before and after
May 7, 2024
Dr. Jordi Manauta, Italy

Clinical Case: Dual Shade in Class IV Composite Replacement

Using 3M™ Scotchbond™ Universal Adhesive and 3M™ Filtek™ Supreme Ultra Universal Restorative.

About the Case

About the case:
Eight years after restoration of a fractured upper right central, this patient was no longer satisfied with the esthetics and desired a more natural look.

Challenge:
Provide high-level, natural esthetics, using a simplified shading and layering technique.

Initial Situation

Initial Situation: Upper right central incisor with an unsatisfactory composite restoration.

silicone impression material

A guide is made with silicone impression material to replicate the incisal anatomy.

Old restoration removal using a ceramic bur

Old restoration removal using a ceramic bur taking care not to harm the adjacent tooth structure.

Removing interproximal debris.

Removing interproximal debris.

Tooth is etched, rinsed and dried

Final preparation. Tooth is etched, rinsed and dried. 3M™ Scotchbond™ Universal Adhesive is scrubbed into the prep for 20 sec followed by 5 sec air-drying and light-curing according to instructions.

Mesial wall after light curing and matrix removal.

Mesial wall after light curing and matrix removal. The wall contour is precise, rounded and clean, especially in the cervical area where no excess is present.

The depth of the dentin layer is calibrated with a Misura instrument (LM-Arte)

The depth of the dentin layer is calibrated with a Misura instrument (LM-Arte). The composite excess is removed, and the incisal edge is contoured to leave 0.5 mm space for the final enamel layer of composite.

Placement of 3M™ Filtek™ Supreme Ultra Universal Restorative (shade A3E)

Placement of 3M™ Filtek™ Supreme Ultra Universal Restorative (shade A3E). The final layer should be as smooth as possible before light-curing according to instructions.

Final restoration.

Final restoration.

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