A clinical case by our Community member Dr. Muhammed Bahadeen
This article and its content are published under the Author’s responsibility as an expression of the Author’s own ideas and practice. Styleitaliano denies any responsibility about the visual and written content of this work.
A 13 year old male patient came to the office complaining of the poor aesthetics of the restoration on his upper left central incisor.
As seen from a lateral view, the restoration is short and opaque, and mismatched in color.
Composite shades should be decided within 3 minutes to avoid error in shade selection due to tooth dehydration.
After complete removal of the old restoration the remaining tooth structure is too small to provide any kind of retention.
Thus a fiber post placement was necessary to reinforce the restoration.
A silicone index was previously prepared on the mock up for the patient. It was first used to check spacing for fiber post extra-coronal length and composite layering.
Composite was heated to 68° C to enhance adaptation and handling of the composite.
A palatal shell was created using a translucent enamel to give esthetic incisal translucency.
Occlusal view shows space for layering.
Final result. Lateral view is to show the composite surface texture.
Frontal view almost mimics the adjacent central incisor.
For patients under the age of 18, anatomical landmarks creation on the restoration is crucial because the natural teeth are not worn out due to long term subjections of certain foods and beverages and age related anatomical changes. Thus the restoration should mimic the adjacent tooth as much as possible.
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2. Bolat M, Stoleriu S, Iovan Vv, Pancu G, Sandu Av, Taraboanta I. Comparative Study of Color Stability of Three Composite Materials, Treated by Finishing and Coated Sealing, After Immersion in Different Wholesale. Revista De Chimie. 2019;70:1681–4