The power of the Shape
With the Style Italiano recipes and rules to handle the power of the shape in anterior composite restorations, any dentist is able to learn how to create direct restorations that fulfill high aesthetic demands of the patients. The procedure is easily taught and learnt and prevents unpleasant surprises, as the case of a young female patient is here shown.
The patient had beautiful teeth, but the aesthetics of her smile were somewhat negatively affected by a small, discolored composite restoration and incorrect shape on her upper right central incisor. The character of the teeth was analyzed closely using images taken under different light conditions, including one made with a polarizing filter (Smile Lite MDP by Dr. Louis Hardan and powered by Style Italiano). The image shows that it is relatively easy to read the inside of the tooth, which has varying opacities and a clearly visible mamelon structure, but no intensive intrinsic colors. Therefore, it was decided to restore the tooth using a dual-layer technique with one dentin and one enamel shade of Filtek Supreme XTE (3M). The use of additional stains included in the restoration was not necessary.
The described technique is easily taught and learnt. It enables every dentist to obtain highly aesthetic results through a highly efficient procedure. However, these results are only achieved if high-quality materials are used and if the practitioner has developed a thorough understanding of the employed materials. Instead of magic, it is precise preparation and careful planning that leads to the desired, repeatable and therefore predictable outcomes.
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