Page 31 - GP Fall 2024

6. Levin EI. Dental Esthetics and the Gold-
en Proportion. Journal of Prosthetic Dentistry.
1978;40:244-252.
7. Jain S, Sharma P, Shetty D, Adarsh K. Golden
Proportion in Different Types of Smile: A Pho-
tographic Evaluation. Acta Scientific Dental Sci-
ences 3.12 (2019): 75-80.
8. Mahshid M, Khoshvaghti A, Varshosaz M,
Vallaei N. Evaluation of “golden proportion”
in individuals with an esthetic smile. J Esthet
Figure 9. F4 bur used to refine the Figure 14. Immediate post-op retracted Restor Dent. 2004;16(3):185-193.
9. Volker AR. Mayorga K. The Anterior Midline
facial depressions. view. Critical Zone : Esthetic Shape Determinant. The
GP. Fall 2020:GP 6-7.
10. Volker AR, Kouros P, Köken S. Matrixing
strategies for the anterior and facial surfaces.
Dentaltown Magazine. March 2022: 42-46.
11. Manuata J, Salat A. Devoto W, Putignano A.
Layers 2, Direct Composites : The Style Italiano
Clinical Secrets., Quintessence Books, 2022.

Dr. Arthur Volker prac-
tices at Dent-Care Den-
Figure 10. F4 bur used to refine facial Figure 15. Lateral view demonstrating tal in Sunnyside, New
line angles. achieved anatomy. York.

grit flame diamond that is used to refine the Figure 14 shows the immediate post-opera-
facial depressions (Figure 9) as well as the tive frontal view, while Figure 15 demon-
facial line angles (Figure 10). It can also be strates the lateral view, highlighting the
used to create horizontal texture. The F5 anatomy of the composite veneer to that Dr. Walter Devoto is
11
bur has the same shape as the F4 but has of the neighboring PFM. When the patient the co-creator of Style
a fine grit and is used to further refine and approved the restoration, a digital scan was Italiano. He practices in
smoothen the same areas as defined with the taken for a maxillary nightguard (Figure 16). Liguria, Italy.
F4 bur (Figures 11-12).

Dr. Angelo Putignano is
the co-creator of Style
Italiano. He practices in
Ancona, Italy.
Figure 16. Digital scan for upper
Figure 11. F5 bur used to smoothen nightguard.
facial depressions.
Conclusion Dr. Serhat Köken practices
The use of a systematic approach coupled in Istanbul, Turkey.
with a dedicated bur kit for allowed for the
creation of a harmonic veneer for a maxil-
lary central incisor using direct composite.
Additionally, the patient was happy that a
treatment could be rendered that did not in-
Figure 12. F5 bur used to smoothen volve amputation of tooth structure.
facial line angles.
References
Once the appropriate shape and texture 1. Devoto W, Saracinelli M, Manauta J. Compos-
were achieved, the veneer was finished ite in everyday practice: how to choose the right
material and simplify application techniques in
and polished, with an aluminum oxide the anterior teeth. Eur J Esthet Dent. 2010 Mar
polishing paste (Enamelize, Cosmedent) 1;5(1):102-24.
used to provide a high luster (Figure 13). 2. Devoto W, Pansecchi D. Composite resto-
rations in the anterior region: clinical and aesthet-
ic performances. Practical Procedures & Aesthet-
ic Dentistry: PPAD. 2007 Sep 1;19(8):465-70.
3. Manuata J, Salat A. Layers, An atlas of com-
posite resin stratification., Quintessence Books,
2012.
4. Ash M, Major M. and Stanley J. Nel-
son. Wheeler’s Dental Anatomy, Physiology, and
Occlusion. 8th edition. Saunders 2003.
5. Ten Cate AR. Oral Histology: Development,
Structure, and Function, 5 ed. Saint Louis: Mos-
th
Figure 13. Final luster achieved with by, 1998.
aluminum oxide paste. www.nysagd.org l Fall 2024 l GP 31