Direct anterior
restorations
◼ Class III.
◼ Class IV.
◼ Class V.
◼ Correction of orthodontic anomalies
Finishing and polishing
◼ Various concepts
◼ Finishing:
Extrafine diamonds (yellow)
Rubber rotary instruments (prepolishing)
Flexible discs (for „opening“ proximal
surfaces – overcome between proximal
and vestibular surface, optical width.
Finishing and polishing
◼ Polishing with special brushes made of
natural materiál in combination with
diamond pastes – 3-5µm first, 1µm
after.
◼ Polishing with special rotary
instrument made of felt
Third class
Access:
From the oral side
From the vestibular side
bevel
Exposure of prismatic structure
Good marginal adaptation
Layering of composite
materials
Cleaning of tooth
Preparation of cavity
Acid etching
Matrix – transparent
strip, wooden wedge,
bonding
Layering
Layering, polymerization
Removal of matrix
Finishing
Prepolishing
Polishing with the brush
and diamond paste 3µm
Polishing with the brush
and diamond paste 1µm
Polishing with a rotary
instrument (felt)
Final result
Fourth class
◼ Caries
◼ Trauma
Preparation of the margin
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Making the shape
Making the shape
◼ Position of the palatal wall
◼ Placement of the transparent strip
◼ Layering of the composite material
Making the shape
◼ Position of the palatal wall
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Silicone key
Wax up
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Silicone key
Mock up
Silicone key
Creation the oral layer - palatally
Location of incisal edge
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66
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6 years post op
10 years after the first
tteatment
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Finger method
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Surface texture
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lroubalikova@gmail.com
lroubalikova@gmail.com