MiCD Clinical Techniques
Discover BioLogically Beautiful Restorations
MiCD GN aims to provide educational resources to help dentists embrace the MiCD concept and treatment protocols in routine clinical practice.
Case prepared by Dr. Anand Narvekar (IN)
Class V Restoration with Modification of Anatomy
40 years old lady visited the dental office for sensitivity on eating sweets and cold on lower canine tooth. Clinical examination revealed cervical decay with slight subgingival extension and some irregularities on the tooth. The MiCD treatment approach with the naturomimetic “ONE layering technique” was adopted for this Class V lesion. After caries removal , crown lengthening with electrocautery was done to create a supra gingival margin with the intension to increase longevity of the restoration followed by a direct restoration with bioactive restorative materials (Shofu Beautifil range of composites). The patient was extremely satisfied with the invisible restoration as the restorative material blended well with the natural tooth.
Figure 1
Retracted view of Class V Decay on tooth #43.
Figure 2
Retracted view after caries removal, bevel preparation and crown lengthening of tooth #43 to create a supra gingival margin.
Figure 3
Rubber dam placement with B4 wingless clamp.
Figure 4
Selective etching with slight extension above the preparation for modification of tooth anatomy.
Figure 5
Application of 6th Generation Adhesive system (FL Bond II).
Figure 6
Illustration of the Naturomimetic “ONE” layering technique using Bioactive Beautifil range of composites (Opaque - Beautifil Injectable A2O, Dentin - Beautifil II LS A3.5, Enamel - Beautifil II Enamel LVT).
Figure 7
Build-up of deep dentin layer with a small quantity of Beautifil Injectable A2O shade and light cured.
Figure 8
Build-up of dentin layer with Beautifil II LS shade A3.5 while maintaining 0.3mm for the enamel layer.
Figure 9
Final enamel layer placed with low value translucent Beautifil II shade LVT to achieve the desired brightness.
Figure 10
Application of Glycerine for the final cure to remove the inhibition layer.
Figure 11
After removal of rubber dam for anatomical contouring.
Figure 12
Finishing and polishing completed Super-Snap X-Treme disk system.
(Black disk for contouring, Purple disk for finishing, Green / Pink disks for polishing and super polishing with Aluminium oxide impregnated Super buff disk.
Figure 13
Before and After - one-month post-op showcasing life-like aesthetics achieved to mimic the natural tooth.
Preserving Health, Enhancing Smiles
Minimally Invasive Cosmetic Dentistry
(MiCD) is a holistic patient-centric treatment approach
