Direct Composite Build-up • Full Clinical Workflow 🦷
Wax-up has been one of my favourite things to do. With digital wax-up more prevalent nowadays, I tend to do less and less conventional wax-up but when it comes to simple cases like this, I’d still go for manual wax-up.😊
This patient requested to close the space on her front teeth. Having her preferring a simple build-up over Ortho, we went for a direct composite buildup. She initially requested to increase the size of her laterals but considering the shape & size of all 4 anteriors, the result would be more natural if we were to build up the centrals instead of the laterals.
Wax-up and silicone template are prepared pre-op to save some clinical time.
💡Tips: One thing to remember about silicone template is to always extend it to the palatal region so it can seat firmly, preventing any inaccuracies during the Palatal shell buildup.
Apologies for the Palatal shell and proximal buildup picture, my twin-flash ran out of battery.😂
💡Tips: Building up a good Palatal shell and proximal wall saves a lot clinical time...and composite. 😂 Thanks to my first composite veneer class lecturer @doctorarmyempol for teaching the technique.
Being a fan of layering, I’ve chosen @3moralcaremalaysia ‘s Z350XT Enamel A3 to build the Palatal shell and proximal wall, followed by dentine layer with Shade A3 Dentine, and final layer of Enamel A3 again. Layering done with @dental2u composite instruments (I love the red one which gives me a good control to contour the proximal line angles!)
💡Tips: Thanks to @griya.rr for the tip of always placing a thin final layer of enamel instead of building up a thick layer and grinding it down.
Polishing is done with @shofudentalapac One Gloss & Diacomp Eve Twist.
💡Tips: Always document your cases, doesn’t matter if you only have a mobile phone camera. That’s good enough!! Self-review is always the best way to grow.🤗
#SmileMakeover #Composite #Veneers #CompositeVeneers #InjectableComposite #CompositeInjection #Aesthetic #Dentistry #AestheticDentistry #Smile #Dental #CeramicVeneers #Veneer #Dentist @ Subang Dental Specialist Clinic
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Space closure is one of the most common cases I come across. In most patients, we would opt for orthodontic (braces) treatment if they are suitable candidates. But for some instances, patient might insist on other options due to personal reasons. Let’s continue this at the end of this post.
In this case, patient had an unpleasant experience where her old composite veneers done elsewhere were all linked together, giving her a lot of discomfort and pain. After removal and discussion (which of course, includes “the ortho persuasion”) , she has decided to get veneers re-done for space closure due to past dental trauma.
She can now smile happily with more confidence (and hopefully, a better dental experience🤞🏻), and I’m always happy when my patients are happy.😊
Now, if you’re a patient and you’re looking at this, please bear in mind that not everyone is a suitable candidate for direct veneers for space closure. ALWAYS consult & discuss with your dentist for the best treatment option for you.
As for the dental students who drop me DMs on cases you come across on social media (yes I do read through your DMs😆), I believe we can learn a lot from cases on social media, but bear in mind that the teeth of the patient does not “belong” solely to the clinician, but the patient themselves. There might be a lot of stories, personal experiences and emotions behind a patient’s smile when they come looking for your help. So be fair, treat them like how you would treat your parents, and be the kind of dentist you would wish to come across.
Just wanted to share my perspective although I could’ve just post a simple caption because...I’m me. Cheers peeps, have a great weekend!🤗
Composite: @3moralcaremalaysia Z350XT
Instruments: @dental2u Layering & Contouring Set
#Veneers #SpaceClosure #CompositeVeneers @ Subang Dental Specialist Clinic
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7 days till the last day of early bird offer!
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Calling all new dental graduates! Come Join our Londec Aesthetic Course by the esteemed Dr Subir Banerji - Program Director of MSc Aesthetic Dentistry, King’s College London
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2 Days Lecture & Hands - on Workshop
Come and join your fellow colleagues to learn about the
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