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Direct Reconstruction of the Maxillary Anterior Dentition With Composite Resin

Direct composite restorations continue to be a viable treatment alternative for numerous patients who desire anterior reconstructive procedures. In order to achieve optimal aesthetic and functional results, the clinician must possess a thorough understanding of composite resins and color and be able to simulate the optical properties of a natural tooth. This podcast describes a sophisticated polychromatic color layering technique through the correct implementation of composite materials and freehand bonding techniques for the fabrication of ten direct resin veneer restorations in the maxilla.

*Clinical Assistant Professor, University of Texas Health Science Center, Houston, Texas; private practice, Houston, Texas.


Learning Objectives:

This podcast describes a polychromatic color layering technique for the fabrication of resin veneer restorations in the maxilla. Upon completing this podcast, the listener should:

  • Comprehend the various criteria that are essential for direct composite restorations.
  • Have a working knowledge of the direct composite method.


Related Reading:

  1. Dietschi D. Free-hand composite resin restorations: A key to anterior aesthetics. Pract Periodont Aesthet Dent 1995;7(7):15-25.
  2. Miller M. Microfills. In: Reality 1998. 12th ed. Houston, TX: Reality Publishing, 290.
  3. Heymann HO. The artistry of conservative esthetic dentistry. J Am Dent Assoc 1987;Special No:14E-23E.
  4. Baratieri LN, Andrada MAC, Montiero S Jr. et al. Dentistics-Procedimentos Preventivos e Restauradores. 2nd. ed. Sao Paulo, Brazil: Quintessence Publishing, 1992.
  5. Clark EB. Tooth color selection. J Am Dent Assoc 1933;20:1065-1073.
  6. Miller A, Long J, Cole J, Staffanou R. Shades selection and laboratory communication. Quint Int 1993;24(5):305-309.
  7. Sproull RC. Color matching in dentistry. I. The three-dimensional nature of color. J Prosthet Dent 1973;29(4):416-424.
  8. Touati B, Miara P, Nathanson D. Esthetic Dentistry & Ceramic Restorations. London, UK: Martin Dunitz, 1999:39-60.
  9. Baratieri LN. Esthetic Principles [in Portuguese]. Sao Paulo, Brazil: Quintessence Publishing, 1998:48.
  10. Fahl N Jr. Predictable aesthetic reconstruction of fractured anterior teeth with composite resins: A case report. Pract Periodont Aesthet Dent 1996;8(1):17-31.
  11. Renamel restorative system clinical brochure. Cosmedent, Inc. 1994.
  12. Miller M. Direct/indirect resin veneers. In: Reality 1998. 12th ed. Houston, TX: Reality Publishing, 625-633.
  13. Nixon RL. Mandibular ceramic veneers: An examination of diverse cases integrating form, function, and aesthetics. Pract Periodont Aesthet Dent 1995;7(1):17-26.
  14. Fahl N Jr. The aesthetic composite anterior single crown restoration. Pract Periodont Aesthet Dent 1997;9(1):59-70.
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