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ePaper created 2015-12-03, 09:53:15 | version 1.38.0
27dentistry 4_2015 cosmetic case report _ adhesive restorations before the direct application of the compos- ite in two layers, plus the application of an effect shade (inspiro system, EdelweissDR). The stratification started with a layer of dentin (Body i3, inspiro) on the distal surfaces of the upper lateral incisors and on the me- sial face of the rightcanine. Asemi-opaque- whiteeffectshade (Ice, inspiro) applied on the dentin layer enabled to imitate the fluorosis stains and to improve the restoration mimic- ry; (Figs. 5 & 6). A layer of enamel (Skin White, inspiro) allowed to complete the restorations and perfect their aesthetic integration. The “Natural Layering Concept” was followed to carry out this treatment, based on a bi-lam- inar application of the composite and the dentine and enamel shades, accurately imi- tating optical characteristics of the natural tissues (Figs. 7–11). _Case 2 – Extensive reconstruction of the smile The second case presents a more extensive and complex application of direct bonding, but never-theless based on the same clinical protocol. This case concerned a 17-year-old Figs. 9-11_General views summing up the therapeutic approach and the clinical procedures carried out under a rubber dam. The aesthetic integration is facilitated by the application of a concept of bi-laminar stratification, easy to implement and predictable, ideal for the treatment of aesthetic deficiencies of the young smile. Figs. 12 & 13_Preoperative extra and intraoral views of a young patient showing a hypoplasia of anterior teeth. Fig. 9 Fig. 10 Fig. 11 Fig. 12 Fig. 13