Smiles Gallery
The MiCD movement is being adopted by clinicians the world over by successfully integrating Minimally Invasive Cosmetic Dentistry in their practice. Minimally invasive techniques and principles have revolutionised the approach to cosmetic dentistry which is traditionally known to be more invasive. The MiCD concept promotes the conservation of sound tooth structure while achieving predictable smile aesthetics and imparting a positive psychological impact on the patient.
Minimally Invasive
Cosmetic Dentistry
MiCD Clinical Techniques
[ Flowable Frame Technique ]
Patient complaint
34-year-old lady visited the dental office with a chief complaint of debonded restoration from the palatal side which was done just a year back.
Clinical examination
Revealed class III restorations on teeth 11 and 21 showed marginal discoloration with a low polish surface. Restoration debonded from tooth 11 from the palatal surface. IOPA X-ray revealed radiolucency below the restorations indicating possibility of secondary decay. Oral hygiene was poor with some marginal inflammation maybe due to improper placement of both restorations.
Treatment plan
The patient was convinced to remove both restorations and redo them with a disciplinary approach using bioactive materials from SHOFU.
34-year-old lady visited the dental office with a chief complaint of debonded filling on the palatal side of the front tooth that was restored one year ago.
- Class III restorations on teeth 11 and 21 with marginal discoloration and rough restorative surface. - Debonded restoration on tooth 11 from the palatal surface.
6th gen bond fromSHOFU FL Bond II is used to bond the composite at higher and consistent bond strength.
Restorations on both tooth 11, 21 to be removed and replaced with direct restorations using MICD (Minimally invasive Cosmetic Dentistry) treatment protocol Shofu bioactive composites were selected due to the additional benefits the material offers to prevent secondary caries
SHOFU bioactive composites were selected due to the additional benefits the material offers to prevent secondary caries.
SHOFU bioactive composites were selected due to the additional benefits the material offers to prevent secondary caries.
Composite was removed carefully using slow-speed carbide bur and checked with IOPA for complete removal.
Composite was removed carefully using slow-speed carbide bur and checked with IOPA for complete removal.
Caries dye was applied to check for Infected dentine which was removed with a slow-speed carbide bur.
Infinite bevel is done on both buccal and palatal surfaces with the use of diamond bur. The peripheral seal zone was achieved free from infected and affected dentine. Air abrasion was done with 25-micron Aluminium oxide powder to achieve higher bond strength
6th generation SHOFU FL Bond II primer and binding agent was applied.
Palatal shell of <0.5mm thickness was created with SHOFU Beautifil II # T (Translucent shade) using the free hand technique by positioning the mylar strip with a finger.
SHOFU BEAUTIFIL Injectable X – A2O was applied in the deeper part of the cavity to provide depth of colour leaving space in the incisal edge area.
SHOFU BEAUTIFIL II LS A2O was applied as the 2nd layer on the larger cavity of tooth #21
Bioclear r placed and Shofu Injectable X A3 is injected inside matrices with slight pressure to ensure material flow in all areas and form the shape and contour of the matrices .
After light curing Bioclear matrix was removed. The excess is trimmed using a Tapered Fine Diamond Point.
Pre-polishing was done with help of OneGloss smart polisher at 9000 PRM with intermittent water to ensure all scratches from contouring are removed and the surface is smooth for the next step.
Polishing is done with Super Snap Green and the Pink disk.
Super-polishing was done with SuperSnap Buff Disk and DirectDia diamond polishing paste.
Final outcome : Invisible restorations completed on tooth #11 and #21 exceeding patient expectations and motivated her to maintain better oral hygiene.
Before And After Replacing Debonded Composites Restorations With Bioactive Composites.
Follow up after 2 months