Dentaltown November 2017 - 68

Fig. 10. Composite was added to the mesialfacial of tooth #8, just shy of the contact area.

Fig. 14. The postoperative smile view shows
nice symmetrical composite restorations.

Fig. 11. The incisal view shows tooth #8 and the
facial embrasures.

Fig. 15. Postoperative retracted view.

Fig. 12. The clear Mylar strip is placed between
the teeth and composite material was added to
the mesial-lingual of #8.

rubber cups (Cosmedent) were used to
polish the restoration. A blunt composite
instrument was used to slightly torque the
teeth to "pop" the contact. Finishing strips
and a #12 Bard-Parker were used to contour
and smooth the gingival/interproximal
contours. The contact area was checked
with dental floss. There was a tight contact
with no catches or shredding of the dental
floss. FlexiBuff and Enamelize (Cosmedent)
were used to give the restorations a high
polish that matched the shine of the natural
tooth8,9,10 (Figs. 14-16).

Conclusion

Fig. 13. The final buildup of composite material.

can assist in creating these contours. With
the use of a flame tip carbide or diamond,
the operator can carefully create a smooth
depression area between the lines on the
facial.
A slight developmental depression
was created on the mesial of both #8 and
#9 with a fl ame-tip carbide (7901 from
Brasseler). This depression area should be
shallow and smooth. Next, blue and pink

68

NOVEMBER 2017 // dentaltown.com

The end result showed central incisors
that were mirror images of each other and
oriented in the face in a symmetrical and
balanced position. A conservative and
successful restoration of a midline diastema
was accomplished with an excellent material
by following a predictable step-by-step
technique.
The goal from the beginning was to
create a restoration that matched the shade
of the natural tooth with a similar polish,
and to have teeth that were mirror images
of each other, and did not have a midline
cant. This goal was achieved and the patient
was very excited to have her beautiful smile
restored. ■

Fig. 16. The postoperative portrait shows a happy
patient with a beautiful new smile.

References
1.
Finlay Scott. Conservative esthetics using direct resin. Inside
Dent. 2010 May; 6(5):96-101.
2.
Crispin BJ. Contemporary esthetic dentistry: practice
fundamentals. Carol Stream (IL): Quintessence Pub.;
1994:116-127.
3.
Fahl N. Mastering composite artistry to create anterior masterpieces, part 1. J Cosmetic Dent. 2010 Fall; 26(3):56-68.
4.
Relationship Between Enamel Etch Characteristics and Resin-enamel Bond Strength; Hobson, RS, McCabe, JF, British
Dental Journal, 192, 463-468 (2002) Published online: 27
April 2002 | doi:10.1038/sj.bdj.4801401
5.
Manauta J, Salat A. Layers: an atlas of composite resin stratification. Milan, Italy. Quintessence Pub.; 2012; 349-375.
http://www.quintpub.com/PDFs/book_preview/B9520.pdf
6.
Peyton JH, Arnold JF. Six or more direct resin veneers case
for accreditation: hands-on typodont exercise. J Cosmetic
Dent. 2008 Fall; 24(3):38-48.
7.
Hatkar P. Preserving natural tooth structure with composite
resin. J Cosmetic Dent. 2010 Fall; 26(3):26-36.
8.
Fahl N. Mastering composite artistry to create anterior
masterpieces, part 2. J Cosmetic Dent. 2011 Winter;
26(4):42-55.
9.
Rufenacht C, Lee R. Fundamentals of esthetics. Inc. Chicago
(IL): Quintessence Pub.; 1990:117-127.
10. Peyton, James. Finishing and polishing techniques: direct
composite resin restorations. Pract Proced Aesthet Dent. 2004
May; 16(4):293-8.


http://www.quintpub.com/PDFs/book_preview/B9520.pdf http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown November 2017

Dentaltown November 2017 - Intro
Dentaltown November 2017 - Cover1
Dentaltown November 2017 - Cover2
Dentaltown November 2017 - 1
Dentaltown November 2017 - 2
Dentaltown November 2017 - 3
Dentaltown November 2017 - 4
Dentaltown November 2017 - 5
Dentaltown November 2017 - 6
Dentaltown November 2017 - 7
Dentaltown November 2017 - 8
Dentaltown November 2017 - 9
Dentaltown November 2017 - 10
Dentaltown November 2017 - 11
Dentaltown November 2017 - 12
Dentaltown November 2017 - 13
Dentaltown November 2017 - 14
Dentaltown November 2017 - 15
Dentaltown November 2017 - 16
Dentaltown November 2017 - 17
Dentaltown November 2017 - 18
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Dentaltown November 2017 - 20
Dentaltown November 2017 - 21
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Dentaltown November 2017 - 29
Dentaltown November 2017 - 30
Dentaltown November 2017 - 31
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Dentaltown November 2017 - 33
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Dentaltown November 2017 - 35
Dentaltown November 2017 - 36
Dentaltown November 2017 - 37
Dentaltown November 2017 - 38
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Dentaltown November 2017 - 40
Dentaltown November 2017 - 41
Dentaltown November 2017 - 42
Dentaltown November 2017 - 43
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Dentaltown November 2017 - 45
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Dentaltown November 2017 - 62
Dentaltown November 2017 - 63
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Dentaltown November 2017 - 119
Dentaltown November 2017 - 120
Dentaltown November 2017 - Cover3
Dentaltown November 2017 - Cover4
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