Australasian Dentist Issue 89

Category 70 AustrAlAsiAn Dentist Fig 1 The before picture shows the blunted papilla between teeth #s 8 and 9, abfraction on #9, and incisal wear on #8. Fig 4 The anterior, interproximal matrix (Fusion Anterior Matrix System) was placed around the defect on tooth #9 and secured in place. Fig 7 Completed composite restoration after matrix removal on tooth #9. Fig 10 Application of composite on tooth #8. Fig 2 Micro abrasion to remove all interproximal superficial staining was completed, enamel and cementum were etched with 37% phosphoric acid (by Kerr Dental) and rinsed for a “total-etch” bonding technique. OptiBond Universal (by Kerr Dental) was applied on all etched surfaces in a one-coat application, as per manufacturer recommendations. Fig 5 SimpliShade universal composite in the lightest shade (by Kerr Corporation) was then placed into the space between the tooth and the matrix band. Fig 8 Following micro abrasion to remove all interproximal superficial staining, enamel and cementum were etched with 37% phosphoric acid (by Kerr Dental) and rinsed for a total etch bonding technique. OptiBond Universal (by Kerr Dental) was applied on all etched surfaces in a one coat application, as per manufacturer recommendations. Fig 11 The composite was then light cured. Fig 3 Bonding was cured for a complete 20 seconds. A mylar strip was placed interproximally only during the bonding application to ensure the teeth separation. Fig 6 The composite was light cured for 20 seconds. Fig 9 The anterior, interproximal matrix (Fusion Anterior Matrix System by Garrison Dental Solutions) was placed for tooth #8. It is important to note that the curved wedge can be reinserted in a rotated position as one places the composite into the defect in order to achieve a better contour of the restoration. Fig 12 After restoration of the incisal defect with the same composite, all composites were first contoured with a carbide finishing bur (BluWhite Carbide bur by Kerr Dental). Fig 13 All restorations were then polished using the Optidisc polishing system (by Kerr Dental). Fig 14 Final restorations in place. Fig 15 Completed treatment – full smile. lInICal