Case Gallery: Clinical Information

Class I
Class II 1 2
Incisal Edge
Veneering
Recontouring Veneer Replacement & Smile Adjustment 1 2
Class IV 1 2
Diastema Closure
Introduction Clinical Information Case Gallery Technical Information FAQ
Case Gallery
Class I Recontouring Case 2 Veneer Replacement & Smile Adjustment Class IV Case 1 Class IV Case 2 Diastema Closure
Class II Case 1 Class II Case 2 Incisal Edge
Order Information Contact Veneering, Incisal Edge Recontouring Case 1

Click on the pictures to view the cases.
2.2
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Introduction Clinical Information Case Gallery Technical Information FAQ Order Information
Recontouring 2
Courtesy of Dr. Grgoire Kuhn, Dr. Pierre Colon, France
Before Contact
After
Temporary occlusal rehabilitation using direct anterior composite restorations made with EsthetX Micro Matrix Restorative.
Case Gallery 2.2.6 0 1 2 3 4 5 6 7 8 9
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Introduction Clinical Information Case Gallery Technical Information FAQ Order Information Contact
Recontouring 2
NOTE: Vertical dimension has to be reevaluated, and temporary prostheses are realized for testing the biomechanical requirements of this large restoration. During this period, it is necessary to restore esthetics and function of anterior teeth. However, functional tests according to phonation, anterior guide, have to be performed. These restorations will be modified during this period, which is easier with a resin composite material. EsthetX restorative is chosen for the large panel of shades and opacities available.
The clinical situation of this patient, 55 years old, is dramatic, with bruxism, attrition, and absence of posterior teeth.
Case Gallery 2.2.6.1 0 1 2 3 4 5 6 7 8 9
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Recontouring 2
Rubber dam is placed for isolation of the field from saliva and for a good adaption of cervical margin. The pulp is very close, as visible on slide 3.
Case Gallery 2.2.6.2 0 1 2 3 4 5 6 7 8 9
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Recontouring 2
X-ray of central incisors shows the pulp chamber. The vitality of the teeth is tested, and except for the right cuspid, endodontically treated.
Case Gallery 2.2.6.3 0 1 2 3 4 5 6 7 8 9
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Recontouring 2
After adhesive procedure is conducted, the first increment is a core restoration using the A2-O shade. The opacity of this structure is required for a desirable result.
Case Gallery 2.2.6.4 0 1 2 3 4 5 6 7 8 9
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Recontouring 2
The cervical shade is Regular Body A3.5. The polymerization of a "cervical ring" of composites is achieved because polymerization concentration is of interest in this special situation. Translucent Enamel Shade YE is used for the incisal margin. However, some ridges of Regular Body Shade A2 contribute to a natural irregular translucency.
Case Gallery 2.2.6.5 0 1 2 3 4 5 6 7 8 9
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Recontouring 2
Contouring, polishing, and finishing are performed with the Enhance System and Prisma Gloss Polishing Paste. Abrasive strips are also required for the proximal surfaces. The final result in occlusion will be adjusted after conducting the same protocol for lower incisors.
Case Gallery 2.2.6.6
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Recontouring 2
Lingual aspect is a compromise between morphology and functional anterior guide.
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Recontouring 2
The esthetic result for transitory restorations is convenient. The interesting aspect is the ability to remove or add material for the functional integration of these restorations.
Case Gallery 2.2.6.8 0 1 2 3 4 5 6 7 8 9
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Recontouring 2
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Introduction Clinical Information Case Gallery Technical Information FAQ Order Information Before Contact After
Veneer Replacement & Smile Adjustment

Dentistry created by Dr. Marcos Vargas, USA
Case Gallery
0 17
1 18
2 19
3 20
4 21
5 22
6 23
7 24
8 25
9 26
10 27
11
12
13
14
15
16
2.2.b
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Patient before procedure with discolored, ten-year-old lateral veneers and inverted centrals.
Case Gallery 0 17 2.2.b.1 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

After an in-office bleaching with Illumin Tooth Whitener and two weeks of at-home bleaching with Nupro Gold Tooth Whitening System, shade is taken. The result: the patient's original D3 shade is brightened to B1.
Case Gallery 0 17 2.2.b.2 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

The old composite veneers are removed with a diamond bur.

