A 31-year-old affected person offered for classy development after simple trauma to her maxillary and mandibular incisors. The preliminary scientific consult with incorporated photographic documentation and intra-oral scanning (Figs. 1 & 2).
Remedy plan
The proposed remedy plan concerned direct composite restorations because the least invasive and maximum predictable remedy possibility. The affected person authorised the proposed plan, and the remedy crew proceeded with virtual making plans of the restorations (Fig. 3). Fashions in accordance with the proposed design have been published, and a silicone index was once produced.
On the next scientific consult with, color variety was once carried out the use of the composite button method (Fig. 4). The A1 tooth and dentine sunglasses of CLEARFIL MAJESTY ES-2 Top rate (Kuraray Noritake Dental) have been decided on.
Scientific process
Native anaesthesia was once administered, and the operative box was once remoted the use of a dental dam (Fig. 5). A clean bevel was once created the use of diamond burs, an Arkansas stone and 3M Sof-Lex discs (Solventum; Figs. 6–8). The handled enamel surfaces have been sand-blasted and etched with phosphoric acid, and the adjoining enamel have been secure with a steel strip. The 2-step self-etch adhesive CLEARFIL SE BOND 2 was once carried out.
The silicone index was once full of CLEARFIL MAJESTY ES-2 Top rate (Coloration A1E) and inserted to building up the palatal shell of the restorations (Figs. 9 & 10). The proximal partitions have been restored the use of matrices (Garrison Dental Answers) and CLEARFIL MAJESTY ES Waft (Coloration A1; Fig. 11). The interior anatomy of the restorations was once recreated the use of CLEARFIL MAJESTY ES-2 Top rate (Coloration A1D; Figs. 12 & 13).
The Transparent impact color was once used to imitate the herbal translucency of the incisal edges (Fig. 14). The halo impact was once reproduced the use of Coloration A1D (Fig. 15), and layering was once finished with Coloration A1E (Figs. 16–18). The restorations have been then completed and polished (Figs. 19 & 20).
Remedy result
The affected person was once happy with the end result (Fig. 21). The restorations have been nearly indistinguishable from the herbal enamel construction, that includes a clean transition from enamel construction to composite and herbal incisal results. The outside texture additionally contributed to a herbal look (Figs. 22a & b). Because the affected person was once happy with the process and result, the mandibular incisors have been restored in the similar manner (Fig. 23).
Conclusion
The case has demonstrated that trendy adhesive dentistry allows predictable and minimally invasive procedures that ship speedy and true-to-life effects. The CLEARFIL MAJESTY ES-2 Top rate machine gives quite a lot of sunglasses and translucencies, permitting clinicians to reach seamless results the use of a polychromatic layering method.
