Personalized Shade Guides

Personalized Shade Guides allows, together with the Controlled Body Thickness (CBT) technique getting predictable results in color of anterior composite restorations.

Fig.1

Initial situation. Fracture of tooth 11 by dental trauma.

Fig.2

Initial situation. Fracture of tooth 11 by dental trauma.

Fig.3

Occlusal view of the initial situation. Fracture of tooth 11 by dental trauma.

Fig.4

Wax-up on cast model.

Fig.5

Color shade selection with Vita Classical shade guide (A1).

Fig.6

Shade selection with My Shade Guide recipe (A1).

Fig.7

Shade selection with My Shade Guide recipe (A1).

Fig.8

Shade comparison with Vita Classical shade guide (A1).

Fig.9

After rubber dam isolation.

Fig.10

Testing the silicone guide in position.

Fig.11

Cleaning the affected dentin with a ceramic drill at low speed (Direct Style by Style Italiano, Komet).

Fig.12

Making the conservative vestibular bevel with a red Sof-Lex disc (3M ESPE).

Fig.13

After making the vestibular bevel.

Fig.14

Selective enamel etching with phosphoric acid (3M ESPE).

Fig.15

Application of a universal adhesive in the enamel and dentin (Scotchbond Universal, 3M ESPE).

Fig.16

Application of palatal enamel on the silicone key (Filtek Supreme XTE CT effect).

Fig.17

Palatal enamel on the silicone key in position.

Fig.18

Artificial palatal enamel.

Fig.19

Dentin application (Filtek Supreme XTE dentin A1) and calibration for vestibular enamel space (0.5 mm) Misura (LM Arte by Style Italiano).

Fig.20

Definition of the incisal dentin shape with Fissura (LM Arte by Style Italiano).

Fig.21

Application of the vestibular enamel (Filtek Supreme XTE enamel A3).

Fig.22

After the vestibular enamel application.

Fig.23

Polymerization of the vestibular enamel covering with a layer of glycerin.

Fig.24

Definition of vestibular anatomy (Finishing Style by Style Italiano, Komet).

Fig.25

Removal of cervical and interproximal excesses with Eccesso (LM Arte by Style Italiano).

Fig.26

Finishing the restoration with Sof-Lex Spiral discs (3M ESPE).

Fig.27

Polishing the restoration with Sof-Lex Spiral discs (3M ESPE).

Fig.28

Immediate result after removing the rubber dam.

Fig.29

Immediate result after removing the rubber dam.
incisor composite filling

Fig.30

Final result after one week.
composite anterior restoration

Fig.31

Final result after one week.