Fig.1
Intraoral view of the initial clinical situation, revealing pre-existing restorations that compromised both color and morphology.

Fig.2
Shade selection. In this case, the selected shade was Filtek Easy Match Bright.

Fig.3
After removing the old composite, the underlying dental substrate was exposed, providing a clean surface for adhesive procedures.

Fig.4
Rubber dam isolation was applied to ensure moisture control and optimal adhesion throughout the composite application process.

Fig.5
The restoration procedure began with the two central incisors, where Polydentia Unica Proximal matrices were positioned to recontour the distal surfaces precisely.

Fig.6
Both central incisors were etched with phosphoric acid.

Fig.7
After etching, rinsing, and drying, Scotchbond Universal Plus adhesive was applied and light-cured. After polymerization, two small increments of Filtek Supreme Flow were added on the lateral areas to establish new distal contours and stabilize the matrices.

Fig.8
With the Unica Proximal matrices stabilized, Filtek Easy Match composite resin was layered to rebuild the distal walls and contour.

Fig.9
The buccal surfaces were then covered using the Filtek Easy Match composite, creating two new composite veneers, which were then adjusted to obtain the desired shape and volume of the teeth.

Fig.10
Once the shape and volume of the central incisors was refined, attention shifted to the lateral regions, where the canines were morphologically converted into lateral incisors. The same adhesive and layering protocol was applied to ensure color and texture uniformity.

Fig.11
The restorations of the lateral incisors were completed using Filtek Easy Match composite, modifying the shape, contour, and volume to achieve the desired aesthetic outcome.

Fig.12
Finishing procedures of the restorations.

Fig.13
Polishing procedures with the Lucida polishing system.

Fig.14
Final result immediately after completion of the restorations of the central and lateral incisors.

Fig.15
Final result immediately after soft-tissue rehydration. The Filtek Easy Match composite resin demonstrated excellent integration with the natural tooth structure, offering a lifelike, functional, and long-lasting aesthetic outcome.

Conclusions

This case illustrates the potential of Filtek Easy Match composite resin for anterior aesthetic rehabilitation. Intuitive and accurate shade selection, adaptive opacity, and natural finishing and polishing resulted in a highly aesthetic and functional outcome. The predictability of this material, combined with its handling properties and excellent integration with the natural tooth structure, makes it an effective solution for conservative and aesthetic treatments.

Bibliography

1. Manauta J, Salat A, Devoto W, Putignano A. Layers 2: Direct Composites: The Styleitaliano clinical secrets. Quintessence Publishing 2022.
2. Manauta J, Salat A. Layers (English), An atlas of composite resin stratification. Quintessenza edizioni, 2012.
3. Manauta J, Salat A, Monterubbianesi R, Tosco V, Devoto W, Orsini G, Putignano A. Advances in diastema closure and tooth shape change using direct composite restorations: the Front Wing Technique. Int J Esthet Dent. 2022 Nov 25;17(4):378-393.
4. Kovacs-Vajna ZM, Manauta J, Tosco V, Faccoli M, Torricelli F, Colalongo L, Richelli A, Autran F, Devoto W, Putignano A. On color adjustment potential and color blending threshold of dental composite resins. J Esthet Restor Dent. 2024 Mar 15.