cosmetic dentistry_ beauty & science

_Modern high-performance composite ma- terials and standardised treatment protocols have led to more direct composite restorations being fabricated in the anterior region than ever. Even extremely challenging cases may now be treated chairside with predictable results and minimal loss of tooth structure. A 24-year-old female patient presented at our practice with a request regarding aesthetics. She dislikedtheappearanceoftooth#11,whichshowed severe discolouration after endodontic treatment. A clinical examination revealed that the root had been extirpated after an accident and that a frac- tured piece had been reattached with a composite material (Figs. 1 & 2). Upon radiological examina- tion,itwasfoundthattheroot-canaltreatmenthad been performed correctly. However, a post had not been used. Owing to the fact that approximately half of the original tooth structure had been lost, we opted 22 I I case report _ direct restorative procedures cosmeticdentistry 2_2013 Fig. 1_Severely discoloured tooth#11. Fig. 2_The shape of tooth #11 appeared to be harmonious with tooth #21. The substance loss amounted to somewhat less than half of the tooth. Fig. 3_After the bleaching procedure, the shade of tooth #11 was optimal. Fig. 4_Prepared tooth #11 with vestibular chamfer and straight, right-angle palatal margin. Fig. 3 Fig. 4 Extending the boundaries of feasibility in direct restorative procedures Aclinical case combining a high-performance material and clearly defined protocol Author_Dr Gauthier Weisrock, France Fig. 1 Fig. 2