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Dental Tribune Middle East & Africa No. 4, 2016

Dental Tribune Middle East & Africa Edition | 4/2016 4 restorative Esthetic replacement of anterior class IV restorations ByDr.PauloMonteiro,Portugal InitialSituation Femalepatient30yearsold. Patient was not satisfied with cur- rent anterior restorations (maxil- lary central incisors). Patient also expressed dissatisfaction with shade andsurfacetexture. Challenge Creating smooth and natural-look- ing restorations for patients who demand the highest level of esthet- ics can be challenging. Using materi- als that mimic shade and opacity of dentinandenameliscritical. Fig. 1: Initial situation: patient was not satisfied with current res- torations. Fig.5:TheinterproximalenamellayerwasbuiltwithFiltek™350XT Universal Restorative, shade A3E and light cured with Elipar™ DeepCure-S LED Curing Light. For the incisal halo, Filtek™ Z350XT FlowableRestorative,shadeWwasused. Fig. 9: Sof-Lex™ Discs are used to define the outline of the restora- tionandcreatesecondaryanatomy Fig. 2: Teeth were etched after preparation using Single Bond Uni- versalEtchant. Fig. 6: Application of the dentin layer using Filtek™ Z350XT Univer- sal Restorative, shade A1D. For volume control the Misura instru- ment (LM Arte by Style Italiano) was used to leave a 0.5mm space for thefacialenamel. Fig. 10: Pre-polishing of restoration with Sof-Lex™ Pre-Polishing Spiral. Fig. 3: Single Bond Universal Adhesive is scrubbed into the surface, airdriedandlight curedwithElipar™DeepCure-SLEDCuringLight. Fig. 7: Creation of mamelons and application of a small portion of Filtek™ Z350XT Universal Restorative, shade CT between the dentin layerandincisalhalo toenhance translucencyat theincisaledge. Fig. 11: Polishing with Sof-Lex™ Diamond Polishing Spiral to create afinalsmoothandhigh-glosspolish. Fig.4:Asiliconematrixwasused tocreate thepalatalwallwith Filtek™Z350XTUniversalRestorative,shadeCT. Fig. 8: The final enamel layer of Filtek™ Z350XT Universal Restora- tive,shadeA3Ewasappliedandlight cured. Fig.12:Finalrestorationisverynatural-looking. Dr. Paulo Monteiro obtained his degree as a Doctor of Dental Medicine at the Instituto Superior de Ciências da Saúde-Sul and his Master’s Degree in Dental Medicine at the Instituto Superior de Ciências da Saúde Egas Moniz (ISCSEM) in Caparica, Portugal. He completedhisspecializationinEstheticandRestorativeDentistryat theISCSEMandob- tained a Master’s degree in Dental Medicine. Presently he is an Assistant Professor at ISCSEM for the Aesthetic and Restorative Dentistry Post-graduation program and for the Oral Rehabilitation Department at ISCSEM. He is also involved in research of new dentalmaterials,includingcompositeresins,dentaladhesives,dentalceramicsandnew technologies. Legacy of Innovation Continues for 3M Oral Care The Anaheim Group acknowledges 3M’s contributions to the dental industry for an 11th consecutive year By3MESPE With 95 innovations launched in 2015, 3M’s designation as the Most Innovative Company in the Den- tal Industry was earned through a relentless commitment to science- based innovation. Honored with its 11th consecutive win, 3M’s rank on The Anaheim Group’s “Innovation Index” has once again placed the company in the top spot with 25 percent more innovations than any otherdentalcompany. The Anaheim Group’s index com- bines the number of EC/WIPO pat- ents, U.S. patents and U.S. 510(k) clearances, and is the dental indus- try’s best measure of overall techni- calstrengthandcapability. With its commitment to improving lives through science, 3M continues to improve on its own innovations. The maker of countless award-win- ning products under such brands as Filtek™, RelyX™ and Scotchbond™, 3M’s breakthrough innovations are often sourced from within its own walls. Interdisciplinary collabora- tions have inspired many of 3M’s greatest innovations in the dental industry, including pioneering the use of zirconia restorative materials and introducing nanotechnology for enhanced esthetics and strength in universalrestorativematerial. “Receiving the Most Innovative hon- or for more than a decade is a testa- menttowhat3Mexcelsat–applying scienceto helpkeeppeople healthy,” said James D. Ingebrand, vice presi- dent & general manager, Oral Care Solutions Division of 3M. “Every day, weexplorenewwaystoimpactlives, as we consistently pursue new prod- uct and process innovations with a focus on promoting lifelong oral healthforall. To learn more about 3M, visit

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