Direct Esthetic Composite Restorations in Anterior Teeth: Managing Symmetry Strategies

Symmetry

Enrico Gherlone¹  Gaetano Paolone¹  Gianrico Spagnuolo²  Salvatore Scolavino³ 

[1] Department of Dentistry, IRCCS San Raffaele Hospital and Dental School, Vita Salute University, 20132 Milan, Italy;Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80131 Naples, Italy;Private Practice, 80035 Nola, Italy;

关键词: composite restoration;    teeth symmetry;    central incisors;    esthetic restorations;    composite resin;    thickness;   

DOI  :  10.3390/sym13050797

来源: DOAJ

【 摘 要 】

A novel procedure for symmetric and consistent layer thickness management in esthetic direct restoration of anterior teeth is presented. For the purpose of obtaining a satisfactory final outcome of an esthetic direct restoration, it is crucial to standardize either margin preparation design and dentin and enamel layer thickness. Leaving too much space for the final translucent layer may lead in fact to “low value—gray” restorations if not correctly managed. The most common tool used to check layer thickness is the sagittal silicone index, which is reliable but involves planning; therefore, it requires two stages appointments. In this clinical case, a novel procedure is used to prepare, to model and to check thickness of composite shades in a single appointment, thus providing a symmetric esthetic outcome. A healthy 21-year-old woman referred to our dental office for the esthetic rehabilitation of both maxillary central incisors. The correct composite bilateral and symmetric layer thickness management provided a predictable esthetic outcome of the restorations. The main objective of this case presentation is to describe a novel technique that is able to save chair-time and dental laboratory costs during direct restorations in anterior teeth.

【 授权许可】

Unknown