Fast single shade anterior restorations with flowable composite. The Stamp Technique 2.0

3 May 2018 - 22688

Using a single shade for anterior composite restorations sounds like a dream; using it with a stamp technique sounds like seventh heaven. The replica of one central incisor (or both) is always a big challenge with direct techniques. Imagine you could simplify the whole composite mass layering procedure by just using one highly charged flowable composite… in one shade.

How? A simple wax up is the starting point to create a transparent silicone index. With just a few steps you will then get a beautiful result, as the one dental technicians get in the lab by pressing the composite for indirect restorations or Toronto bridges. Nothing more, nothing less. 

This works for most of the clinical cases, but, for the more difficult ones, you can add stains or enamel masses if wish. 

 

Fig. 1

In this picture is the pre operative frontal view of the teeth to be restored.

Fig. 2

And the pre operative palatal view.

Fig. 3

Details of the isolation after the preparation of the cavities 

Fig. 4

Details of the preparations from a palatal view.

Fig. 5

The adhesive procedure was then carried out, with the aid teflon tape and ligatures.

Fig. 6

The silicone index is then fit to check the shape and the adaptation. It is then filled with a highly charged flowable composite and polymerized.

Fig. 7

The flowable that was used is, in this case, a single shade. As you can see color and anatomical integration look good, so we will proceed to the polishing procedures.

Fig. 8

In this picture you can see the anatomical adaptation from the palatal side.

Fig. 9

Details after the finishing and polishing procedures.

Fig. 10

One month check 

Fig. 11

One month check (palatal view)

Fig. 12

Details of the integration of the restorations done only with one shade.

 

Conclusions

The usage of highly charged flowable materials in anteriors is allowed to obtain good results in our daily routine work. Thus we can simplify to the bone also very difficult procedures, as creating different layers of composite material, layering dentine and enamel masses, and using stains.

Bibliography

Diaz Guzman E. Full-mouth rehabilitation with the flowable injection technique. QTD International 2018 

Paolone G, Orsini G, Manauta J, Devoto W, Putignano A. Composite shade guides and color matching. Int J Esthet Dent. 2014 Summer;9(2):164-82. 

D’Arcangelo C, Vanini L, Rondoni GD, Pirani M, Vadini M, Gattone M, De Angelis F. Wear properties of a novel resin composite compared to human enamel and other restorative materials. Oper Dent. 2014 Nov-Dec;39(6):612-8.

Vanini L. Light and color in anterior composite restorations. Pract Periodontics Aesthet Dent. 1996 Sep;8(7):673-82; quiz 684.