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)
Repalcing Old Restorations
28 years old female patient with history of old composite restorations and previous diastema closure visited my clinic. Her chief complaint was poor aesthetics in her front teeth and requested for a low cost treatment option while preserving her teeth. In these type of cases, direct composite restorations using the MiCD treatment approach becomes the most suitable option as predictable aesthetics can be achieved with minimum tooth preparation. For this patient after assessing the available space and opacity of the natural tooth structure, I decided to use a 2 layer composite layering technique with Beautifil II LS and Beautifil II Enamel bioactive composites.
Figure 1
Before – Macro view of patient smile.
Figure 1
After
Figure 2
Micro view of the upper anterior teeth before treatment.
Figure 3
Removal of old composite restorations on tooth 11,12, 21,22 and minimum veneer preparation with Diamond Points.
Figure 4
Application of 37% Phosphoric Acid Etchant on teeth 11,21.
Figure 5
Application of bonding agent and light cure.
Figure 6
Palatal shell created in the central incisors using Beautifil II Enamel shade T with a clear matrix strip.
Figure 7
Build-up of the mesial frame using a clear matrix to close the diastema.
Figure 8
Mammelon created in with Beautifil
II LS shade A2O mixed with White Stain and Beautifil Injectable shade A1 was used with Blue stain between the mammelon to create natural aesthetics.
Figure 9
Final enamel layer build-up with Beautifil II Enamel shade HVT.
Figure 10
Teflon tape used to protect the central incisors before Etching, Bonding and Composite Build-up on tooth 12 and 22.
Figure 11
After completing composite build-up and removal of rubber dam a Fina Diamond Point was used for anatomical contouring.
Figure 12
Creating labial lobes and depressions and fine finishing with Dura White Stone.
Figure 13
Pre-polishing with OneGloss 2in1 polisher.
Figure 14
Creating mesial and distal transitional lines and polishing with Super-Snap X-Treme Green disk.
Figure 15
Final step of polishing with Super-Snap X-Treme Red disk and Super polishing to enamel lustre with Super Buff impregnated disk.
Figure 16
Final restorations with life-like aesthetics and high gloss super polish
Figure 17
Macro view of the enhanced smile.
Preserving Health, Enhancing Smiles
Minimally Invasive Cosmetic Dentistry
(MiCD) is a holistic patient-centric treatment approach
