smile with chipped asymmetric teeth

Simple solutions by direct veneering

23 years old young man came to the clinic complaining of bad esthetics. The patient said he wished to smile more confidently, and that he was looking forward to getting a brighter, whiter and more attractive smile.

intraoral picture of stained upper teeth

Fig.1

Initial occlusion.

Contrasted picture of stained and decayed teeth

Fig.2

Initial situation, contrasted view.

occlusal view of decayed teeth before restoration

Fig.3

Initial situation, occlusal view.

rubber dam isolation of upper arch

Fig.4

Rubber dam application.

rubber dam retraction with clamps on central incisors

Fig.5

B4 clamp was used to improve retraction of the soft tissues.

total etching with blue acid gel

Fig.6

Total etching by 37% phosphoric acid for both centrals incisors.

unica matrices for direct veneering of incisors

Fig.7

The UNICA anterior matrix was used on both incisors to help contouring.

microbrush applying bonding agent on incisors

Fig.8

The bonding agent was applied on the entire labial surface after etching.

composite white dental beauty shade for aesthetic composite restorations

Fig.9

Si2 body shade was chosen as a first mass.

folding the unica matrix for palatal support

Fig.10

The shape of the Unica matrix helps when palatal support is missing.

enamel shade by white dental beauty for composite restoration

Fig.11

E enamel shade was chosen as a final layer.

composite veneers before finishing procedures

Fig.12

The restorations before finishing procedures.

etching gel on lateral incisor and canine

Fig.13

Total etching by 37% phosphoric acid for both lateral and canine.

unica matrix adapts to the canine for direct veneering

Fig.14

Unica anterior matrix adaptation on canine.

styleitaliano unica matrix as protection during etching

Fig.15

Total etching by 37% phosphoric acid after adaptation of Unica matrix on the other side.

finished and polished composite veneers

Fig.16

Final situation after finishing and polishing the restorations.

surface texture of direct composite veneers

Fig.17

Final situation, close-up view.

smile after composite dental makeover

Fig.18

Final side view of the smile.

Detail of composite veneers

Fig.19

12 O’clock view.

happy smile after dental restorations

Fig.20

Final smile.

before and after direct composite veneering

Fig.21

Comparison between the initial and final smile (frontal view).

before and after dental restorations

Fig.22

Comparison between the initial and final situation.

smile restored with composite direct veneers

Fig.23

One year follow-up.

happy smile of patient one year after dental makeover

Fig.24

Happy patient at one year follow-up.

Conclusions

Direct Composite veneers can be a suitable solution for patients who want a whiter and more appealing smile, especially for thouse who want it quickly. The direct veneering technique allows us to sculpt and create beautiful and natural looking smiles in one visit, while being minimally invasive; this technique is also a financially attractive procedure for the patient.
White Dental Beauty CompoSite is durable, and highly polishable, and is also invisible thanks to its natural fluorescence and high color stability resulting in amazing long-term aesthetics.

Bibliography

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2. Dietschi D. Optimizing smile composition and esthetics with resin composites and other conservative esthetic procedures. Eur J Esthet Dent 2008; 3(1):14-29.
3. Hemmings WK, Darbar UR, Vaughan S. Tooth wear treated with direct composite restorations at an increased vertical dimension: Results at 30 months. J Prosthet Dent. 2000; 83:287–93.
4. Dietschi D. Layering concepts in anterior composite restorations. J Adhesive Dent 2001; 3:71-80.
5. Fahl Junior N.The direct/indirect composite resin veneers : a case report. Pract Periodontics Aesthet Dent 1996; 8:627-638