March 6, 2024 | Dr. Lois Duerst
So what keeps some clinicians from performing esthetic anterior composite restorations? In a word, consistency. It can be difficult, time-consuming and stressful to predictably create anatomically correct, esthetic tooth forms. Not every clinician is able and willing to take on that challenge. While some simply aren’t comfortable working freehand, others may struggle with specific steps such as achieving symmetry, midlines or contours, or the time and labor required to become proficient at high esthetic restorations. The time commitments don’t stop after learning the technique, either. Hand sculpting, contouring, finishing, and polishing anterior composites can be time intensive and therefore cost prohibitive, posing a barrier for clinicians and patients. More straightforward procedures, like closing a diastema or two or reshaping a single tooth, are easier to tackle freehand. As you increase the workload with multiple teeth or spaces, however, additive composite procedures become more challenging – and less accessible. If these barriers to entry could be lowered, more clinicians could take advantage of this minimally invasive technique while delivering excellent outcomes.
The Filtek Matrix is an excellent solution for creating composite veneers, closing diastemas, and reshaping anterior teeth (e.g., post-orthodontic treatment, wear cases, etc.), especially when the case includes multiple teeth. It is available for first bicuspid to first bicuspid treatment on the maxillary, and canine to canine on the mandibular. It’s also an excellent choice for: • Teeth with wear • Undersized or poorly contoured teeth • Correction of slight misalignments • Situations where conserving natural tooth structure is a priority • When porcelain veneers or orthodontics are cost-prohibitive or too time-intensive As with any new technique, certain procedures will be more challenging than others and require practice to perfect. If you are not already used to doing composite veneers, you may want to start with a simple peg lateral or a diastema. As you increase the number of teeth and diastemas, the complexity and time required will increase.
a. The matrix is placed on the conditioned teeth b. The gingival margin lined with 3M™ Filtek™ Supreme Flowable Restorative (shade A1) c. Warmed 3M™ Filtek™ Supreme Ultra Universal Restorative (shade A1B) injected into the matrix. d. Light curing from both facial and lingual.