Dentaltown February 2013 - (Page 92)

restorative feature by Ulf Krueger-Janson The natural appearance of a tooth can be successfully reconstructed with a composite resin that is based on an integrated shade and layering system. Restorations of this kind blend in seamlessly with the natural dentition in accordance with biomimetic principles. Choosing the most suitable material for the task at hand is decisive for the successful outcome. The shade range of IPS Empress Direct composite resin comprises five dentin materials in A shades (high opacity) and five matching enamel shades (high translucency). In addition, stronger as well as more translucent shades are available, some of which are opalescent, for designing the lateral enamel areas and incisal edges. This well-rounded range of shades and layering materials facilitates the creation of naturallooking restorations with composite resin. The following article describes the fabrication of a composite resin restoration in an anterior tooth using IPS Empress Direct. The procedure is described chronologically, starting with shade selection and ending with the final design adjustments. pre-operative situation, a grayscale image was produced (Fig. 1). This image illustrates the insufficient brilliancy as well as lack of translucent areas. Furthermore, surface structures and their various transitions, as well as wavelike white striations are visible. From the incisal aspect the vestibular contour looks distinctly Fig. 1 Assessment of the Pre-operative Situation The appearance of the upper anterior teeth in the pre-operative situation was unsatisfactory. Tooth #8 looked particularly unattractive. Neither its shape nor its shade satisfied the standards of a highquality dental restoration. In order to obtain a clearer picture of the 92 FEBRUARY 2013 » dentaltown.com Fig. 1: Pre-operative situation: The unattractive composite build-up on tooth #8 needs to be replaced. The image is shown in grayscale to emphasize the shade nuances and the surface quality. http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown February 2013

Dentaltown.com Highlights
Howard Speaks: The SWOT Analysis
Professional Courtesy: Get Off the Hamster Wheel
Continuing Education Update
Second Opinion: Predicting the Future of Dental Amalgam Use and FDA Regulation
Nuts & Bolts Full Arch Case Dissected… Tips, Tricks & Stuff
Employee Embezzlement, Not Sure Which One
Corporate Profile: GC America
Sleep Dentistry Section
Product Profile: Sleep Optima
Breathe Easy: The Advent of CPAP
ACSDD Consortium
Sleep Apnea
Townie Meeting 2013 Last Call!
Do-it-Yourself Finance, Part III: Debt
The Most Effective Presentation Process Ever
“Patient Friendly Dentistry” to the Rescue
Does Kissing Affect Oral Health?
Can Groundhog Day Make a Difference?
Top 10 Tips to a Successful Practice Start-up
How to Build Up the Perfect Tooth
Why We See Problems with Teeth Whitening: The Science of Whitening Part IV – Whitening Sensitivity Solutions
Continuing Education: Full-Arch Appliance Use for Nighttime Parafunction Management
Ad Index
In This Issue: Implants Are Growing in Popularity
Perio Reports
Continuing Education: A.I.M. for Implant Success
Scaling on Patients with Implants
Dentally Incorrect

Dentaltown February 2013