Beruflich Dokumente
Kultur Dokumente
Ultraconservative
and minimally
invasive aesthetic
restoration of crown
facture
Abstract
|| Brief Background
In aesthetic zone composite bonding procedures are considered
the most conservative and least invasive technique. For composite restorations to mimic tooth structure, the clinician
must have a comprehensive understanding of material science and techniques involved in direct bonding procedures. The article presents techniques to master the anterior
direct composites with the help of two clinical cases.
|| Materials and Methods
In the first case, the most ultraconservative technique is followed by reuniting the fractured tooth fragment to
the tooth in question. All the parameters of etching, bonding
and composites are followed. In the second case, silicon index
(putty index) is fabricated to make lingual enamel as ideal as
possible and then layering concept of composite is followed to
reproduce dentin, enamel.
|| Discussion
Discussion focuses on necessary techniques involving an
understanding of colour, adhesive principles to create polychromatic in effects and perfect finishing and polishing.
Correspondence Address
Dr. Neeraj Mahajan
Pedodontics and Preventive Dentistry
Guru Nanak Dev Dental College and
Research Institute Sunam Punjab
E-mail: drmahajanneeraj@gmail.com
Clinical
Dentistr y,
Mumbai
September 2012
37
9/13/2012 2:02:35 PM
|| Introduction
Aesthetic restoration of crown fracture at the central
incisors level may be one of the greatest challenges
a paediatric dentist can face. Generally, this affects
children and teenagers and represents the consequence
of accidental injuries. Much attention has been
given in recent years to the need for clinicians
to embrace minimally invasive and conservative
technique when providing patients with both
necessary and elective dental treatments. We are
fortunate to be practising in an era when sound
science and beautiful aesthetics can be applied
in a less technique sensitive manner in order to
answer todays dental challenges in conservative and
rewarding ways.
Opaquers
Tints
|| Treatment
38
Clinical
Dentistr y,
Case I.
In this case, (Fig. I) after proper isolation and
endodontic treatment , the fractured dental fragment
was washed and brushed until anaesthesia took
effect . Once the patient was comfortable ,
the teeth was polished to remove any plaque and
dental fragments fit was checked on tooth.
Mumbai
September 2012
9/13/2012 2:02:36 PM
Case II:
After proper isolation, a long circumferential
concave bevel preparation was carried out with
irregular outline on the fractured tooth. The facial
bevel was carried 2-3mm beyond the fractured
area , with an up and down motion, so that the
finishing line would not go against straight across
and would seem disappear in the middle one third
effectively.
A silicon putty matrix was placed over the mock up
(which was repositioned at the arch level) to serve
as a confirmer to restore the crown morphology .
Before the silicon putty matrix was repositioned, the
prepared tooth surface was etched, washed and
dried; then bonding agent was applied. (Fig. I).
Clinical
Dentistr y,
Fig. (2) (case 2): Lingual putty index being fabricated in lab
Mumbai
September 2012
39
9/13/2012 2:02:39 PM
|| Conclusion
|| Discussion
|| References
1. W. M TAY- Resin bonded bridges. Martin 1992. Ronald
and E. Goldstein.
4.
2.
40
Clinical
Dentistr y,
Mumbai
September 2012
9/13/2012 2:02:40 PM
pub. 2002-2003.
Clinical
Dentistr y,
Mumbai
September 2012
41
9/13/2012 2:02:40 PM
Copyright of Clinical Dentistry (0974-3979) is the property of Indian Dental Association and its content may
not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written
permission. However, users may print, download, or email articles for individual use.