CATEGORY AUSTRALASIAN DENTIST53 CLINICAL freehand mock-up was created using Beautifil II LS Composite shade A2 (Shofu Inc. Japan) and aesthetic evaluation was done for shade verification (Fig. 3). After Occlusal adjustment, a palatal putty index was made with A-Silicon impression material (Fig. 4). Isolation & Tooth Preparation The Anterior sextant was isolated with a rubber dam (Sanctuary Dental, Malaysia) and the dam margins were everted & floss ties secured to maintain retraction (Fig. 5). The teeth were polished with pumice slurry using a prophy rubber cup to remove the plaque biofilm (Fig. 6.). Sharp enamel edges were removed and long bevel created on facial surface with TR11F fine grit bur (Mani Inc. Japan) (Fig.7), followed by smoothing of the prepared surface and defining short and long bevels with SuperSnap coarse disk (Shofu Inc. Japan) (Fig. 8) Etching & Bonding The prepared tooth ready for the bonding protocol. First the prepared palatal putty index was checked to confirm the fit (Fig. 9). Then the enamel was etched with 37% ortho-phosphoric acid (EtchRite, Pulpdent, USA) for 30 seconds (Fig. 10). The adjacent central incisor #11 was protected with a teflon tape. The etching was done slightly beyond the long bevels prepared on the tooth to help achieve a Fig 8: Smoothening of prepared surface and defining of the short and long bevels with SuperSnap coarse disk Fig 9: Palatal putty index checked before the bonding protocol Fig 10: Etching of enamel surface with 37% phosphoric acid Fig 11: Bonding with FL-Bond II 6th generation bonding system Fig 14: Palatal shell created to form a thin and even base layer Fig 17: Translucency effect was created by adding Lite Art blue stain Fig 20: Beautifil Injectable X was injected in layers to obtain the desired anatomy and minimize adjustments Fig 12: Small amount of Beautifil Injectable XSL bioactive composite injected on to the putty index Fig 15: Beautifil Injectable X was injected and placed on the palatal shell layer Fig 18: Translucency effect was created by adding Lite Art blue stain Fig 21: Oxy-barrier applied and light-cured to minimize the inhibition layer Fig 13: Putty index placed on palatal aspect, injected material spread evenly & photocured Fig 16: Material was gently spread using a probe & No. 5 Unibrush Fig 19: Beautifil Injectable X was injected in layers to obtain the desired anatomy and minimize adjustments Fig 22: Gross finishing with fine diamond CA point
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