Clinical Image

Restoration of Anterior Tooth Malformation by Using Composite Mock-up Technique

Serdar Akarsu* and Dilara Yildiz
Department of Restorative Dentistry, Faculty of Dentistry, Ordu University, Ordu, Turkey


*Corresponding author: Serdar Akarsu, Ordu University, Faculty of Dentistry, Department of Restorative Dentistry, Ordu, Turkey


Published: 30 Apr, 2018
Cite this article as: Akarsu S, Yildiz D. Restoration of Anterior Tooth Malformation by Using Composite Mock-up Technique. J Dent Oral Biol. 2018; 3(3): 1133.

Keywords

Dental composite; Mock-up


Clinical Image

Nowadays, dentists face a population that demands an aesthetic view in their teeth. Because a beautiful smile affects personal and professional relations [1]. The mechanic and aesthetic properties of composite resins and the developments in adhesions caused that important changes occurred in dentistry practice [2]. The most common aesthetic procedures are the restoration of the deformations in anterior teeth and diastema closure [3]. Composite Mock-up Technique is a reversible direct composite restoration technique and gives fast results [4]. In the present study, the treatment procedures are dealt with of a 25-year-old female patient presenting to Ordu University, Dentistry Faculty, Restorative Dental Treatment Clinics due to aesthetic problem (Figure1) depending on malformation in the tooth with the number 21. Since the treatment period is long, the patient did not accept the orthodontic treatment, and also refused prosthetic treatment because of its high costs, it was decided that direct composite restoration would be applied to the patients by using the Composite Mock-Up Technique. The following processes were applied in the treatment.
• The diagnosis model of the patient was obtained, and smiling design was made with Diagnostic Wax-Up (Figure 2).
• The color A2 was selected by using the vita scale after the silicon key was completed on the diagnostic model.
• The labial, mesial and distal surfaces of the teeth 21 was roughened with 37% phosphoric acid(Etching Gel, Kerr, the USA) for 15 seconds; and rinsed with water spray for 20 seconds. The Adper Single Bond (3M ESPE, the USA) was applied. It was polymerized with Elipar TM S10 (3M ESPE, Ann Arbor, MI, the USA) light source for 20 seconds.
• The silicon key was placed in the mouth of the patient (Figure 3). By taking the silicon key as the reference point, the Clearfil Majesty Esthetic (KURARAY,JAPAN) was placed. It was polymerized with EliparTMS10 (3M ESPE, Ann Arbor, MI, the USA) light source for 20 seconds.
• The restoration was completed by using the yellow-line finalizing drills and Sof-Lex TM (3M ESPE, the USA) polishing disks (Figure 4).


Figure 1

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Figure 1
(Pretreatment Photograph).

Figure 2

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Figure 2
(Diagnostic Wax- Up Photograph).

Figure 3

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Figure 3
(Silicon Key in Mouth).

Figure 4

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Figure 4
(Finished Restoration).

References

  1. Kovacs BO, Mehta SB, Banerji S, Millar BJ. Aesthetic smile evaluation--a non- invasive solution. Dent update. 2011;38(7):452-4.
  2. Hajtó J, Marinescu C. An esthetic challenge: isolated areas of high translucency in laminate veneers. Eur J Esthet Dent. 2012;7(3):282-94.
  3. Frese C, Schiller P, Staehle HJ, Wolff D. Recontouring teeth and closing diastemas with direct compostie buildups: A 5-year follow-up. J Dent. 2013;41(11):979-85.
  4. Ahmad Bunashi, Easy Esthetic Mock-Up, e-Journal of Dentistry. 2011;1(4):32-37.