Award-winning central incisor composite restoration

composite restoration
Figures 1 and 2: A traumatic fall two weeks previously had damaged the patient’s UR1 and UL1

Dipesh Parmar presents a case illustrating composite restorations of the upper central incisors – an award-winner at the Aesthetic Dentistry Awards in 2018.

One of the greatest challenges in aesthetic dentistry is the recreation of natural dental aesthetics using direct or indirect techniques that match adjacent natural teeth. In such cases, the success is derived from not only mimicking the shape and texture of the adjacent teeth, but also from replicating the optical properties.

Advances in the physical properties of resin-based composites have also been paralleled with a similar improvement in their optical and colour properties, allowing clinicians to create bioemulating restorations using conservative protocols (Dietschi and Fahl, 2016).

The following case report demonstrates a direct polychromatic approach to restore form, function, and aesthetics of two upper central incisors with dissimilar fractures resulting from trauma.

History and examination

A 28-year-old male patient attended the practice following a traumatic fall two weeks previously. He had visited an emergency dentist who placed a direct plastic restoration on the UL1.

The patient reported no pain or symptoms. He wished to restore the natural appearance of his upper central incisors (Figures 1 and 2).

Medically, the patient was fit and well. He had no known allergies and did not take any medications. With regard to his social history, he was a non smoker with occasional social alcohol intake. He worked in a clothes store. A diet history revealed a healthy balanced diet. He cleaned his teeth one to two times a day with a manual toothbrush with no other adjuncts.

Extraoral examination revealed nothing abnormal related to his temporomandibular joint, muscles of mastication…

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