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. Sushil Koirala (NP)
Replacing Faulty Tooth Coloured Restorations (Anterior)
A 27 year old nurse requested her poorly restored upper anterior teeth to be replaced. During examination it was found that they were poorly restored diastema. After removal of faulty restorations teeth #11 & #21 were prepared for direct veneers with diastema closure. Mild gingival contouring was done to achieve the desirable gingival shape. Even though the central incisors appeared slightly broad, the patient was very satisfied with the aesthetics achieved.
Figure 1
Poorly restored diastema between tooth #11 & #21.
Figure 2
After placing direct cosmetic veneers on tooth #11 & #21.
Figure 3.
Figure 4
Remove faulty restorations on tooth #11 & #21.
Figure 5
Place gingival retraction cord to isolate tooth #11 & #21 and prepare teeth for direct veneers.
Figure 6
Build-up dentin layer (#A3) after etching and bonding tooth #21.
Figure 7
Build-up enamel layer (#INC) and smoothen with a brush.
Figure 8
Build-up dentin and enamel of tooth #11 similar to tooth #21 and finish with Diamond Point #104R.
Figure 9
Finish the gingival margins with Diamond Point #104.
Figure 10
Contour incisal edges with Super-Snap coarse disk.
Figure 11
Polish the restorations with Super-Snap polishing disk.
Figure 12
Super-polish the restored teeth with Super-Snap superfine disk.
Figure 13
Polish interproximal area with Super-Snap polystrips.
Figure 14
Finally super polish with the impregnated Super Buff disk for the extra shine.
Figure 15.
Selectively super polish with CompoMaster Bullet.
Figure 16
Restored tooth #11 & #21 with corrective direct cosmetic restorations.
Preserving Health, Enhancing Smiles
Minimally Invasive Cosmetic Dentistry
(MiCD) is a holistic patient-centric treatment approach
