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ECPD: TRYCARE
Never mind the
gap!
Trycare is delighted to bring you this article by Gopinder Lalia from LUME Dental, with the aim of supporting the ongoing Enhanced CPD needs of dental healthcare professionals in improving and maintaining the oral heath of their patients Aims: To highlight the ideal materials and procedures required for closing unsightly interproximal spaces and a midline diastema using composite bonding veneering restorations. Objectives • To understand different treatment options • To identify the right treatment option for different patients • To understand the correct sequence of clinical procedures • To understand which materials to use Learning Outcome: A, C Anyone following me on Instagram will know that I specialise in aesthetic restorations and that I’m frequently asked which materials I prefer to use. I invariably respond that Tokuyama’s Asteria layering composite is my “go to” restorative material because it enables me to deliver highend aesthetic results with the minimum amount of effort. Frequently just two shades for the dentine and enamel layers are sufficient to reproduce undetectably super-natural restorations that require the minimum amount of polishing and which last and last and last! In the following case study, I’m going to highlight Asteria’s use in an upper left lateral to upper right lateral veneering restoration to close unsightly interproximal spaces and a midline diastema. Closing a midline diastema can be one of the most challenging situations for a Dentist, you need to make sure that the width of the centrals is even and that the midline is upright and in line with the face. Otherwise you can create a midline tilt which wrecks the balance and harmony of the whole patient’s face. It is particularly challenging if, as in this case, you don’t employ a diagnostic wax-up. In this situation it is essential to keep sitting the patient up and having a look from the front to prevent a midline cant. The importance of this cannot be overstressed.
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Case Study
The 23 years old, male patient was referred to me by his regular GDP because he wanted to explore options for closing the spaces between his maxillary anterior teeth. He also felt that some of his teeth were too small.
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Fig 1 Situation after reduction of incisal edges using coarse blue band long tapered bur; Fig 2 Situation after air abrasion with stainless steel strip in situ; Fig 3 Etching gel applied to anterior teeth, canines protected by stainless steel metal strip; Fig 4 Anterior teeth after Universal Bond II applied; Fig 5 Closing the diastema using Asteria Body A1B; Fig 6 Building up the mesial walls of the laterals with Asteria Body A1B; Fig 7 Garrison Varistrip in situ; Fig 8 All four anteriors built up prior to cutting back; Fig 9 All four anteriors after initial cut back using a coarse blue banded long tapered bur; Fig 10 All four anteriors with graphite pencil lines to mark the mesial and distal line angles
To complete the questions and gain one hour of Enhanced CPD, visit https://the-probe.co.uk/cpd/
The Probe | May 25
30/04/2025 16:19:47