GAP Australasian-Dentist-Mar Apr 2019

Category 90 AustrAlAsiAn Dentist Conclusion and references this article demonstrates that a very simple layering technique whereby only 2 layers of two opacities (with an optional incisal “enamel” effect) can be utilized to create high-end aesthetics in a time- efficient manner which is relatively technique insensitive. u About the author Dr Smithson qualified at the Royal London Hospital in 1995. His specific interest is direct composite resin artistry and minimally invasive all ceramic restorations and he has presented to dentists locally, nationally and internationally (USA, Canada, Australia, New Zealand and Europe) on this topic. He is a Post-Graduate Clinical Lecturer in both the Cornwall & Isles of Scilly and Plymouth Foundation Dental Practitioners Schemes. Jason has achieved Diplomat Status in Restorative Dentistry from the Royal College of Surgeons (England). Figure 9 E1 Enamel shade (Dentsply Sirona Spectra ST) is added to the incisal 2-3mm to create an illusion of opalescence (“grey”) and to the interproximals to close the contacts. Figure 12 The restorations were then polished with Enhance and Enhance Pogo disc and point Polishers (Dentsply) to a high lustre. Figure 10 Gross contour and primary anatomy was achieved using discs. Figure 13 Fine vertical enamel infractions were created with a 15-scalpel blade and the restorations finally polished with Prisma Gloss polishing paste (Dentsply). The patient was dismissed. Figure 11 The rubber dam was removed and occlusion adjusted and refined with diamond burs after marking with occlusal indicator tape. Figure 14 A Chrome-Cobalt removable partial denture (not pictured) was fabricated at a later date. lInICal