Fig. 1: The affected person had worn enamel, visual abrasion, erosion and crowding within the mandibular arch.
Fig. 2: Orthodontic remedy was once carried out to align the entire arch.
Fig. 3: A silicone mold was once used for the flowable injection way to repair the enamel with flowable composite. The silicone injection mold had injection channels ready and was once positioned to test for correct have compatibility.
Fig. 4: For this example, it was once made up our minds to make use of CLEARFIL MAJESTY ES Go with the flow Low in Coloration XW (Kuraray Noritake Dental), the homes and flowability of which made it superb for a case like this.
Fig. 5: PTFE tape was once used to split the enamel.
Fig. 6: The recovery is totally additive; the enamel aren’t ready in any respect. General etching of the tooth is the most productive pretreatment on this scenario. Okay-ETCHANT Syringe (35% phosphoric acid; Kuraray Noritake Dental) was once carried out for 10 seconds.
Fig. 7: A surgical suction tip was once used to scrupulously take away the phosphoric acid gel and offer protection to the isolations at the enamel, adopted through rinsing off totally with water in the standard means.
Fig. 8: Every teeth was once gently air-dried for 10 seconds. CLEARFIL Common Bond Fast was once carried out with a rubbing movement with out further ready time, adopted through drying of the handled surfaces through mild blowing of air for greater than 5 seconds till the bonding now not moved.
Fig. 9: Every bonded teeth was once light-polymerised for 10 seconds.
Fig. 10: The usage of the “Deal with one, skip one” protocol, a number of enamel had been restored concurrently through injecting CLEARFIL MAJESTY ES Go with the flow Low into the silicone mold.
Fig. 11: Scenario immediately after the primary spherical of injections.
Fig. 12: Scenario after restoring the entire enamel, prior to sharpening.
Fig. 13: To create a herbal gloss, the next sharpening protocol was once used: (1) Sof-Lex discs (3M); (2) CLEARFIL Twist DIA for Composite sharpening wheels; (3) diamond paste; and (4) zinc oxide paste.
Fig. 14: This sharpening protocol yielded high-shine effects.
Fig. 15: Ultimate recovery, straight away after remedy.