CATEGORY AUSTRALASIAN DENTIST55 CLINICAL was removed, occlusion adjusted & final aesthetic outcome examined (Fig. 25-26) Patient was recalled after 3 days for final finishing & polishing of the restoration (Fig. 27). Aesthetic outcome observed after hydration appeared satisfactory. Final finishing was done using One-Gloss with minimal pressure & fleeting strokes (Fig 28). This method of finishing with OneGloss can be easily termed as pre-polishing as it creates a smooth surface ready to be polished (Fig. 29). Polishing step was initiated with Super-Snap X-Treme Disk fine (Green) followed by extra-fine (Pink) (Fig. 30, 31). The disks are flat & they have a tendency to flatten the surface characterizations. So while polishing the facial surface the disks should be held at a slight angle so as not to flatten the lobular anatomy. Final lustre was achieved with Super-snap Buff disk (Shofu Inc. Japan) used with fleeting strokes (Fig. 32) Result and conclusion An aesthetically pleasing restoration was easily created using the above protocol, where the restoration was almost undetectable from the rest of the tooth and also the adjacent tooth (Fig. 33). The translucency of the incisal third appeared optimal with the body of the restoration having the depth of colour which matched perfectly with the rest of the tooth structure making the restoration invisible. The fracture line appeared well masked where the restoration margins were well blended with the natural tooth surface. Overall, the aesthetic outcomes achieved were beyond the patient’s expectations and she was very happy. The new injectable restorative materials, Beautifil Injectable XSL & Beautifil Injectable X, used in this clinical case demonstrated very good handling & optical properties to make a complicated restoration plan simple and predictable with a mono shade restorative procedure. The optical properties of these bioactive composites are truly impressive as the restoration does not appear too translucent or greyish in colour, however at the same time permits the optical effects of tints used in sub-surface layer to create the effect of the natural translucency required to perfectly match the adjacent tooth. The fracture lines were masked well, along with seamless integration of restoration margins and tooth surface. Though no attempt was made to create incisal halo using any opaque tints, except for mimicking the natural incisal edge slope towards palatal, still incisal halo was distinctly visible in the final restoration. This points towards good refractive opalescence properties of the restorative material. The final finish & polish of the restoration was easily achieved with comparable lustre of the natural enamel surface. u References 1. Miki S et al. Antibacterial activity of resin composites containing surface pre-reacted glass-ionomer (S-PRG) filler. Dent Mater. 2016 Sep;32(9):1095-102 2. Koji Yoshida et al : Anti-plaque property of newly developed fluoride releasing adhesive system; Japanese Journal of Conservative dentistry magazine. Vol.51, No.5, 493-501, 2008. 3. Hiraishi N et al. Interactions of boron released from surface pre-reacted glass ionomer with enamel/dentin and its effect on pH. Sci Rep. 2021 Aug 3;11(1):15734. “This article was originally published on Dental Asia”. About the author Dr. Amit Gulati is a BDS & MDS from the University of Mumbai. He completed an advanced training in Aesthetic Perio-Plastic Surgery, Implantology & Osseous Regeneration at the University of Hamburg, Germany and further expanded his expertise with Advanced Prosthodontic training under eminent clinicians in Germany. He is trained in Digital Smile Design (DSD) under Dr. Christian Coachman & was instrumental in introducing the Style Italiano concept in India through his academy. Dr. Amit is a certified member of the European Society of Cosmetic Dentistry (ESCD), a certified Fellow and Clinical Trainer of Minimally Invasive Cosmetic Dentistry (MiCD). He is a Diplomate of the Indian Society of Oral Implantologists (ISOl), a Fellow of International Congress of Oral Implantology (ICOl) and Associate Fellow of World Clinical Laser Institute (WCLI). He is also a key opinion leader to several global dental firms and involved with research and development of newer materials and techniques in aesthetic and implant dentistry. During two decades of Aesthetic & Implant practice, he has delivered numerous scientific presentations at various national & international conferences, in addition to conducting implant & aesthetic training programs in India and overseas. Apart from consulting for various aesthetic clinics in Mumbai, he also runs a busy practice with special focus on Aesthetics, Implantology and Oral Rehabilitation. He’s a passionate teacher and manages “Synqronize” an academy established with other likeminded colleagues, to train extensively on implant & aesthetic dentistry.
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