Page 19 - NYSAGD GP Fall 2018

quently removed revealing the extent of the The composite button try technique re- Dr. Volker graduated
needed restoration (Figure 8). quires no additional shade guides or ancil- from the Columbia Uni-
lary technology and serves as a quick and versity School of Dental
easy method to accurately select the de- and Oral Surgery. He is
sired colors of composite restorations. a Fellow of the Academy
of General Dentistry and
References:
1. Yap AU. Color attributes and accuracy of the American College of
Vita-based manufacturers’ shade guides. Oper Dentists. Dr. Volker has published arti-
Figure 8. Stent in place with mock-up Dent. 1998 Sep-Oct;23(5):266-71. cles and lectures nationally and inter-
removed. 2. Magne P, Bruzi G, Carvalho AO, Giannini M, nationally on such topics as cosmetic
Maia HP. Evaluation of an anatomic dual-lami- dentistry, minimally invasive dentistry,
nate composite resin shade guide. J Dent. 2013 and dental materials. He practices in
Using GC Essentia (GC Europe, Leuven, Aug;41 Suppl 3:e80-6. Sunnyside, New York.
Belgium), a small amount of Light Enamel 3. Fahl N. A polychromatic composite layering
(LE) composite was placed into the index approach for solving a complex Class IV/direct Dr. Köken graduated
and cured to create the palatal shell (Fig- veneer/diastema combination: Part I. Practical
Procedures Aesthetic Dentistry. 2006;18:641- from Marmara School
645. of Dentistry (Istanbul) in
4. Fahl N. A polychromatic composite layering 1998. Since 2001, he has
approach for solving a complex Class IV/direct practiced general den-
veneer/diastema combination: Part II. Practical tistry at his private clin-
Procedures Aesthetic Dentistry. 2007;19:17-22. ic in Istanbul. Over the
5. Devoto W, Saracinelli M, Manauta J. Com-
posite in everyday practice: how to choose the years, Dr. Serhat Köken has presented at
Figure 9. Placement of palatal shell right material and simplify application tech- national and international meetings on
of composite. niques in the anterior teeth. Eur J Esthet Dent. both the technical and artistic aspects of
2010 Spring;5(1):102-24. anterior direct resin restorations as well
6. Friebel M, Pernell O, Cappius HJ, Helfmann as hands-on courses on composite resin
ure 9). A Medium Dentin (MD) shade was J, Meinke MC. Simulation of color percep- artistry dental photography. Dr. Serhat
placed (Figure 10), followed by a tint to en- tion of layered dental composites using optical Köken is a board member of the Turkish
hance the polychromatic effect (Figure 11). properties to evaluate the benefit of esthetic
layer preparation technique. Dent Mater. 2012 Academy of Esthetic Dentistry (EDAD)
Apr;28(4):424-32. and a Ph.D. student in Dental Biomate-
7. Burki Z, Watkins S, Wilson R, Fenlon M. A rials at the University of Siena.
randomised controlled trial to
investigate the effects of dehydration on tooth
colour. J Dent. 2013
Mar;41(3):250-7.
8. Villavicencio-Espinoza CA, Narimatsu MH,
Figure 10. Placement of dentin Furuse AY. Using Cross-Polarized Photogra-
shade. phy as a Guide for Selecting Resin Composite
Shade. Oper Dent. 2018 Mar/Apr;43(2):113-
120.

Figure 11. Placement of tints to the
incisal edge.

Figure 13. Immediate post-op view.

Figure 12. Placement of final enamel
layer.

Finally, a layer of LE was used to overlay
the tooth (Figure 12). Figure 13 reveals the
final outcome and Figure 14 is a black and
white conversion of the photograph to as- Figure 14. Greyscale of immediate post-op
sess the value of the final restoration. view to assess value. www.nysagd.org l Fall 2018 l GP 19