Reshaping Componeer: tips and tricks 1

Ortho and Kids - Tips and tricks - Semi directs
8 Dec 2015

Daily use of EGR´s (Esthetic Guided Restorations) allows to combine esthetics and function in a simple way. Four sizes EGR´s help the clinician to solve almost every case of every patient. However, these composite shell are available only in one shape and this could represent a limitation in some clinical situation like crowding, diastema or when we need to change the teeth shape or gingival profiles. Nevertheless, changing the shape of an EGR is easy. After choosing the right size, is possible to change its shape using discs. If it is necessary to shorten them, we suggest you to make it at the cervical level without touching the incisal edge. In this way is possible to create a new cervical profile, whose design will modulate the soft tissue healing.

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A female patient, aged 17, showing spacing between upper teeth, due to an altered Bolton index. In order to achieve a canine class I relationship, diastema in front teeth were necessary and the patient asked for the closure of these spaces. No prep semi-direct veneering using EGR was suggested for the upper central and lateral incisors.

After width and length measurement, 4 `L size´ veneers were chosen. Due to the triangular shape of the patient’s teeth, a reshaping of EGR was necessary. Moreover, changing the gingival profile allowed us to modify and align the periodontal curve on 1.1 and 2.1.

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Rubber dam isolation is possible to obverse that no surface prep was performed, with the exception of air-abrasion with glycine powder.

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Single EGR relining and luting was performed, starting from the midline towards the distal.

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Final result 1 week after.

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RX view: pre and post EGR luting. Is evident the integration of the shell with the hard tissues of the tooth.

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3 Years follow up. A good maintenance of color, texture, shape is noticeable, as well as the gingival margins.