This 21-year-old patient presented with traditional composite repairs on her three front teeth, which had been traumatically fractured. She felt very self-conscious about their appearance due to staining and small sizing of the composites, visible dark spaces between the teeth, and white markings on her natural enamel.
A rubber dam was placed, and thorough biofilm removal was performed using aluminum trihydroxide powder and Aquasol solution (Aquacare). The teeth were treated individually. Old composite material was removed, and any necessary preparations were completed.
Anatomical Bioclear matrices were then positioned, using a combination of Anterior and Black Triangle matrices for this case. Shield matrices were placed on adjacent teeth to protect the surrounding areas.
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Before treatment anterior view
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Rubber dam iosolation and discolsing prior to biofilm removal
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UL1 matrices in place after Biofilm removal and preparation
The Bioclear Injection Molding technique was utilized, employing 3M™ Scotchbond™ Universal Plus Adhesive, warmed 3M™ Filtek™ Supreme Flowable , and 3M™ Filtek™ Supreme XTE Universal body paste composite in shade B1. The first central incisor was sculpted and refined using large and small 3M™ Sof-Lex™ coarse and medium discs.
This process was subsequently repeated for the second central incisor.
The 'delayed wedging' technique was employed for the lateral incisors to ensure closure any spaces between the teeth.
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UL1 after injection over-moulding
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UR1 matrices in place after shaping UL1, and preparation UR1
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UL2 matrices in place after hip placement and delayed wedging
Once all teeth were injection over-moulded and carefully sculpted, the Bioclear Rock Star Polish was completed using Bioclear Magic Mix and SS White Jazz Polishers, achieving a consistent shine whether the teeth are wet or dry.
She was very pleased with the results on her upper teeth.
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After Rock Star Polish
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Immediately after treatment
Photographs taken pre and 2 weeks after treatment with a contraster highlights complete space closure, accurate anatomical proportions, an excellent polish, and healthy surrounding periodontal tissue.
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Before
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After
She was thrilled with her new smile and felt significantly more confident interacting with others and smiling.
Thanks to the additive nature of the Bioclear treatment, many options remain available for future re-treatment cycles, including the possibility of re-Bioclear.
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After treatment
Included are photographs taken two years post-treatment, showcasing durable restorations with excellent polish retention and healthy surrounding periodontal tissue.
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2 Years After
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2 Years After
