Layering technique with non-Vita shading concepts. Protocol for the management of hypoplasia stains in young permanent teeth.

Managing teeth with hypoplasia stains or discoloration using composite resin materials is challenging. When appraising hypoplasia stains, the substrate color and thickness of the material must be considered. The non-Vita shading system has a reduced number of layers, primarily dentin and enamel, which is known as the natural layering concept.

Macroabrasion and/or Partial Veneers: Techniques for the Removal of Localized White Spots.

Macroabrasion is a technique for the removal of localized white spots using a high-speed, intermittent high speed turbine finishing diamond tip. It is fast, safe, efficient, and an alternative to enamel microabrasion. However, when the stain is deeper, these localized intrinsic stains or defects can be treated with partial direct veneers.

Esthetic Rehabilitation with Direct Composite Resin in a Patient with Amelogenesis Imperfecta: A 2-Year Follow-Up.

Amelogenesis imperfecta is a group of conditions caused by over 15 different genes that affects the development of dental enamel and poses some challenges to dentists. An adult patient with amelogenesis imperfecta with severe changes in tooth color and reduction of occlusal vertical dimension sought dental treatment. Diagnostic wax-up was carried out to guide the stratification of a nanoparticulate resin for the restorative treatment.

Clinical Steps for Restoration of Fractured Anterior Teeth: Color Protocol with Non-VITA Scale.

Direct composite resin restorations are commonly provided because of their satisfactory esthetics and minimal wear of opposing tooth structure. Recent restorative systems may not follow the nomenclature of the classical VITA shade guide, using instead a simplified resin color system. A better understanding of these systems and their behavior regarding the incidence of light is an excellent approach to anterior restorations, especially for fractured anterior teeth.

Tooth movement with elastic separators before ceramic veneer treatment: Rearranging asymmetric diastemas by managing the horizontal distance.

The treatment of diastemas should be conservative to preserve tooth structure, and porcelain veneers provide an esthetic solution with minimal tooth preparation. However, asymmetric diastemas can be difficult to treat and may require redistribution of spaces. Additionally, extensive proximal restorations may negatively impact periodontal health.

Cosmetic Remodeling of the Smile: Combining Composite Resin and Ceramics over Teeth and Implants.

The aim of this paper is to describe a restorative approach to the cosmetic remodeling of the teeth of a young adult patient with right maxillary lateral hypodontia and left lateral microdontia. A conservative restorative management was proposed to improve smile esthetics by combining direct composite resins and ceramics. Initially, periodontal therapy and dental bleaching were performed.