Pre-operative view of fractured incisal edge corner of maxillary left central incisor.
Additional pre-operative view of fractured incisal edge corner of maxillary left central incisor.
Rubber dam isolation of fractured tooth.
Shade check against Vita Shade tab that is keyed to the cured composite shades.
Composite resin placed to check for correct shade.
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.
Garrison Dental VariStrip placed interproximally.
VariStrip is precontoured to facilitate a more natural interproximal contour.
Enamel and any exposed dentin is etched with 35% phosphoric acid for 15 seconds.
Dental primer is applied in multiple layers onto the etched dentin and enamel.
The primer is air dried with a moisture-free air source (Adec warm air tooth dryer) to evaporate the volatile, hydrophilic carrier.
Dental adhesive is light polymerized for 10 seconds with a curing light.
Lingual layer of composite resin is placed first. An enamel shade and translucency is used to mimic natural tooth structure.
A very translucent incisal shade is added to reproduce the natural incisal translucency present in the adjacent tooth.
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.
A final layer of a translucent enamel layer is added to blend into the natural tooth structure.
The VariStrip can be manipulated to reproduce the adjacent line angle since it is pre-contoured.
After light curing the resin, the VariStrip is removed.
The restoration is contoured using discs and diamonds.
The restoration is contoured using discs and diamonds.
Restoration after initial gross shaping.
Restoration is then polished using rubber polishing points, cups, and discs.
Final post-op restoration immediately after placement.
Additional view of final post-op restoration immediately after placement.