Teeth Recontouring and Shape Perfecting by direct composite bonding. (Teeth whitening )

Fig.1
A young patient came to my clinic complaining of the bad esthetics of her smile, which prevented her from smiling with confidence. She wanted to have a beautiful smile while containing expenses, and staying minimally invasive, so we decided to go direct to respect the patient’s needs.
Fig.2
Teeth were discolored and had old composite restorations an mild misalignment between laterals and centrals.
Fig.3
Mesial overlapping of laterals towards the centrals is visible. Also, the centrals were slightly tipped palatally.
We decided to recontour the teeth, and to modify the shape of both centrals and laterals to correct the alignment by using direct composite veneers, and to also enhance the color of the teeth.
Fig.4
Rubber dam isolation is mandatory to control the field. Enhanced vision and clean, contaminant-free environment are the first step to such procedures.
Fig.5
The occlusal view shows the position of laterals and centrals in relation to the ideal curve. We decided to go additive on the labial surface of the centrals to correct the misalignment and to follow the curve.
Fig.6
Although we could add thickness to both centrals, we would have a problem with the overlapping laterals, so need recontouring and shape modification needed little preparation to easily place the matrices between the centrals and laterals to correct the shape and the position.
Fig.7
In the picture, you can see how placing the matrix without preparation would crush it, and lead to deformation and resulting in improper contour, unhygienic. So the areas highlighted in red needed to be prepared to open the space to create a new mesial contour for both laterals.
Fig.8
The areas to be prepared highlighted in the buccal view.
prepared incisors for direct veneering style italiano styleitaliano
Fig.9
After preparation and removal of old composite restorations.
Fig.10
After preparation the space is open and ready to fit the matrix for recontouring.
Fig.11
We can see how easy composite veneering becomes after correct management of spaces on the right side.
Fig.12
The same on the left side.
Fig.13
Enamel etching using phosphoric acid for 30 seconds.
Fig.14
Frosty white enamel after sufficient etching.
Fig.15
Application of a universal adhesive is done by active rubbing on the surface and light curing for 20 seconds using the Curing Pen by Eighteeth.
Fig.16
Building the palatal shell using a silicone index using White Dental Beauty CompoSite System.
Fig.17
Layering the dentin layer and mamelons.
Fig.18
Side view after layering the dentin shade.
Fig.19
After internal features are complete, we are ready to build the outer frame using the Unica matrix regular for centrals. The matrix is secured using plastic wedges.
Fig.20
For the laterals we will use the new Unica Minideep Anterior Matrix, which was specially designed for smaller teeth with an alloy that is malleable and can adapt to the desired shape.
Fig.21
Unica Minideep in action. Note the adaptability to the desired shape.
Fig.22
After finishing outer frame and proximal walls we are ready to characterize the incisal edges by using MP flow between mamelons.
Fig.23
After layering the final enamel shade using E shade White Dental Beauty, we are ready for finishing and polishing.
Fig.24
For simplified finishing and polishing we use
1. Only one disc to control the shape
2. One bur to create surface texture
3. One spiral wheel for pre-polishing
4. One final universal polishing step
Fig.25
Drawing the transitional lines to create symmetrical proportions between teeth. A flexible disc is used to finish the shape.
Fig.26
The perio bur from the StyleItaliano finishing kit is used to create secondary and tertiary anatomy.
Fig.27
After pre-polishing with a spiral wheel, we are ready for the final polishing using Lucida polishing system from Diashine which provides the immediate shine within seconds.
Fig.28
The final situation after teeth contouring, perfecting the shape and improving color of the teeth.
The final smile. The patient is very satisfied with the her new single appointment smile.
www.styleitaliano.org/teeth-r...

[@themindhelp9584]

Omggg!!!! Wonderfuuulllll👏👏👏👏

[@TheKforfaly]

Good job doc , what is the acceptable thickness of composite when adding to the labial surface to adjust the contour, if we put in mind the thickness of the existing tooth structure?

[@doghrialdoghri2006]

ماشاء الله

[@lilu9061]

fantastic result, very beautiful! How long did this job take?
I would come to you for a master class😊

[@onewithnature.]

Amazing work! Where are you located?

[@dentistdrteeth3826]

Dr we are so interested about how to make dsd for this patient and TP ❤️

[@moongogoi5894]

Nice video new friends 🤝🤝❤️

[@rezzytheblackrose9212]

شغل رائع!! ♥️
من فضلك اهتم أكثر بجانب الصوت والموسيقى. يوجد بدائل مجانية ثانية أحسن من تلك التي اخترتها في هذا العرض.

[@omaromar11234]

Pretty lovely, how much time does it take to perform this ¿

[@ky_c1]

Like 6 hours for top n bottom

[@meme-od6kd]

What type of matrix used..?!

[@mootharwat]

Unica matrix

[@loveumom2746]

Perfect but i hate that micro hole😡😡

[@angelahenry4027]

#droigiangbe

[@AnAdorableWombat1]

They needed a tooth brush, toothpaste and floss! All they did was mask the rotten teeth. I know their breath stank

[@usamabin7872]

Absolutely in love with your work of art !! I would really love to learn this someday !! Sir what softwares u use for your planning !!! 🥹🥹🥹🥹👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻👏🏻 this is stunning