A simple restorative solution to relapsed orthodontics – Angela Watson

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  Posted by: probe-admin      17th June 2019

Angela Watson is a partner at Discovery Dental Care in Dundee and has a particular interest in restorative and cosmetic dentistry. Here, she presents a recent case involving a young female patient who was looking for a solution following zero retention on previous orthodontic work.

Presentation

The patient, a 20-year-old female, came to our practice due to relapsed orthodontics. Another dentist in the practice saw her initially; our practice is also a Vocational Dental Practitioner Training Practice. The patient was subsequently sent to see me, with a view to either doing more orthodontic work or building up the tooth.

The orthodontic work had been carried out at another practice when she was younger. The UL1 had relapsed due to a lack of retention and now it was shorter (see figure 1). This was her main complaint. She was dentally healthy, with good oral hygiene and a well looked after mouth.

Figure: 1

We took scans and I discussed the options with her. We did discuss having further orthodontics, because of a slight anterior open bite, but the UL1 was the only tooth that she was really concerned about.

Because of her good dental health, I found that there was nothing that would compromise the success of restorative work. She went away to think about her decision and feeling well informed about the different treatment options that I had presented to her. She eventually decided that she just wanted her tooth built up and was happy for me to proceed.

Preparation

Before I began, I asked her if she was happy with the colour of her teeth, because if she wanted to bleach them, now was certainly a good time! She decided that she did, so we gave her a bleaching tray and kit in order to do some home whitening. This only took two weeks and she required just one syringe. The home treatment was successful, and she went from A2 to B1 on the teeth she whitened.

Restorative treatment and outcome

We could then begin the restorative treatment. To start, I placed a rubber dam on the teeth; the UL1 was bevelled a little, in order that the material would blend nicely. I applied some etch, ONE COAT 7 UNIVERSAL bond(COLTENE) went on, and then I used BRILLIANT EverGlow™ universal composite in shade BL (COLTENE). It was all polished and we checked that occlusion was good.
I then applied some sealant.

We made a follow-up appointment for two weeks’ later. I checked for any problems or issues and was pleased to find that all was well (see figures 2 and3). I was happy and my patient was too.

Figure:2

Figure:3

Appraisal of materials used

I first used COLTENE BRILLIANT EverGlow™ universal composite on a course.
I subsequently changed over to using it at the practice and now it is my chosen composite for restorative work. I find that it blends really well – with other materials, I would see a transition between the teeth. It is also easy to manipulate and move about, yet has good resistance. Previously, I would have the composite shaped and then as soon as I touched it, it would come away from the tooth. COLTENE BRILLIANT EverGlow™ doesn’t do this at all. It has fantastic polishability and the aesthetics are great too. Sometimes a composite gives good handling, but not-so-good aesthetics. I find that COLTENEBRILLIANT EverGlow™ can deliver both – it’s a true all-rounder. I would definitely recommend it to other dental professionals carrying out all kinds of restorative and cosmetic cases.

 

To find out more visit www.coltene.com, email info.uk@coltene.com

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