Case Gallery 0 17 2.2.b.3 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

EsthetX B1 Regular Body Shade is placed on the left lateral incisor and curedwithout etching or bonding. This is done to check the shade match of cured composite to the natural tooth color. After shade match is deemed correct, the trial application is removed and the tooth is pumiced to ensure a clean surface.
Case Gallery 0 17 2.2.b.4 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Place a cord.
Case Gallery 0 17 2.2.b.5 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Etch for at least 15 seconds, then rinse thoroughly for at least 10 seconds. Blot dry, but keep surface moist and glistening.
Case Gallery 0 17 2.2.b.6 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

STEPS NOT SHOWN: After application of Prime & Bond NT Adhesive, air dry for 5 seconds so surface becomes uniform and glossy in appearance. Then light cure for 10 seconds.
Apply Prime & Bond NT Adhesive to the prep and saturate for at least 20 seconds.
Case Gallery 0 17 2.2.b.7 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Place EsthetX Opacious Dentin Shade B2-0 with a spatula.

Case Gallery 0 17 2.2.b.8 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Smooth out the Opacious Dentin Shade with a sable brush.

Case Gallery 0 17 2.2.b.9 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Light cure for 20 seconds.

Case Gallery 0 17 2.2.b.10 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Apply EsthetX Translucent Enamel Shade WE with a spatula.

Case Gallery 0 17 2.2.b.11 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

STEPS NOT SHOWN: After application of Translucent Enamel Shade, light cure for 20 seconds.
Feather the Translucent Enamel Shade with a sable brush.

Case Gallery 0 17 2.2.b.12 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Pre-finish the restoration with a carbide or diamond bur.

Case Gallery 0 17 2.2.b.13 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Finish the interproximal space with a finishing strip.

Case Gallery 0 17 2.2.b.14 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Shape the lingual surfaces of the restoration with a sandpaper disc.

Case Gallery 0 17 2.2.b.15 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

STEPS NOT SHOWN: Etch for at least 15 seconds, then rinse and blot dry, but keep surface moist and glistening. Then apply Prime & Bond NT Adhesive, air dry for 5 seconds, until surface becomes uniform and glossy in appearance. Light cure for 10 seconds.
Place a cord and use a plastic matrix to start the central incisors.
Case Gallery 0 17 2.2.b.16 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Apply EsthetX Regular Body Shade B1 with a spatula.

Case Gallery 0 17 2.2.b.17 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure


Case Gallery 0 17 2.2.b.18 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Apply EsthetX Translucent Enamel Shade WE with a spatula.

Case Gallery 0 17 2.2.b.19 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

NOTE: After Translucent Enamel Shade application, light cure for 20 seconds.
Brush and smooth the EsthetX Translucent Enamel Shade into final form.
Case Gallery 0 17 2.2.b.20 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

STEPS NOT SHOWN: Proceed to the right central incisor, following the same procedure used for the left central incisor.
Finish the interproximal space using an appropriate finishing strip.

Case Gallery 0 17 2.2.b.21 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

View of all restorations (both lateral incisors and both central incisors) before final contouring.
Case Gallery 0 17 2.2.b.22 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Define labial contour lines and final anatomy with a pencil.

Case Gallery 0 17 2.2.b.23 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Use a bur to create final anatomy.

Case Gallery 0 17 2.2.b.24 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Initially, polish with a finishing cup.

Case Gallery 0 17 2.2.b.25 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

Continue polishing and finishing using an extrafine polishing paste.

Case Gallery 0 17 2.2.b.26 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure

View of finished restorations.

