Case Presentation on anterior composite restoration

GOOD MORNING

ANTERIOR COMPOSITE RESTORATION (case

report)

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.

Age/sex-17/femaleChief complaint-Patient wants to get her anterior broken teeth to be restored.

CASE HISTORY

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

• 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

STEPS OF TREATMENT

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.

PREOPERATIVEPOSTOPERATIVE

CONCLUSION

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

Thank you…………