The Front Wing Technique
Direct diastema closure is often a nightmare, starting from the wax-up which, even in skilled technician hands, is very likely not to be perfectly precise; then comes the little application that the silicone indexes have in the actual procedure, and the difficulty in selecting the right matrix among the ones they put in fancy systems that do all the opposite of simplification, and, finally, end up with loose contact points and dangerous overhangings at the cervical level.
For all of the above reasons, a new strategy for diastema and shape modifications is proposed by the Styleitaliano team. The Front Wing Technique offers the following advantages:
– Skipping the wax-up (NOT to be confused with not doing a project)
– Giving the user the chance of building and selecting the emergency profile and contour of one or multiple diastemas
– The chance of working with single shade or multi shade approach
– Tight contacts are easier to get
– Ideal cervical fit
– Aesthetics of the restoration
This is the beginning of the project (and where the name of the technique comes from). The key is to model free hand the buccal part of the diastema, making this shape as efficient and precise as possible. Colleagues are often used to go “free hand” in several modalities of restorations with wonderful results.
A small – I mean, really small – drop of flowable resin is placed and NOT cured yet. This helps the wettability of the following composite increment as described by Opdam et al. in 2003
In an era in which conservative dentistry is almost a universal choice, the actions we do and apply everyday must be fast, easy and economical, incorporating advantages to the already existing techniques. The front wing technique has had an amazing acceptance immediately after being taught, and the immediate results we could se from the participants in their hands-on exercises in models was stunning. A series of community cases will be published in www.styleitaliano.org
The author wishes to thank Walter Devoto and Angelo Putignano for the co-authoring and inspiration in the development of this technique. Thanks to Leandro Martins (Manaus, Brazil) for sharing and helping during the clinical case performance in his training center in Brazil. To Dan Lazar and Louis Hardan for helping in the graphics and technique improvements and collaboration.
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
Opdam NJ, Roeters JJ, de Boer T, Pesschier D, Bronkhorst E. Voids and porosities in class I micropreparations filled with various resin composites. Oper Dent. 2003 Jan-Feb;28(1):9-14.
Fahl N Jr. Achieving ultimate anterior esthetics with a new microhybrid composite. Compend Contin Educ Dent Suppl. 2000;(26):4-13; quiz 26.
Coachman, C., Calamita, M. Digital Smile Design: A Tool for Treatment Planning and Communication in Esthetic Dentistry. QDT 2012.
Manauta J, Salat A. Layers, An atlas of composite resin stratification.Quintessence Books, 2012