Case Gallery 0 17 2.2.b.27 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
Courtesy of Dr. Karim ElMahdy, Prof. Dr. Christoph Benz, Germany
Before Contact
After
Two class IV restorations with EsthetX Micro Matrix Restorative.
Case Gallery 2.2.7
10
11
12
13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
NOTE: At that time, both teeth were restored. From a professional point of view, the marginal integrity of both restorations was unsatisfactory, but the major problem was an unsatisfactory color and even more important transparency match between the tooth structure and the restorative material. Both teeth reacted to vitality testing.
A 28-year-old female patient fractured her teeth #7 and #8 in a car accident in 1998.
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11
12
13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
Since the lingual and incisal contour of both teeth seemed acceptable, a silicon cast was made in order to apply the shape to the new restorations.
Case Gallery 2.2.7.2 0 1 2 3 4 5 6 7 8 9 10 11 12 13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
After the removal of the old restorative materials, the full extent of the tooth fracture is apparent. Tooth #8 still maintained the sealing of the pulpal opening which was removed after the rubber dam had been fixed.
Case Gallery 2.2.7.3 0 1 2 3 4 5 6 7 8 9 10 11 12 13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
NOTE: Tooth #7 showed the best match to color line A3, while teeth #8 and #9 showed the best match to color line A2.
Since the drying of the tooth structures change their color appearance considerably, color matching was performed before the rubber dam was fixed.
Case Gallery 2.2.7.4 0 1 2 3 4 5 6 7 8 9 10 11 12 13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
NOTE: A long beveling is often used to achieve a smoother change in color, but with conventional one shade restorations this is very often intended to mask the fact that the overall color match and even more important, transparency match is unsatisfactory. Using a core buildup with darker and less transparent shades of EsthetX, a shorter bevel still leads to an excellent color match.
After the removal of the pulpal seal, there was still a larger area of exposed soft tissue. It was decided to renew the seal. A short bevel was prepared in the marginal areas.
Case Gallery 2.2.7.5 0 1 2 3 4 5 6 7 8 9 10 11 12 13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
Adhesive procedure.
10
11
12
13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
NOTE: As can be seen in the slide, this layer was contoured in a special way, modeling mamelons and embedding spots of a lighter shade in order to achieve a more lively appearance of the restoration.
The EsthetX restorative material was applied in three different layers. In the first step a core buildup was performed using the Opacious Dentin material. After light curing of this layer for 20 seconds, a second layer was applied using the Regular Body of the selected shade guide recipe.
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11
12
13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
The contour of the outer surface was rebuilt with the Translucent Enamel Shade of the selected shade guide recipe.
Case Gallery 2.2.7.8 0 1 2 3 4 5 6 7 8 9 10 11 12 13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
The same core buildup technique as described for Fig. 7 was applied.
10
11
12
13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
The contour of the outer surface was rebuilt with the Translucent Enamel Shade of the selected shade guide recipe. In order to reestablish the contact area, transparent matrices were positioned.
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11
12
13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
NOTE: With this step it is very important not to dead flatten the surface, since this prevents the restoration from looking lively. During finishing, it was the intention to follow the contour of the remaining tooth structures, as well as to copy the surface contour of the adjacent teeth.
Contouring and prefinishing of the outer surface is easily achieved with a fine diamond finishing bur.
Case Gallery 2.2.7.11 0 1 2 3 4 5 6 7 8 9 10 11 12 13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
These slides show the final result of the restorative treatment after polishing with the Enhance System and Prisma Gloss Polishing Pastes
Case Gallery 2.2.7.12 0 1 2 3 4 5 6 7 8 9 10 11 12 13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 1
... which was to the patients perfect satisfaction.
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11
12
13
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 2
Doctor wishes to remain anonymous
Before Contact
After
Case Gallery 2.2.8
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 2
Preoperative situation; tooth #8 is non-vital and #9 is traumatized (discolored).
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 2
Post internal bleaching on #8 (walking bleach technique).
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 2
Silicone key to be used to define palatinal contour and incisal edge position.
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 2
Build-up of the palatinal wall with Translucent Enamel Shade of EsthetX material.
Case Gallery 2.2.8.4 0 1 2 3 4 5 6 7 8 9
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 2
Build-up of the palatinal wall with Translucent Enamel Shade of EsthetX material.
Case Gallery 2.2.8.5 0 1 2 3 4 5 6 7 8 9
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 2
Build-up of dentinal mamelons with Regular Body Shade of EsthetX restorative.
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 2
Final build-up with Translucent Enamel Shade. Some intensive colors have been added to the dentin base (white tint).
Case Gallery 2.2.8.7 0 1 2 3 4 5 6 7 8 9
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 2
Post-operative view. Note that the upper arch only has been bleached.
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Class IV 2
Final result.
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Before Contact
After
Case Gallery
0 17
1 18
2 19
3 20
4 21
5 22
6 23
7 24
8 25
9 26
10 27
11
12
13
14
15
16
2.2.c
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Pre-op view of diastema.

Case Gallery 0 17 2.2.c.1 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Use the EsthetX TruMatch Shade Guide to find a shade that matches the natural dentition.
Case Gallery 0 17 2.2.c.2 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
A small dab of EsthetX restorative is placed on the central incisor and light cured without etching or bonding to test the shade for an ideal match.
Case Gallery 0 17 2.2.c.3 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
The unbonded, cured composite is flicked off, and the tooth is pumiced, cleaned and rinsed on all surfaces that will be involved in the procedure.
Case Gallery 0 17 2.2.c.4 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Place cord.
Case Gallery 0 17 2.2.c.5 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Etch for at least 15 seconds.

