Aesthetic restorations Good handling and
predictable results
with Venus Diamond A
30-year-old female patient pr esent ed with two aged amalgam resto-
rations which were failing at the margins. They were unsightly, especially the UR6, which was visible when she smiled. Appearance was important to the patient and her dentition was otherwise well kept. The options for replacing
the failed amalgam restorations were discussed with the patient. These included composite, amalgam, glass ionomer and ceramic restorations. Venus Diamond was chosen as the preferred restorative mate- rial and a treatment plan was formulated. Dr David Wilson uses Venus composite widely in his daily
Dr David Wilson describes the successful placement of well- contoured aesthetic restorations
practice for a range of resto- rations from medium-sized posterior to highly aesthetic anterior. He has a special interest in cosmetic, restorative and implant dentistry, and a prefer- ence for minimally-invasive techniques. David said: “In my experience, composite restora- tions have a better appearance and greater longevity than those with glass ionomer. I prefer to use composite materials for small to medium restorations and ceramics for larger cases.” In this case the treatment began with the removal of
the old restorations and some caries, following topical and local anaesthetic (4.4ml Lido- caine/Adrenaline). The cavities were prepared using slow and high-speed handpieces, then thoroughly washed and dried without dessicating the tooth surface. The surfaces were etched using iBond 35 Gel Etch (enamel margins for 30 seconds and dentine for 15 seconds). iBond Total Etch was then applied and light-cured for 20 seconds. Marginal adaptation was aided by clear matrix bands and
interproximal wedges. Venus flow (A2 shade) was used to line the cavity base, and then the cusps were built up indi- vidually with Venus Diamond (A1 shade). The occlusion was then adjusted slightly, prior to finishing with diamond paste and polishing discs. Dr Wilson prefers to use the
layered build-up technique. He believes that, “combined with the right material, this gives a great aesthetic result and much less post-operative sensitivity. In this case, all the Heraeus materials used performed very well. The cost of these products compares very well with others. However, the primary consideration was good handling properties
Continued » Ireland’s Dental magazine 31
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52