Abstract

Direct composite veneers can be used to mask tooth discolorations and/or to correct unaesthetic tooth forms and/or positions. However, these type of restorations are often regarded as one of the most challenging in aesthetic dentistry presumably due to the extent of natural tooth structure that must be recreated. This paper discusses easy application techniques and tips for Ceram.X Duo?, a nano ceramic composite restorative material. Its natural shading system allows the restoration of tooth with both dentine and enamel shade and transforms it into a final direct veneer restoration that mimics a natural tooth.

Highlights

  • The growing importance placed on aesthetics may result in an increased demand for cosmetic dental treatment [1]

  • The advancement in bonding capability to both enamel and dentine made with the introduction of multi-step total-etch adhesive systems [3,4,5], along with the development of high performance and more universally applicable resin composites has led to more conservation restorative adhesive techniques to deal with unaesthetic tooth appearance

  • In the past few years, Ceram.X Duo TM (Dentsply De Trey, Konstanz, Germany), a nano ceramic restorative with double translucency for patients with higher aesthetic demands has been introduced into the market

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Summary

INTRODUCTION

The growing importance placed on aesthetics may result in an increased demand for cosmetic dental treatment [1]. In the past few years, Ceram.X Duo TM (Dentsply De Trey, Konstanz, Germany), a nano ceramic restorative with double translucency for patients with higher aesthetic demands has been introduced into the market It has natural shading system by replacing lost dentine with dentine-like opacity and chroma and replacing enamel with enamel-like translucency. The patient agreed to the treatment plan which was to place a direct veneer on tooth 21 with nano ceramic restorative material: Ceram.X Duo TM (Dents ply De Trey, Konstanz, Germany). CeramX Duo enamel shade (E2) was placed at the labial surface (Fig. 10) and contoured with a flat plastic instrument It was light cured for 10 seconds followed by removal of the retraction cord. Tooth 21 was veneered with Ceram.X Duo with the contour and surface anatomy simulating to that of contralateral tooth (Fig. 15 & 16)

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