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. Hussein Naama (IQ)
Smile Rejuvenation
A female patient, a dentist herself visited my clinic requesting for a smile makeover as she was unhappy with the shape and colour of her front teeth. Upon history taking and intra oral examination, a midline diastema restored with composite resin and a congenital missing upper right lateral was identified. Based on the patient needs and time available a treatment plan with direct composite restorations using the MiCD concept with a focus on tooth preservation was accepted as the most suitable option. Occlusion was checked and confirmed before commencing the treatment. After removal of the old composite restorations, minimally invasive veneer tooth preparation was done using diamond points. Gingival zenith corrections around tooth 13,14 and 22 were achieved with diode laser.
Figure 1
Macro view of the smile
Figure 2
Macro side view of the smile showing the congenital missing upper right lateral incisor.
Figure 3
Micro view of the upper anterior teeth before treatment.
Figure 4
Illustration of the treatment plan in detail.
Figure 5
After minimum veneer preparation with Diamond points followed by application of 37% Phosphoric Acid etchant on teeth 11,21.
Figure 6
Application of bonding agent and light cure.
Figure 7
Palatal shell created in the central incisors using Beautifil II Enamel shade T with a clear matrix strip.
Figure 8
Final enamel layer build-up with Beautifil II Enamel shade HVT.
Figure 9
Gross contouring and finishing with Shofu Composite Finishing Kit.
Figure 10
After completing the polishing sequence with OneGloss for surface texturing and polishing the Super-Snap X-Treme Green and Pink disks. Super polishing to enamel lustre was achieved with Super Buff impregnated disk.
Figure 11
Teflon tape used to protect the central incisors before starting on the direct veneer restorations on the remaining teeth.
Figure 12
Final finishing and polishing achieved using the same protocol mentioned in Fig. 10 for all 6 direct veneers.
Figure 13
Final restorations with life-like aesthetics and high gloss super polish.
Figure 14
Macro view of the enhanced.
Figure 15
Side view of the enhanced smile.
Preserving Health, Enhancing Smiles
Minimally Invasive Cosmetic Dentistry
(MiCD) is a holistic patient-centric treatment approach
