system is mandatory to improve the aesthetic, thus realizing a smooth and gloss surface. The use of one single layer of Filtek Universal Restorative leads to an aesthetic and functional restoration, meeting the expectations of both the clinician and the patient.
The finishing and polishing system is mandatory to improve the aesthetics and morphology roughness and gloss surface. The teeth present a good aesthetic, transitions lines and the secondary anatomy gives appreciable aesthetics.
1. Cerda-Rizo ER, de Paula Rodrigues M, Vilela A, Braga S, Oliveira L, Garcia-Silva TC, et al. Bonding Interaction and Shrinkage Stress of Low-Viscosity Bulk Fill Resin Composites With High-Viscosity Bulk Fill or Conventional Resin Composites. Oper Dent. 2019 Jan 31;
2. Benetti AR, Havndrup-Pedersen C, Honoré D, Pedersen MK, Pallesen U. Bulk-fill resin composites: polymerization contraction, depth of cure, and gap formation. Oper Dent. 2015 Apr;40(2):190–200.
3. Fronza BM, Rueggeberg FA, Braga RR, Mogilevych B, Soares LES, Martin AA, et al. Monomer conversion, microhardness, internal marginal adaptation, and shrinkage stress of bulk-fill resin composites. Dent Mater. 2015 Dec;31(12): 1542–51.