Reinforcing esthetics and structure by additive dentistry
April 29, 2021
Dr. Jordi Manauta, Italy

Clinical Case: Reinforcing Esthetics and Structure by Additive Dentistry 

Using the new universal adhesive 3M™ Scotchbond™ Universal Plus and 3M™ Filtek™ Universal Restorative.

About the Case

In worn and eroded teeth, the addition of composite material to the buccal enamel makes the tooth thicker, incrementing resistance to the dental structure. Additionally, there is the possibility of hiding margins and defects, improving the shape and offering a very esthetic outcome. Additive dentistry is a must for a successful dental practice.

This clinical case shows a very esthetic solution applying additive dentistry to restore the upper central incisors, which presented failed restorations, secondary caries, marginal discoloration and wearing of the incisal edges and buccal surface.

Initial situation

Initial situation.

After isolation with rubber dam

After isolation with rubber dam.

Selective enamel etching

Selective enamel etching – etchant gel was applied for 15 seconds, rinsed and lightly dried.

Application of adhesive on dentin

Application of 3M™ Scotchbond™ Universal Plus Adhesive on dentin, rubbing in for 20 seconds, air-drying for 5 seconds.

Light-curing

Light-curing for 10 seconds.

Placement of the composite material

Placement of the 3M™ Filtek™ Universal Restorative composite material, Shade A2.

Using a rounded diamond flame bur for shaping

Using a rounded diamond flame bur for shaping.

Polishing with spiral

Polishing with fine-grit rubber abrasive spiral. Afterward, an ultra-fine spiral (pink) was applied for high gloss using 3M Sof-Lex Diamond Polishing Spiral.

Final result

Final result.

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