10 th Virtual Conseuro 2021, 22-24 Nisan 2021, 22 - 24 Nisan 2021, ss.103
Aim:
An 18-year-old male patient applied our clinic with aesthetical needs. The
presence of multiple and irregular diastema after orthodontic treatment and, a
traumatic crown fracture on left central incisor (#21), were observed. This
clinical case presents a treatment plan based on direct composite restorations
in minimally invasive concept.
Materials
and methods: Firstly, a diagnostic impression was
taken. Then a silicon index was obtained on the waxed-up cast. The teeth were
isolated with rubber dam (Nictone,
Velopex ,England). No preparation was made on the teeth surfaces except the
fractured tooth. Enamel surfaces were conditioned with a phosphoric acid gel
(Scotchbond Etchant, 3M ESPE, MN, USA). The adhesive (Scotchbond Universal
Adhesive, 3M ESPE, MN, USA) was applied and then light cured for 10 seconds
(Elipar DeepCure-S, 3M ESPE, MN, USA), in accordance with the manufacturer’s
instructions. Palatal walls were formed using silicon index. On #21, multi-layered technique with
opaque (OA2), body (A2) and enamel (CE) composites (Estelite
Sigma Quite, Tokuyama Dental, Tokyo, Japan) was applied. On the other
teeth, single shade body composite (A2) was used in layers. Each increment was
light cured for 20s. 12-blade flame carbid burs (EVE, Germany), interdental tapes (Kerr, Italy), polishing
discs and spirals (Sof-Lex, 3M, St. Paul, MN, USA) were used for finishing and
polishing. Recalls were arranged after 1 week and 6 months.
Result:
At the follow-up observations, direct resin restorations were scored according
to the modified USPHS (United States Public Health Service) Criteria, and all
the scores were considered as ‘successful’.
Discussion:
In cases like crown fractures, diastema, malpositions and malformations direct
composites constitute a well clinical choice to restore anterior teeth,
preserving sound tooth tissue with respect to minimally invasive dentistry.