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and cured for 20 seconds after that remaining tooth surface is build
up using A1 dentine shade and cured for 20 second.
• Here we also used opaque tint from COLTENE to create white
spots in the mesial middle third of the tooth and blue tint used in
Incisal part of tooth to create Incisal halo effect and cured it for 20
seconds.
• Incisal edge is free of A1 shade where CT (clear translucent) used
for creating Incisal Translucency.
• As Final layer JE (junior enamel) is applied on the complete sur-
face of restoration and cured for 20 seconds.
• Finally Glycerin gel is applied on whole surface and cured for 1
min to remove oxygen inhibition layer.
• Gross finishing and surface texture is done by using red and yellow
burs from Mani .
• Composite finishing is done by using SHOFU finishing kit.
• Polishing of the composite completed using Astropol from Ivoclar
Vivadent.

CONCLUSION
The recent advancement in composite materials enables us to repro-
duce the natural anatomic form with function in a beautifully con-
servative manner. When we implement conservative approach tech-
nique we are in fact allowing for the possibility of further aesthetic
option in the future, which is particularly important for a young
patient.

FIG 16: Before and After REFERENCES
1. L. Vanini “Light and Color in composite restoration”, Practical
Periodontics and Aesthetic Dentistry, vol. 8, pp. 673-682,1996.
2. P. Magne and J. Holz, “Stratification of composite restoration:
systematic and durable replication of natural aesthetics”,
Practical Periodontics and Aesthetic Dentistry, vol.8 pp. 61-68
1996.
3. D. Dietschi, “Optimizing aesthetics and facilitating clinical
application of free hand bonding using natural layering con-
cepts”, British Dental Journal. vol. 204, no.4, pp. 181-185, 2008
4. Andreasen, Jo, Andreasen FM. Textbook and color atlas of trau-
matic injuries to teeth. 4th ed. 2007.
5. Lesage Brian, Milnar Frank and Whoberg Jenifer. Achieving the
epitome of composite art creating natural tooth esthetics, tex-
ture and anatomy using appropriate preparation and layering
technique. 2009;11 34-48.
FIG 17: Finally happy patient 6. Robert A. Lowe, Advance in composite resin dentistry. Inside
Dentistry article vol. 11 no.12.
thus require resin with such characteristics, the reproduction of 7. Newton Fahl, “Predictable Aesthetic Reconstruction of
enamel should be done with composite resin that presents transpar- Fractured Anterior teeth with Composite Resin”, The aesthetic
ent characteristics. Chronicle 1996.

PROCEDURE About the AUTHOR
• After the isolation of the area, total etching on both buccal and
palatal surface for 15 seconds and cleaning the etchant for 30 sec- Dr. Anudeep S. Myakal
onds. B.D.S.
• Then proceeded for bonding with G-aenial premio bond. Applied Cosmetic and Craniofacial Aesthetics
a layer of bonding agent waited for 10 seconds, air dry for 5 sec- Advance Aesthetic Dentistry (Japan)
onds and cured it with Bluephase curing light from Ivoclar Digital Smile Designer (DSD )
Vivadent for 10 seconds on both buccal and palatal surface. Solapur, Maharashtra, INDIA
• By using the palatal silicon key, the palatal wall is build up with JE Contact: anumyakal@gmail.com

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