Patient complained loss of the composite filling on the right central incisor. Patient referred he had a trauma and two previous attempts of restoring the fractured teeth with composite failed. After completing an accurate esthetic analysis, Dr Deliperi proposed to replace both fillings in an attempt to close the diastema and give dominance back to the central incisors.
Final result following accurate placement of two resin-based composite fillings. The initial goals were achieved as well as perfect integration of the two central incisor with the adjacent teeth.
Fig. 3, 4
and 4 allow to better see the reproduction of the optical characteristic (incisal translucency) and tooth anatomy (mamelons).
Before / After
Patient would like to improve the esthetic appearance of the upper anterior teeth. He complains the existing composite restorations are not invisible and the presence of a black triangle between the two central incisors. He stressed he doesnʼt want any crown on his anterior teeth. Dr Deliperi agrees with the patient and suggests that a good final result may be achieved only through the gingival recession treatment. Before replacing the existing restorations, a gingival plastic surgery from canine to canine was required.
Final result after completing both the gingival recession treatment and fillings replacement. Covering the gingival recession and closing the black triangle between the two central incisors helped to achieve simmetry and harmony in the anterior upper teeth. Once again, no sound tooth structure was removed!
Before / After
Patient would like to improve the esthetic appearance of the left central incisor as it looks dark and doesnʼt reproduce the optical characteristic of the adjacent teeth. Dr Deliperi recommended to replace the existing composite restoration with a new one.
Intra-op pictures showing rubber dam isolation, the fracture line of the tooth and the layering of both the artificial enamel (white area) and dentin (yellow area).
Final result showing the integration of the new composite resin restoration with adjacent teeth and surrounding soft tissues. The patient achieved her goal with no sacrifice of sound tooth structure
Before / After
La paziente si presenta in studio con l’incisivo centrale destro presentante un restauro incongruo facilmente visibile. Si noti la presenza di diverse zone con alternanza di colore bianco e giallo nei denti contigui. Raggiungere un’armonia di colore su questo dente è particolarmente difficile.
Dr Deliperi completed direct composite restorations. The cavosurface margins are not visible anymore. Although the tooth spots, a perfect shade match was achieved. No sound tooth structure was removed to complete the therapy.
This child presented to the dental office with his parents because he had just fractured his central incisors. Parents were able to find just the fragment of one tooth. Pre-op picture shows the two fractured teeth; the fracture line of the right central incisor involved the dental pulp.
Dr Deliperi gave back the original patient smile. The fragment of the right central incisor was cemented using a tooth-colored luting agent; the left central incisor was reconstructed using a tooth-colored resin composite filling. It was achieved a complete integration of the tooth-colored fillings with the surrounding tooth structure with no visible cavosurface margins. The young patient can show-up his smile again for the happiness of his parents!
Patient presented with debonding and fracture of the existing composite resin filling on the upper right central incisor.
Dr Deliperi replaced the existing restoration with a new white filling which perfectly matches the remaining sound tooth structure.
Upper incisors teeth showing some mismatched fillings with well visible cavosurface margins. Decay and stain accumulation at the filling margins is responsible for the brownish line surrounding the restoration.
Dr Deliperi removed the decay and replaced the existing fillings with new tooth-colored fillings. The new restorations are perfectly integrated with the surrounding tooth structure in terms of shape and color. The cavosurface margins are not visible anymore.
Young lady smile characterized by yellow mismatched fillings on the upper incisors. a non-vital grey lateral incisor is also notable
The same patient smile after completing tooth whitening and replacing existing fillings: teeth are extremely white and the replaced fillings are invisible!
Upper incisors teeth showing multiple mismatched fillings with well visible cavosurface margins. Decay and stain accumulation at the filling margins is responsible for the brownish line surrounding the restoration.
Dr Deliperi removed the decay and replaced the existing fillings with new tooth-colored fillings. A composite resin veneer and gingival plastic surgery were performed on the right lateral incisor. The new restorations are perfectly integrated with the surrounding tooth structure in terms of shape and color. The cavosurface margins are not visible anymore.
The patient presented to the office reporting the had repeatedly lost the composite restoration on the left upper incisorin the last couple of months. Before starting the filling, Dr Deliperi completed a mock-up filling; he realized a different space for the two centrals with the chance to have teeth having different size. A filling was also required on the right upper incisor to compensate for this mismatch.
The same patient at the two year recall. The left upper incisorwas restored with a white filling; a smaller filling was also completed on the right upper incisor.Teeth have the same size and shape now resulting symmetrical.
Patient presented with existing large composite resin fillings on the upper incisors and some tooth fracture.
Dr Deliperi replaced the existing restorations with new white fillings; the shape of the four incisors was also improved. Although teeth were structurally compromised, teeth prep for dental crowns was avoided. The cavosurface margins are invisible!
Patient presented to the dental office wishing to improve her smile. She had three main goals: to close the diastema between the two central incisors, improve the tooth axis inclination and achieve a nice shape of the two central incisors.
Dr. Deliperi completed a mock-up on the patient mouth first. Once her consent was secured, Dr Deliperi perfomed two resin-bonded composite veneers in the same appointment! Dominance of the two central incisors, correct inclination of tooth axis and a more feminine shape was achieved; diastema closure was also performed.
The patient can proudly show her new smile!
Dr. Deliperi’s teaching Hands-on Courses on Biomimetic restorative Dentistry