Based on the results of the scientific literature and the clinic, direct composite veneers offer a valid option for aesthetic rehabilitation. The minimally invasive approach, the good color matching as well as the functional and aesthetic biomimetics can offer great comfort and highly satisfy the patient’s expectation.
The patient, 47 years old, came to the clinic complaining about her smile. She presents incongruous old restorations of the upper incisors, thus two direct composite veneers on 1.1 and 2.1 were decided to be performed.
Pre-operative buccal view of 1.1 and 2.1, showing several fractures and unaesthetic appearance of the old composites.
A temporary restoration was fastly performed to prepare a silicon mold guide. The composite was placed without etching the surface, in order to easily allow its removal.
The rubber dam application is mandatory to create an aseptic and dry environment. Two wooden wedges were placed to hold it.
View of the silicon mold adaptation, placed to restore palatal walls.
Sandblasting the surface can offer the best solution to achieve good adhesion of the restoration.
Etching step: selective enamel etching using 3M ESPE™ Scotchbond™ Universal Etchant for 20 seconds.
The teeth show the typical aspect of the etched pattern.
Two layers of 3MTM ScotchbondTM Universal Adhesive was applied. Wetting well all the surfaces and then drying gently, ensure the best interdigitation into the etched enamel.
Light-cured restorations after silicon guide removal.
Post-operative view of final restorations before finishing and polishing procedures.
Contouring, finishing and polishing are the most critical steps to obtain the best and successfull restorations. Sof-LexTM Diamond Polishing System (3M, ESPE) can offer to clinicians the best solution for a simply and also satisfactory finishing and polishing technique. The beige Spiral Wheel was used for the finishing step.
The pink Spiral Wheel was used for a good and appreciable smooth and glossy surface.
Post-operative final result right after rubber dam removal and finishing and polishing procedures.
Single session restoration is convenient and economic compared to ceramic approach and may change the smile instantly. The composite gives always the possibility to modify, repair or reshape directly in the mouth easily. The single layer approach, the good tooth-restoration matching, and the unique creamy handling of 3M™ Filtek™ Universal Restorative, offer a perfectly integrated aesthetic restoration.
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