This patient presented with upper discoloured and fractured central incisors. She wanted to restore these teeth using minimally invasive techniques and ensure they look as natural looking as possible to the naked eye. As an artist, she really appreciated the level of detail and planning put into this case. She even asked for the crack lines to be included on the facial surface of the centrals to emulate the natural appearance of the lateral incisors.
Technique
- The tooth shade was recorded using Optilume Trueshade and digital high quality photography
- Sharp edges were smoothed using a round head diamond bur and extra coarse polsihing discs (Sof-lex)
- Co-Jet (using a chairside sandblaster) was applied to the prepared teeth
- Phosphoric acid 37% etch was applied. Washed and air dried
- Optibond FL applied (as per the manufacturers instructions) and light cured using a Valo light cure for 40 seconds
- David Clarke Matrix was then used to ensure excellent adhesion around inter-proximal and cervical areas
- Venus Pearl OLC, A2 and CL was then applied in layers
- A number 15 Blade scalpel was then used on then final body shade composite layer (A2) to form the crack-lined and light brown Renamel tints were used using a 10mm endodontic file
- The occlusion was checked and adjusted as necessary
- Final polishing using Soflex discs with water, Shape and Shine rubber polishing points and Enamelize polishing paste with a goats hair brush.
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