Just a quick and dirty case presentation.
Anatomic Bioclear Matrix.
A new patient came to me last week for a consultation about “bonding” a space between her teeth.
She had been to a another dentist who had closed the space with “bonding.” It fell out three months later. She went back to have it done again. That time it fell out a week later. She was interested in ONLY closing the space. Of course, I looked around, and could easily treatment plan a BUNCH of stuff. There was evidence of wear secondary to parafunction (and possibly acid reflux), including significant attrition and “dentin pools.” There were also other restorations that were fairly rough. She needs a comprehensive approach. But, over the years I’ve learned to address the chief complaint and THEN have the “comprehensive discussion.”
Bioclear Interproximator. These are silicone wedges used for diastema closure. You stretch them to make them thin and pass under the cured flowable composite increment (see photo #6 below).
She wanted to know if I could close the space with bonding and have it stay (not fall off). Sure I can!
This case is nothing special, but it’s WAY better than where she started. Definitely not a “brag” case. But good enough.
Unfortunately, I forgot to take a true “before” photo. I got excited about stripping the remaining old composite on #7 and #8 and got started. Then I remembered to take the “before” picture. So, part way through the stripping, I took a “before” shot.
Photo #1: This is my “before” shot, though I had already removed most of the composite on #7. At the gingival aspect, there was a horizontal “shelf” of composite laid across the papilla… the antithesis of emergence profile.
I didn’t have time to take photos of every step. But, here’s what I got! Continue reading →
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