Broken Front Tooth

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Initial situation

An accident resulted in incisal edge fracture for the front tooth.

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Shade selection

the first step is choosing the right colour of composite to match the existing tooth shade in order for the restoration to blend in nicely.

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Polarised photo

taking a photo with a polarising filter would help us in assessing dentine colour more easily as the reflected light by the enamel will be eliminated.

You can see we have to choose the colour of Dentine and Enamel in order to build the restoration in multi-layer as both dentine and enamel have different light characteristics.

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Mock-up

the second step is doing a direct rough composite build up in order to make a stent to build the layered restorations afterward.

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Rubber dam isolation

it is the best way of achieving a dry field which would help in obtaining an optimum bond strength of composite to enamel.

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Guided build-up

the stent that has been obtained from the mock-up previously will guide us to build the tooth to the correct length and position.

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Palatal shell

after building the palatal wall, we can build the remaining free hand by inserting dentine followed by enamel layers

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Rough finish

final product before polishing

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Shiny composite

natural result has been achieved

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Final smile

happy patient, nice results

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12 O’clock position

allow us to assess smile following the lower lip

Victoria Riechelmann