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RODRIGO CAVACO
Dentist by Lisbon Dentistry School

DIRECT ANTERIORS - COMMUNITY

COMPOSITES IN THE AESTHETIC ZONE: YES, WE CAN

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In a rehabilitation in the aesthetic sector, there are many treatment options and different materials to
use.
The composites have gained an important role in the aesthetic rehabilitation.
Due to the existence of different composites that replicate the lost tooth tissue, it can be a pleasant
and stable aesthetic result.
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Adam Zawadka
Marc Kaloustian
Marino Sutedjo
Ivan Mirovic

Patient with a dental fracture at 11 and a poor composite restoration at 21. The treatment plan was a
direct composite in both teeth.

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VENEER AESTHETICS DIRECT COMPOSITE VS

PORCELAIN

Wax-up for the execution of silicone lingual matrix.

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Selection of composites in order to mimic the dental tissues . It was chosen UD2 / GE3 from Enamel
HRi.

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It is important to light cure the composite samples to better evaluate the color.

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FOUNDERS

Walter Devoto
Dr. Walter Devoto Born in
Chiavari on 29/03/1965
graduated in Dentistry in 1991
at Genova University.

After rubber dam isolation.

Angelo Putignano
M.D. degree and D.D.S. post
graduate certificate from
University of Ancona-Italy.

FOUNDERS ENDO

Pio Bertani
Pio Bertani is a full member of
the prestigious association...

With a round bur to remove any unsupported enamel e smooth all the preparation.

Fabio Gorni
Fabio Gorni is an active
member of the Italian Society
of Endodontics and the Italian
Academy...

MEMBERS
Monaldo Saracinelli
Ive been a student of prof.
Fabio Toffenetti and
Riccardo Garberoglio.

Jordi Manauta
Was born in Mexico City,
where he graduated cum
laude. in dentistry from
UNITEC.

Daniele Rondoni
Born in Savona in 1961
where he lives and has
worked in his own
laboratory since...

Vincenzo Musella
Vincenzo Musella
graduated in dental

After the old composite removal.

technician. Proud friend

and student of...

Giuseppe Marchetti
Giuseppe Marchetti was
born in Parma (Italy) in
October of 1972 and
graduated from...

Simone Grandini
Chair of Endodontics and
Restorative Dentistry,
University of Siena, Italy.

Giovanna Orsini
Giovanna Orsini is a well
known researcher in Italy
and internationally.

Paulo Monteiro
My passion for esthetic
dentistry began when I
attended the last year...

Louis Hardan
Head of Restorative and
Esthetic department in
Saint-Joseph University
in...

Enamel etching with phosphoric acid (Kerr).

Patrizia Lucchi
Patrizia Lucchi Graduated
in Dentistry cum Laude in
1995 at the University of
Verona

Anna Salat
Dr Anna Salat graduated
with a degree in dentistry
from the International
University of Catalonia

Giulio Pavolucci
After graduation magna
cum laude in Dentistry, I
started focusing my daily
work on...

Marcos Vargas
Dr. Marcos Vargas
attended Cayetano
Heredia University School
of Dentistry in Lima...

Stefan Koubi
Dr. Koubi graduated from
University of Marseille
where he...

Thoroughly wash the ecthing agent.

Engin Taviloglu
Dr. Taviloglu graduated
from ?stanbul University
School of Dentistry in...

Dimitar Filtchev
Co-founder of the Laser
Dental Center and the
Implant...

Angie Segatto
My commitment to arts has
determined my
specialisation.

Gregory Camaleonte
I was born in 1980 in
Marseille-France and i have
graduated in 2006 from...

Caroline Werkhoven
Caroline Werkhoven
graduated in 2002 at
ACTA, the dental faculty in
Amsterdam..

Ajay Juneja
Ajay Juneja finished his
BDS in the year 1995...

Carlos Fernndez
Villares
Member of SEPES Spanish
Soc...

Sulivan Leite
Sulivan Leite graduated
from the Ribeirao...

Application of primer agent only in dentin (Primer of Optibond FL).

Maciej Zarow
Author of book edited by
Quintessence: EndoProsthodontics: guidelines
for clinical practice ...

Dan Lazar
Dan Lazar, graduated from
the Faculty of Dentistry in
2005 in Cluj-Napoca...

Murad Akhundov
Dr. Murad Akhundov
graduated from the
Faculty of Dentistry in
Baku...

Janos Grosz
Graduated summa cum
laude in 2006 from the
University of Szeged,
Faculty of Dentistry,
Hungary...

MEMBERS ENDO

Application of adhesive agent (Optibond FL).

Simone Grandini
Chair of Endodontics and
Restorative Dentistry,
University of Siena, Italy.

Louis Hardan
Head of Restorative and
Esthetic department in
Saint-Joseph University
in...

Filippo Cardinali
Graduate in Dentistry and
Dental Prostheses at the
University of Ancona in
1992. Active Member of...

Riccardo Tonini
He is active member of the
Italian Academy of
microscopic Dentistry and
Active member of...

Paolo Generali
Doctor Generali was
graduated from Pavia
University in the year...

Palatal enamel on the silicone matrix in position.

Calogero Bugea
Graduate in Dentistry,
Certificate in Oral Surgery.
Active Member of the
International
Piezosurgery...

Clifford Ruddle
Internationally recognized
as a leading expert in all
aspects of clinical
endodontics, Dr. Ruddle is
acclaimed for...

Pierre Machtou
Pierre Machtou was the
first scientific director and
general secretary of the
French Endodontic
society...

Marco Martignoni
Marco Martignoni leads a
private clinic in Rome Italy
and dedicates his practice
mainly to endodontics,
pre-prosthetic...

Massimo Giovarruscio
Massimo Giovarruscio
works in Rome, Bristol and
London, specialising in
Endodontic Treatment
and...

Enrico Cassai
Dr. Cassai was Preceptor
at the Endodontics
Department of Loma Linda
University...

Palatal shell using GE3.

V3 SuperCurve Matrix matrix adaptation to make the interproximal wall.

Composite adaptation in interproximal enamel wall with the LM -Arte Applica.

First layer of dentin to ensure the rigth adaptation on the palatal shell.

Final layer of dentin, making sure it gets dentin composite fingerprints on the enamel bevel.

Final layer of GE3 enamel composite.

Final layer of GE3 enamel composite.

Polishing with Enamel Plus Shiny A.

Polishing with Enamel Plus Shiny B.

Polishing with Enamel Plus Shiny C (aluminium oxide paste).

Final result after polishing.

Macro aspect of superficial texture.

Follow-up after 15 days.

Smile picture.
Conclusions
The composite have an important role when rehabilitating the anterior sector. With a simple layering
technique it is possible to achieve very good aesthetic results .
References
1. Dietschi D, Ardu S, Krejci I. A new shading concept based on natural tooth color applied to direct
composite restorations. Quintessence Int 2006:37:91102.
2. Vanini L, Mangani F, Klimovskaia O. Conservative Restoration of Anterior Teeth. Viterbo, Italy: Acme,
200
3. Paolone G, Orsini G, Manauta J, Devoto W, Putignano A. Composite shade guides and color
matching. Int J Esthet Dent. 2014 Summer;9(2):164-82.

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