before and after
February 24, 2025
Gabriel Krastl, Prof. Dr. med. Dent.

Clinical Case: Class IV restorations with one-single shade

Using 3M™ Filtek™ Easy Match and 3M™ Scotchbond™ Universal Plus Adhesive

About the Case

58-year-old female patient with old restorations in the upper central incisors. The wear of the composite makes the clinical crown look shorter than aesthetically appropriate, so the patient comes to the office to make new restorations to restore the teeth to their normal proportions.

The challenge: The central incisors are the teeth with the greatest aesthetic demand. It is very common to find an anatomy that forces us to use composites of different opacities, but in this case a single shade was enough to meet the patient’s aesthetic expectations.


Learn more about the products used in this clinical case

Patient's initial smile.

Patient’s initial smile.
The incisal edge of the upper central incisors was shorter than desirable, a situation that the patient did not like

Pre-op intraoral situation in occlusion

Pre-op intraoral situation in occlusion.

Shade selection.

Shade selection.
With 3M™ Filtek™ Easy Match, there is no need to use any color guide, but since it was the first time I used this composite, I decided to make a guide with the material itself to select the best option from the three available colors (Warm, Natural and Bright).

Selected shade.

Selected shade.
Finally, the selected shade was A3 according to VITA classical A1-D4® shade guide, which corresponds to 3M™ Filtek™ Easy Match Natural shade.

Color test

Color test.
After removing old restorations, a small amount of Natural shade 3M™ Filtek™ Easy Match was placed with no etching and bonding application, just to check the final shade.

Absolute isolation with rubber dam

Absolute isolation with rubber dam.
Dental floss ligatures help keeping the rubber dam in place. Tooth structure is shown after old restorations removal.

Checking the fit of silicon index

Checking the fit of silicon index.
A VPS Putty material was used to copy the anatomy from the wax-up model. Notice the amount of tooth structure missing to be replaced with composite.

Lateral view

Lateral view.
Restorations of #11 and #21 after enamel etching and application of 3M™ Scotchbond™ Universal Plus Adhesive.

Frontal view

Frontal view.
Restorations of #11 and #21 before finishing and polishing.

Immediate post-op situation

Immediate post-op situation.
After finishing and polishing and rubber dam removal. No blocker was needed, and the opacity looks very good.

Post-op intraoral situation in occlusion

Post-op intraoral situation in occlusion.
Final shade cannot be checked due to teeth dehydration, but the appearance is promising.

Immediate post-op patient’s smile

Immediate post-op patient’s smile.

3M™ Filtek™ Easy Match Restorative Natural shade used in this clinical case

3M™ Filtek™ Easy Match Restorative Natural shade used in this clinical case.

4 weeks follow-up

4 weeks follow-up.
Teeth are completely rehydrated, and color is matching the surrounding teeth.

4 weeks follow-up intraoral situation in occlusion

4 weeks follow-up intraoral situation in occlusion.

4 weeks follow-up patient’s smile

4 weeks follow-up patient’s smile.
The patient is very happy with shade and shape of her new restorations

The Outcome

In teeth with low translucency and homogeneous color, using this type of simplified composites saves time and makes the procedure much simpler. The aesthetic result satisfied the patient and the teeth once again had harmonious proportions.

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