Akademik Veri Yönetim Sistemi
Restoratif Diş Hekimliği Derneği 23. Uluslararası Bilimsel Kongresi, Antalya, Türkiye, 6 - 08 Aralık 2019, ss.173
Aım: The aim of this study was to correction of unaesthetic appearance due to congenital
lateral deficiency and diastema using layering technique with composite resin. Case: A
20-year-old female patient was referred to the Restorative Dentistry Clinic of Akdeniz
University with complaints of unaesthetic upper incisor teeth after orthodontic treatment.
Patient’s photographs were taken and decided to diastema closure, reshaping of upper
incisor and canine teeth with direct resin composite system Ceram.x® duo SphereTEC using
layering technique. Were decided to do office-type whitening on upper canine teeth with
Philips Zoom light-accelerated in-office whitening. All information about treatment plan was
given to the patient and taken her consent. Firstly, canine teeth office type whitening was
done before restoration. After, ceram.x®duo E1 and ceram.x®duo D1 colors were selected
with the button try technique. Teeth were isolated with rubber dam and retracted with dental
floss. The mesial and incisal surfaces of maxillary central incisor teeth, the all surfaces of
maxillary canine teeth were etched %37 orthophosphoric acid for 30s,then rinsed with water
and dried for 30s. Prime & Bond UniversalTM (Dentsply) was applied on the etched surfaces
for 20s, dried with air spray for 5sthen light cured for 10s.Contoured sectional matrix band
was used to provide anatomic contouring of the proximal surfaces of the restorations. The
dentin shade composite ceram.x®duo D1 was placed, a final increment of the enamel shade
ceram.x®duo E1 was inserted on the facial surfaces, by the sable brush lubricated with
wetting resin. The finishing process was initiated with coarse discs, followed by the coarse
diamond rotary instruments for surface texture by the coarse diamond rotary. Finishing strips
were used for proximal contour formation. Surface polishing was done with the Enhance®
Pogo ® polishing system. Felt, bristle brush and polished paste were used for giving a final
shine to restorations. Control photographs were taken immediate after and one week recall.
Conclusıon: In this case, it was observed that the patient’s aesthetic and functional
expectations were still supported on the 6 months recall. Direct composite restorations is a
quick conservative, low-cost treatment option with satisfactory aesthetic results.
Keywords: Aesthetic dentistry, diastema, direct composite restoration