- 1
Pre-operative view of fractured incisal edge corner of maxillary left central incisor.
- 2
Additional pre-operative view of fractured incisal edge corner of maxillary left central incisor.
- 3
Rubber dam isolation of fractured tooth.
- 4
Shade check against Vita Shade tab that is keyed to the cured composite shades.
- 5
Composite resin placed to check for correct shade.
- 6
Long bevel placed into the enamel to increase surface area for bonding and also to allow better blend of a translucent resin at the tooth restoration interface.
- 7
Garrison Dental VariStrip placed interproximally.
- 8
VariStrip is precontoured to facilitate a more natural interproximal contour.
- 9
Enamel and any exposed dentin is etched with 35% phosphoric acid for 15 seconds.
- 10
Dental primer is applied in multiple layers onto the etched dentin and enamel.
- 11
The primer is air dried with a moisture-free air source (Adec warm air tooth dryer) to evaporate the volatile, hydrophilic carrier.
- 12
Dental adhesive is light polymerized for 10 seconds with a curing light.
- 13
Lingual layer of composite resin is placed first. An enamel shade and translucency is used to mimic natural tooth structure.
- 14
A very translucent incisal shade is added to reproduce the natural incisal translucency present in the adjacent tooth.
- 15
A dentin shaded composite resin is added to replace the natural fractured dentin and provide a smooth transition between the restoration and the remaining natural dentin.
- 16
A final layer of a translucent enamel layer is added to blend into the natural tooth structure.
- 17
The VariStrip can be manipulated to reproduce the adjacent line angle since it is pre-contoured.
- 18
After light curing the resin, the VariStrip is removed.
- 19
The restoration is contoured using discs and diamonds.
- 20
The restoration is contoured using discs and diamonds.
- 21
Restoration after initial gross shaping.
- 22
Restoration is then polished using rubber polishing points, cups, and discs.
- 23
Final post-op restoration immediately after placement.
- 24
Additional view of final post-op restoration immediately after placement.
