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Click on photos to
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Introduction:
17 year old
female. Due to her age I waned to do something reversible.
This case
was done with Filtek Supreme. I like this composite because I'm not seeing
bubbles within the composite. I just hate to fill in little voids after a
restoration has been finished out. |
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Straight on |
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Left view |
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Right view |
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Mesial 1/3
of #8 lightly roughened with a coarse diamond. Greater Curve in place. Matrix is
subgingival and exposing subgingival enamel. |
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Sequence:
Etch, unfilled resin, Artiste Flow A1 and Filtek Supreme Ultra A1 Body. The
unfilled resin wets the surface and allows the flowable to knife edge against
the matrix and tooth. The Filtek Supreme is pushed into the unfilled resin
flowable mixture. All composite cured at one time. |
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Composite
after band removed. I desire to have excess composite to shape. Gives me ample
composite to shape so 1) I can control the emergence contour, (2) get the
midline parallel to the long axis of the face, and 3) adjust so 8 & 9 will have
the same width. |
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#8 completed |
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Before I
bond #9 I quickly place unbonded composite on the mesial of #9 to see if I have
the width and midline correct. Takes seconds to do. This way you know it will
look right. |
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I placed a Greater Curve
around #9 and marked the contact point with an explorer and remove. |
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Contact cut
away with a small football finishing carbide. |
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Matrix
placed. Teflon tape placed. (Teflon tape optional. I place it when I can do it
quickly.)
Sequence of
composite placement the same as for #8. |
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For tooth
#10 the space was too large for the Greater Curve to traverse. To get the matrix
to warp further, a slot was cut at the distal, and the retainer was rotated into
the tooth. Rotating the matrix makes the mesial portion of the band flare more
toward the distal of #9. Triad Gel used to lock the rotated retainer in place. I
also cured the flowable while holding base of matrix against the adjacent tooth
with an explorer. I then placed the Filtek Supreme to complete the closure. |
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Straight on view after Diastema Closure. (I rounded the mesial corner
of #8 before the patient was excused. Forgot to take another photo.) |
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Right side |
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Left side.
Also bonded mesial # 12. |
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Conclusion:
Over time one would expect the gingiva to
recede as the patient matures. Should the expected recession occur, the case
will still remain aesthetic because I was able to bond to subgingival enamel.
(To expose more enamel a gingival lift would require osseous recontouring as
well. Patient and parents declined the ginginval lift.) |