CE
Purchase
Clinical Strategies for Esthetic Excellence in Anterior Tooth Restorations: Understanding Color and Composite Resin Selection
You will receive 1 credit(s) of continuing education credit upon successful completion of this course.

Description:

Content for this continuing education is from The Journal of Applied Oral Science.  All content of the journal, except where identified, is licensed under Creative Commons  - NonCommercial 3.0 Unported (CC BY-NC 3.0) .  License 

This course presents a case report of a fractured anterior tooth restoration using different incremental techniques, including principles of color and composite resin selection, to restore function and show esthetic excellence in a natural way.

 

*Note: $15 is the certification fee for this course.


Authors:
Flavia Pardo Salata Nahsan, et al., PhD, DDS

Flavia Pardo Salata NahsanI; Rafael Francisco Lia MondelliII; Eduardo Batista FrancoIII; Fabiana Scarparo Naufel; Julio Katuhide Ueda; Vera Lucia Schmitt; Wagner Baseggio

PhD student, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil 
PhD, Associate Professor, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São...

read more

Learning Objectives:

Upon completion of this course, participant should be able to:

  1. Understand and recognize the subtleties of tooth color. 
  2. Understand different incremental techniques for restoring fractured anterior teeth in a natural way.
  3. Understand and apply artistic and scientific principles when choosing colors of restorative materials.
  4. Understand and apply artistic and scientific principles during the insertion of the composite resin for imperceptible restoration.
  5. Understand and avoid common mistakes in color selection.

Abstract:

Direct composite resin restorations have become a viable alternative for patients that require anterior restorative procedures to be integrated to the other teeth that compose the smile, especially for presenting satisfactory esthetic results and minimum wear of the dental structure. Technological evolution along with a better understanding of the behavior of dental tissues to light incidence has allowed the development of new composite resins with better mechanical and optical properties, making possible a more artistic approach for anterior restorations. The combination of the increasing demand of patients for esthetics and the capacity to preserve the dental structure resulted in the development of different incremental techniques for restoring fractured anterior teeth in a natural way. In order to achieve esthetic excellence, dentists should understand and apply artistic and scientific principles when choosing color of restorative materials, as well as during the insertion of the composite resin. In this paper, the criteria for color and material selection to obtain a natural reproduction of the lost dental structures and an imperceptible restoration will be addressed.

Keywords: Composite resins. Dental esthetics. Color.


Outline:
  1. Introduction
  2. Tooth color selection
  3. Composite resin selection
  4. Artificial reproduction of enamel
  5. Reproduction of palatal enamel
  6. Artificial reproduction of dentin
    1. Internal artificial dentin
    2. External artificial dentin
  7. Reproduction of buccal enamel
  8. Conclusions

References:
  1. Araujo EM Jr, Baratieri LN, Monteiro S Jr, Vieira LC, Andrada MA. Direct adhesive restoration of anterior teeth: part 2. Clinical protocol. Pract Proced Aesthet Dent. 2003;15(5):351-7. 
  2. Baratieri LN, Araujo E, Monteiro S Jr. Color in natural teeth and direct resin composite restorations: essential aspects. Eur J Esthet Dent. 2007;2(2):172-86. 
  3. Blank JT. Creating translucent edge effects and maverick internal tints using microhybrid resin. Pract Proced Aesthet Dent. 2006;18(2):131-6.     
  4. Brodbelt RHW, O'Brien WJ, Fan PL. Translucency of dental porcelains. J Dent Res. 1980;59:70-5.        
  5. Dietschi D. Free-hand composite resin restorations: a key to anterior aesthetics. Pract Periodontics Aesthet Dent. 1995;7(7):15-25.        
  6. Dietschi D. Optimising aesthetics and facilitating clinical application of free-hand bonding using the "natural layering concept". Br Dent J. 2008;204(4):181-5.       
  7. Dietschi D, Ardu S, Krejci I. A new shading concept based on natural tooth color applied to direct composite restorations. Quintessence Int. 2006;37(2):91-102.     
  8. Franco EB, Francischone CE, Medina-Valdivia, JR, Baseggio W. Reproducing the natural aspects of dental tissues with resin composites in proximoincisal restorations. Quint Int. 2007;38:505-10.        
  9. Lopes LG, Franco EB, Pereira JC, Mondelli RFL. Effect of light-curing units and activation mode on polymerization shrinkage and shrinkage stress of composite resins. J Appl Oral Sci. 2008;16(1):35-42.      
  10. Magne P, Holz J. Stratification of composite restorations: systematic and durable replication of natural aesthetics. Pract Periodontics Aesthet Dent. 1996;8(1):61-8. 
  11. Marus R. Treatment planning and smile design using composite resin. Pract Proced Aesthet Dent. 2006;18(4):235-41.         
  12. Ozel E, Kazandag MK, Soyman M, Bayirli G. Two-year follow-up of fractured anterior teeth restored with direct composite resin: report of three cases. Dent Traumatol. 2008;24(5):589-92.    
  13. Peyton JH. Direct restoration of anterior teeth: review of the clinical technique and case presentation. Pract Proced Aesthet Dent. 2002;14(3):203-10.        
  14. Portalier L. Diagnostic use of composite in anterior aesthetics. Pract Periodontics Aesthet Dent. 1996;8(7):643-52.     
  15. Terry DA. Color matching with composite resin: a synchronized shade comparision. Pract Proced Aesthet Dent. 2003;15(7):515-21.      
  16. Terry DA. Dimensions of color: creating high-diffusion layers with composite resin. Compend Contin Educ Dent. 2003;24:3-13.      
  17. Vanini L. Light and color in anterior composite restorations. Pract Periodontics Aesthet Dent. 1996;8(7):673-82. 

Release date: February 24, 2014
Review date: January 1, 2016
Expiration date: December 31, 2018

Purchase

DrBicuspid.com
CE courses are administered by IMV, Ltd.
IMV, Ltd is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

Concerns or complaints about this CE provider may be directed to DrBicuspid.com support or to ADA CERP at www.ada.org/cerp.