Case Gallery 0 17 2.2.c.6 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Rinse and blot dry, but keep surface moist and glistening.
Case Gallery 0 17 2.2.c.7 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Apply Prime & Bond NT Adhesive.

Case Gallery 0 17 2.2.c.8 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure

Case Gallery 0 17 2.2.c.9 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Place first layer of EsthetX Translucent Enamel Shade (YE). Shape with a PFI to establish proximal contour.
Case Gallery 0 17 2.2.c.10 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure

Case Gallery 0 17 2.2.c.11 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Apply EsthetX Regular Body Shade (A2) and shape with a PFI.
Case Gallery 0 17 2.2.c.12 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure

Case Gallery 0 17 2.2.c.13 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Check the width of left central incisor.

Case Gallery 0 17 2.2.c.14 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Check the width of the right central incisor to ensure balance.

Case Gallery 0 17 2.2.c.15 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Prepare second tooth following the same steps as the first. Then place a layer of EsthetX Regular Body Shade (A2).
Case Gallery 0 17 2.2.c.16 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure

Case Gallery 0 17 2.2.c.17 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Place a layer of EsthetX Translucent Enamel Shade (YE) with a spatula.

Case Gallery 0 17 2.2.c.18 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Sculpt and feather with a sable brush.

Case Gallery 0 17 2.2.c.19 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Use a clear matrix to create the interproximal space.

Case Gallery 0 17 2.2.c.20 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Check the case from the lingual aspect and light cure for 20 seconds.
Case Gallery 0 17 2.2.c.21 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Start the finishing process by removing excess material with a carbide or diamond bur.
Case Gallery 0 17 2.2.c.22 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Finish the interproximal space with a finishing strip.

Case Gallery 0 17 2.2.c.23 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Define labial countour lines and front anatomy with a pencil.

Case Gallery 0 17 2.2.c.24 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Continue to finish both restorations with a carbide bur.

Case Gallery 0 17 2.2.c.25 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
Not Shown:
Apply Prisma Gloss Extrafine Polishing Paste and polish for another 10 seconds dry. Add a drop of water and continue for another 10 seconds for a final, high luster.
Finish with an Enhance Finishing Cup and Prisma Gloss Fine and Extrafine Polishing Paste.
Case Gallery 0 17 2.2.c.26 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16
Class I
Class II 1 2
Incisal Edge
Veneering
Class IV 1 2
Diastema Closure
Diastema Closure
View of final restoration.

Case Gallery 0 17 2.2.c.27 1 18 2 19 3 20 4 21 5 22 6 23 7 24 8 25 9 26 10 27 11 12 13 14 15 16

Case Gallery: Clinical Information

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Case Gallery: Clinical Information

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Class I

Recontouring Veneer Replacement & Smile Adjustment 1 2

Introduction Clinical Information Case Gallery Technical Information FAQ

Class II Case 1 Class II Case 2 Incisal Edge

Order Information Contact Veneering, Incisal Edge Recontouring Case 1

Recontouring Veneer Replacement & Smile Adjustment 1 2

Recontouring Veneer Replacement & Smile Adjustment 1 2

Recontouring Veneer Replacement & Smile Adjustment 1 2

Recontouring Veneer Replacement & Smile Adjustment 1 2

Recontouring Veneer Replacement & Smile Adjustment 1 2

Recontouring Veneer Replacement & Smile Adjustment 1 2

Recontouring Veneer Replacement & Smile Adjustment 1 2

Case Gallery 2.2.6.6

Recontouring Veneer Replacement & Smile Adjustment 1 2

Lingual aspect is a compromise between morphology and functional anterior guide.

Case Gallery 2.2.6.7

Recontouring Veneer Replacement & Smile Adjustment 1 2

Recontouring Veneer Replacement & Smile Adjustment 1 2

Case Gallery 2.2.6.9

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

The old composite veneers are removed with a diamond bur.

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Place EsthetX Opacious Dentin Shade B2-0 with a spatula.

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Smooth out the Opacious Dentin Shade with a sable brush.

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Light cure for 20 seconds.

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Apply EsthetX Translucent Enamel Shade WE with a spatula.

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Feather the Translucent Enamel Shade with a sable brush.

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Pre-finish the restoration with a carbide or diamond bur.

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Finish the interproximal space with a finishing strip.

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment

Shape the lingual surfaces of the restoration with a sandpaper disc.

Recontouring Veneer Replacement & Smile Adjustment 1 2

Veneer Replacement & Smile Adjustment