A significant challenge is finding the right composite material that mimics nature; however, once we choose the right material, next is the actual application so it has the proper contour and blends seamlessly with the natural tooth.
Approximately four years ago, I was attending an anterior composite workshop at the American Academy of Cosmetic Dentistry annual meeting and was introduced to a set of instruments that significantly lowered the barriers to placing properly contoured restorations. Esthetic Contouring Instruments by Clinician’s Choice allow practitioners to accurately cut, place, and characterize the composite material.
The two instruments I use most frequently are the gold and blue instruments. The paddle portion of the gold instrument allows me to precisely adapt a thin layer of material to a palatal silicone index or place material slightly subgingivally to allow proper emergence profile.
The blade end allows me to spread composite across the entire facial portion of the tooth and shape the line angles. The blade portion is very thin, so it allows intimate adaptation of resin near the embrasures, and overhangs are eliminated. The blue instrument also has two ends, and each end allows the placement of vertical and horizontal grooves in the resin to create a lifelike look.
The value in this set of instruments is twofold: They allow predictable placement of composite, and the tips can be changed out when they become worn versus having to buy an entirely new instrument.
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Model printing has been the rage lately for many practices, and it’s certainly something I’ve continued to utilize as much as possible. Read next review >>>