before and after
November 27, 2023
Prof. Paulo Monteiro, DMD, MSc

Clinical Case: Perfecting Anterior Esthetic Techniques – Class IV

Using 3M™ Scotchbond™ Universal Adhesive, 3M™ Filtek™ Supreme XTE Universal Restorative, 3M™ Elipar™ DeepCure-S LED Curing Light, 3M™ Filtek™ Supreme XTE Universal Restorative, 3M™ Sof-Lex™ Contouring and Polishing Discs, and 3M™ Sof-Lex™ Diamond Polishing System.

About the Case

Patient was not satisfied with shade and surface texture of current anterior restorations of maxillary central incisors.
The challenge was to create a smooth and natural-looking restoration to meet the highest level of esthetics.


Learn more about the products used in this clinical case

Initial situation

The patient was unhappy with the esthetics of their current restorations.

Teeth were etched for 15 seconds using 3M™ Scotchbond™ Universal Etchant.

After preparation, the teeth were etched for 15 seconds using 3M™ Scotchbond™ Universal Etchant.

Rubbing Scotchbond Universal Adhesive on the tooth and light curing

3M™ Scotchbond™ Universal Adhesive was rubbed onto the tooth surface for 20 seconds, gently air dried for 5 seconds, and light cured* for 10 seconds using the 3M™ Elipar™ DeepCure-S LED Curing Light.

Creating palatal wall with Filtek Supreme XTE Universal Restorative

A silicone matrix was used to create the palatal wall with 3M™ Filtek™ Supreme XTE Universal Restorative, shade CT, and light cured.*

Interproximal enamel layer built with 3M™ Filtek™ Supreme XTE Universal Restorative,

Interproximal enamel layer built with 3M™ Filtek™ Supreme XTE Universal Restorative, shade A3E, and light cured.* 3M™ Filtek™ Supreme XTE Flowable Restorative, shade W, was used to create the incisal halo.

Supreme XTE Universal Restorative applied as dentin layer and light cured

3M™ Filtek™ Supreme XTE Universal Restorative, shade A1D, was applied as dentin layer and light cured.* A Misura instrument (LM-Arte) was used to leave a 0.5 mm space for the buccal enamel.

upreme XTE Universal Restorative was added between the dentin layer and incisal halo, and light cured, to enhance translucency

Mamelons were created and a small portion of 3M™ Filtek™ Supreme XTE Universal Restorative, shade CT, was added between the dentin layer and incisal halo, and light cured,* to enhance translucency.

Final layer of 3M™ Filtek™ Supreme XTE Universal Restorative was applied and light cured

The final layer of 3M™ Filtek™ Supreme XTE Universal Restorative, shade A3E, was applied and light cured.

3M™ Sof-Lex™ Contouring and Polishing Discs were used to design and define the restoration anatomy.

3M™ Sof-Lex™ Contouring and Polishing Discs were used to design and define the restoration anatomy.

Pre-polishing of restoration with 3M™ Sof-Lex™ Pre-Polishing Spiral.

Pre-polishing of restoration with 3M™ Sof-Lex™ Pre-Polishing Spiral.

Final polishing with the 3M™ Sof-Lex™ Diamond Polishing Spiral creates a smooth finish and high-gloss polish.

Final polishing with the 3M™ Sof-Lex™ Diamond Polishing Spiral creates a smooth finish and high-gloss polish.

Result

The patient was thrilled with the esthetics of the new restoration.

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