Direct composite restoration
The patient presented with severe oral hygiene neglect, multiple carious lesions, gingival inflammation, and spontaneous bleeding , The primary goal at this stage was not only treatment, but changing oral hygiene behavior.
• Before any restorative work,
we focused on first ( patient motivation.)
• second (Guided Biofilm Therapy (GBT)– EMS System )
• third (Caries Removal & Restorative Phase )
🌟 The patient returned after one month showing:
• Significant improvement in gingival health
• High satisfaction and renewed confidence in her smile
This case demonstrates that successful dental treatment is not just about restoring teeth. It is about changing habits, improving awareness, and guiding the patient to maintain their oral health independently.
Looks just as good as an indirect resto would, nice work doc
Thanks dear
That’s damn impressive no matter what material you used. 🤌😁
Thank you
How to achieve the smooth margins between filling and enamel? I always see where my filling ends on the tooth.
By bevelling the cavity margins , and good finishing protocol from composite towards the tooth surface
What is that good finishing protocol?
Main thing is the type of resin you're using. Most offices always use a body composite resin because is a 2 in 1 deal "a mixed of dentin and enamel on one composite". In cases like this one people are going to say "make a nice bevel" but if you're not using a dentin composite to match the tooth color and hide the darker lesion and then place an enamel layer to allow you to polish real nice most of the time you wont get a nice outcome like this one. The dentin layer is the most important layer, if you try to compasate it with enamel resin or body resin you're either going to get a very translucent outcome where you can see the prep or youre color is going to be off.
Now let’s hope to god they start flossing bc that shit is beautiful!!!
😂
Really, I’m in awe of your work. Makes me feel bad about my own anterior composites. I have no clue how you got such an amazing result with direct work.
I’d love if you have any resources on where you learned to do such beautiful dentistry
Ff. I find doing anterior restorations as the most difficult procedure.
Its all on the type of resin you use. If you get the color and polishing right the rest is on you doing the anatomy.
That is very impressive
This is awesome. Very very nice finishing. (what do you use for polishing??)
At first I assumed this was related to substance abuse, but learning this is just a 14yo. Poor thing. You definitely gave back her confidence. Let's hope she maintains well.
Do you have any in between photos during the work? Also what is your polishing protocol???
God’s work! Wow
Those are sexy. Patient has to be feeling so much better physically and mentally.
That’s amazing. I would love to know which matrix band system you used for this case.
Beautiful! 👏 Also curious what matrix system you used?
Now that’s some kind of sorcery. Impressive work, doc!
That is really impressive work, thank you for sharing and also thank you for answering so many technical questions. Sorry if this has already been asked, but what brand of resin did you use? The colour is lovely
Amazing! Just wondering, was there any rc treatment?
All kept vital
Really great outcome. Just curious if picture 2 is the extent of your caries removal? Imo a lot of that dentin still looks carious, and the enamel margins look flaky and demineralized still.
How...
You are incredibly talented! Amazing work
Beautiful work!
Wow, impressive!
What did you do on the left side? Fillings or ICON or similar?
Great work!
What does GBT do that a cavitron cannot? I feel like it’s a big upsell to dentists.
Inspiring. Amazing work (and photography). Perfect treatment given the pt's age.
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2% lidocaine w 1:50,000 epi (green stripe) via local infiltration until the tissue is white as paper.
2 or 3 increments of retraction cord soaked in hemodent