The power of Color: Blurred Lines
Teeth, and especially their color, are tremendously important features in our appearance. They define a person more than one might realize.
When a patient in need of treatment presents itself with a unique eye-catching characterization in their front teeth, we are challenged by nature. Trying to exactly recreate those eccentricities requires a very good examination before starting the treatment. Digital photography (with filters as a valuable addition) is an excellent help to define the tooth structure appearance in mind. It will help to see those small details, especially in those dynamic incisal third areas, so your hands can create them. Patients do not always want to keep those special features when their front teeth are restored. Often is asked to remove all the discolored enamel. If somebody does want to keep the characterization, as a dentist there is the challenge to attempt to replicate that exact natural layering in the restoration. In this case small white opaque spots and striations can be seen all over the dentition. Fortunately this young patient wanted to keep the natural beauty of her teeth which was not present anymore in the restoration previously made. The patient had suffered a fracture of tooth #11 several years ago.
Perikymata were made with a #06 endodontic file before light curing the composite.
Comparing white opaque shade mixed with sculpting/composite instrument wetting resin on the left, and the original white opaque shade on the right. Note the intensity of the color level dropping down creating a distinct difference. Opening up a larger array of indication of use for the white color effect. The use of bonding should be avoided because of the presence of the hydrophilic monomer HEMA in most adhesives.
The multistep polishing procedure starts with the beige Sof-Lex spiral elastomer wheel.
The vivid display works best in this dynamic dentition
What often happens is the white effect being too much in the end result. On the one hand because there is no possibility for the operator to really see and judge the final outcome before the polishing procedure. Polishing makes the creation come to life and only then the effects become truly visible. On the other hand most white effects are so immensely intense, that applying a moderate amount is difficult, even when using delicate tools. The use of white color effect mixed together with a moderate or large amount of sculpting/composite instrument wetting resin mixed to a desired level of intensity can make the effect more subtle and less tricky in its application technique.
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