Presented by:Rajesh Jain (Dept of conservative & endodontics)

INTRODUCTION

Aesthetically restoring the anterior maxillary teeth is a challenge, for which a variety of technique are available. When patients cannot afford indirect porcelain restorations, or they prefer more conservative options such as those involving direct composite resin. Direct resin restorations have historically challenged clinicians in terms of ensuring esthetic predictability, strength, durability, and wear rates, among other factors.

CASE HISTORY

Age/sex-17/female Chief complaint-Patient wants to get her anterior broken teeth to be restored. History of present illness-She had an history of fall and, as a result, patient presented with a Class IV fracture on tooth 11 & the mesial aspect of tooth 21 also was chipped, indicating a history of fracture & restorative work

STEPS OF TREATMENT Upper and lower alginate impressions were made and poured, the casts were mounted in a semi-adjustable articulator. Shade selection was done before any isolation & shade was taken from the middle third of the lateral incisors. The enamel replacement material was of the selected shade. A darker and opaque shade was selected as a dentin replacement. Once the patient was anesthetized, a rubber dam was placed for isolation. To prepare teeth 11 & 21 bevels were made. First type is a facial bevel & second type of bevel is the lingual bevel

Build-up started with the placement of the lingual layer using an enamel-type or translucent-type material based on previous shade selection.

Mylar strips were placed in the mesial and distal aspects to build up the proximal enamel

 Once this composite increment is placed, it was adapted using a brush.

 The dentin increment should extend beyond the bevel so it can hide the demarcation between tooth structure and restoration.

 While placing the increments at the same time using a thin-bladed instrument and a brush, it will be necessary to contour and blend the material in a cervical direction,moving the excess toward the incisal.

Sof-lex disc can be used to contour the interproximal areas. An alternative is a #12 finishing blade used for opening the embrasures.

 The final contour and initial polishing was completed using an abrasive quartz cup .

Removal of the rubber dam, the restoration was complete . The patient was appointed for a follow-up visit to verify the occlusion and ensure the satisfactory condition of the composite restoration.

PREOPERATIVE

POSTOPERATIVE

CONCLUSION

Composite material offers clinical advantages such as smoother, more consistent handling properties, long-lasting esthetics, and high sculptability.