At-Home Tray Whitening and Direct Resin-Based Composite Restorations

Fig. 14.1

(a) Preoperative view of the patient’s smile. (b) Preoperative view of the patient’s maxillary anterior teeth. Note the reduced length of the anterior teeth
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Fig. 14.2

Aspect of anterior teeth after 14 days of at-home whitening. The patient was satisfied with the lighter color of her teeth
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Fig. 14.3

(a) Stone model of maxillary anterior teeth. (b) The stone model was waxed-up to establish a harmonious length and shape of the anterior teeth. The patient was very happy with this blueprint of her teeth. (c) A matrix made of putty-consistency VPS (vinylpolysiloxane) impression material was prepared from the waxed-up model. This silicone index was used as guidance for the lingual contour and to establish the new incisal edge position
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Fig. 14.4

(a) A mock-up was made with bis-acryl composite (Protemp 4 (also known as Protemp Plus), 3M ESPE) to allow the patient to foresee the esthetic outcome of the new restorations. (b) Diagnostic resin-based composite restorations were made prior to the adhesive procedure, to verify the stratification and thickness of each composite layer and the color. (c) Diagnostic restoration upon removal
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Fig. 14.5

Teeth were cleaned with a suspension of pumice and water and thoroughly washed with water. Area was isolated with rubber dam
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Fig. 14.6

Enamel was roughened with Sof-Lex disks (3M ESPE)
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Fig. 14.7

The VPS matrix was tried-in
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Fig. 14.8

The teeth were etched with 32 % phosphoric acid (Scotchbond Universal Etchant, 3M ESPE) for 15 s. The etchant was thoroughly rinsed for 20 s. The two-step etch-and-rinse adhesive (Adper Single Bond Plus (also known as Adper Scotchbond 1 XT and Adper Single Bond 2), 3M ESPE) was vigorously applied for 15 s
Sep 10, 2016 | Posted by in General Dentistry | Comments Off on At-Home Tray Whitening and Direct Resin-Based Composite Restorations
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