Wait the Rehydration
Proximal caries in anterior teeth is big challenges to dentist because it's in esthetic zone , SO the shade selection should be accomplished prior to rubber dam isolation to prevent improper color matching that may result from dehydration and elevated values.
Img.1 – frontal view in occlusion showing the proximal carious lesion in multiple teeth .
Img.2 – palatal view showing the carious lesion more clearly .
Img.3 – frontal view showing the proximal carious lesion in four anterior teeth .
Img.4 – isolation in such case is mandatory to be work in clean field .
Img.5 – isolation provide more visible area to the target ( the field is ready to work on ) .
Img.6 – another view with further magnification .
Img.7 – frontal view after removing the caries .
Img.8 – palatal view showing the cavities after caries removing .
Img.9 – another view showing the cervical enamel free from caries and clean .
Img.10 – total etching with 37% phosphoric acid .
Img.11 – sectional celluloid strip with emergency profile and fixed by wedge .
Img.12 – bonding the cavities with vigorous brushing .
Img.13 – light curing .
Img.14 – palatal view before finishing and polishing .
Img.15 – frontal view immediately after finishing .
Img.16 – the filling is marked , don't worry , wait the rehydration.
Img.17 – frontal view after removing the rubber dam .
Img.18 – palatal view after removing the rubber dam .
Img.19 – frontal view showing the rehydration and matching the color after one month control .
Img.20 – palatal view after rehydration ( one month control ).
Img.21 – frontal view showing the result after rehydration and color matching .
Img.22 – Before and After .
When the teeth dehydrate , the air replaces the water between the enamel rods , changing the refractive index that makes the enamel appear opaque and white .
If the correct shade color is selected before isolation with rubber dam , don’t worry , just trust to rehydration .