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ePaper created 2015-12-03, 09:53:15 | version 1.38.0
dentistry 4_2015 cosmetic28 case report _ adhesive restorations patient showing a hypodontia of the four upper incisors and also a generalised mild to moderate fluorosis (Type III according to the classification of Thilstrup and Fejerskov) (Figs. 12 & 13). A preliminary orthodontic consul- tation had led to the recommendation of an essentially restorative solution to this prob- lem. In addition, the relative complexity of this case suggested the preparation of a diagnos- tic wax-up and a guided intraoral mock-up in order to confirm the therapeutic choice and allow an aesthetic preview (Figs. 14 & 15). The treatment was also realised under a rubber dam, using mainly interdental matrix, a silicone key and a caliper for the control of the new dimensions and dental proportions (Figs. 16 & 17). The reconstitutions were car- ried out by applying three shades like for the first case (dentin: Body i2, effect shade: Azur, enamel: Skin White, inspiro) (Figs. 18 & 19). The treatment was performed over two clin- ical sessions for comfort reasons. Figures 20 and 21 summarise the positive aesthetic im- pact of the treatment, as well as the stability of the result two years later (Fig. 22). The difference between the two cases il- Figs. 14 & 15_Wax-up and intraoral resin model according to the wax-up used to confirm the aesthetic and functional configuration planned on models. Figs. 16 & 17_Intraoperative views and restorative procedures under a rubber dam in order to control the quality of the bonding and its longevity.View of the proximal dentine set-up on the 12. Figs. 18 & 19_View at the end of the first session showing the new anatomy of the four incisors transformed by direct technic (dentin:Body i2,effect shade: Azur,enamel:SkinWhite,inspiro). Fig. 14 Fig. 16 Fig. 18 Fig. 15 Fig. 17 Fig. 19