Clinical Case: Simple and Beautiful - Dual-layer Technique in the Anterior Region
March 30, 2021 | Prof. Paulo Monteiro
About the Case
When a restoration is needed in the upper anterior region of a patient with particularly high esthetic demands, many dental practitioners prefer indirect over direct restorative techniques. Reasons are a seemingly higher predictability and easier handling of the materials inside the mouth. However, it is possible to achieve beautiful results with little effort using direct composite materials as well – provided that several basic rules are respected.
On closer inspection, a small discoloration is seen along with uneven incisal edges. The goal is to match the opacity and incisal translucency of upper-left central incisor.
Creating a smooth, beveled surface with the 3M™ Sof-Lex™ Extra-Thin Contouring and Polishing Disc.
Selective enamel etching with 3M™ Scotchbond™ Universal Etchant.
Application of 3M™ Scotchbond™ Universal Adhesive.
Placing a palatal composite shell.
Vertical matrix placement aides in the creation of a mesial interproximal wall.
Dentin core is created and mamelons are added to mimic the appearance of the left central incisor.
A layer of 3M™ Filtek™ Supreme Ultra Universal Restorative, Shade Clear Translucent, is the foundation for a uniform final enamel layer.
Before finishing and polishing.
Pre-polishing using the 3M™ Sof-Lex™ Pre-Polishing Spiral.
Final polishing with the 3M™ Sof-Lex™ Diamond Polishing Spiral.
Beautiful restored upper-left central incisor (immediate post-op).
Results several days after treatment.
Refer to Instructions for Use (IFU) for complete product information. Results may vary.
