old stained and chipped composite restorations

Small restorations for big esthetic difference

Single shade restorations may seem simplistic when facing the restoration of one or both central incisors. Yet, this approach holds many advantages in terms of shade matching, and in reducing the chance for error when approaching multiple restorations. Also the most skilled practitioners often resort to this approach because of its effectiveness in delivering a very satisfying result for many patients.

man with old chipped resorations on incisors

Fig.1

Initial situation of the 28 years old patient shows two old, chipped and stained composite restorations on both central incisors.

man smiling with worn restorations

Fig.2

Initial smile.

rubber dam isolation from first premolar to first premolar

Fig.3

Isolation with rubber dam is very important in order to provide a clean, clear and dry environment.

invasive preparation of central incisors for class IV restorations

Fig.4

The old restorations were removed completely, together with all unsustained enamel prisms.

acid etching of enamel and dentin

Fig.5

Etching of the tooth surface with 37% phosphoric acid.

bonding application and protection of adjacent teeth with teflon

Fig.6

A generous amount of bonding was applied.

silicone index positioned to build palatal shells with composite

Fig.7

And a silicone index was used to build the palatal shell.

composite palatal shells on central incisors

Fig.8

After building the palatal shell and adding a little material in the proximal the outline of the restorations is complete.

compobrush used to spread composite final layer

Fig.9

The restoration is completed by applying a layer of composite and modeling by the CompoBrush (Smile Line, Powered by Styleitaliano) for better adaptation.

one finished composite restoration and one missing last layer

Fig.10

First central incisor is done. The same was done for the upper right central incisor.

finished and polished composite restorations

Fig.11

Final situation at one-month recall.

male central incisors after direct restoration

Fig.12

Final occlusion after one-month.

patient smiling with new dental restorations

Fig.13

Final smile of the satisfied patient.

Conclusions

Universal composite helps solve a wide range of restorative situations and provides many patients and clinicians with very satisfying results.

Bibliography

1. Manauta J. Single Shade Everyday. Styleitaliano. www.styleitaliano.org/single-shadeeveryday
2. Devoto W., Saracinelli M., Manauta J. Composite in everyday practice: how to choose
the right material and simplify application techniques in the anterior teeth. Eur J Esthet
Dent 2010; 5: 102-124.
3. Baratieri LN, Araujo Jr EM, Monteiro Jr S. Composite Restorations in Anterior Teeth:
Fundamentals and Possibilities. Quintessence Books