Clinical International

Materials improved for direct anterior restoration
28.04.2017 | Clinical international

Materials improved for direct anterior restoration

by Dental Time

Due to the clinical requests that have taken place in recent years, dentistry acquired a lot of new techniques, which are direct, and new products that make the work of every dentist easier.

This is a case of a 16-year-old dental patient. The patient came to the clinic to replace class IV direct composite restorations situated on molars 1.1 and 2.1.

We have the needed information on the teeth in occlusion, namely about their opacity and color.

 

 

When a dental technician removes color, he can focus on the texture and shape.

Working on class IV cases I usually utilize silicon stents, which are rigid and taken from the study conducted beforehand. Accurate wax up is used as well.

These things suit perfectly for working with palatal walls and shape profiles. It is easier with them to plan, manage, and guide your own work.

The enamel preparation took place with using well-finished, clean margins, a rounded bevel. All these things are indispensable while working with new materials.

Up-to-date composite materials require the interface to be quite solid and not very thin. I do not utilize bevel for palatal and inter-proximal margins, otherwise they would be difficult to separate and complete.

I utilize a diamond burr and work just on the head.

Some efforts were needed to complete the margin preparation by means of rubber points on a blue ring handpiece. It was needed to make preparation smoother, remove the unsupported enamel prisms that can break off at contraction of polymerization and cause the restoration infiltration and discoloration.

I very strongly recommend to the professionals to use this new bonding set.  I strongly recommend using this new family of bonding. The technology allows to utilize it as a self-etch, just an etch, as well as rinse. The best variant is a selective etch for the enamel.

EverGlow introduced a new composite material with specific fillers. Its excellent balance of translucency helps the shades to stay harmonious with the dental arch existing.

Before I remove the silicon matrix, I put some flow to the cervical step. Thus, I anchor the palatal wall and am not afraid that I could break it.

I made reconstruction of the dentinal body utilizing A1/B1 mass of a single shade. A small space with the incisal ridge for internal features was remained.

The effect of blue through white spots and mammellons.

The final look with natural integration of the color and shape.

The shine is really high.

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