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)
Diastema Closure
A 32 year old female presented with a fractured incisal edge on both central incisors (#11 & #21). During the consultation she mentioned her habit of biting on a pen or pencil. The smile analysis of the patient reveled prominent upper central incisors with a minor asymmetry of the incisal edges. As the defects were minor we were able to modify her smile using selective enamel contouring.
Figure 1
Single large diastema seen between tooth #11 & 21.
Figure 2
Tooth #11 & 21 restored with direct cosmetic veneers.
Figure 3
Effect Group was used at the incsial tip.
Figure 4
Roughen enamel surface of tooth #11 with Diamond Point #102R.
Figure 5
Etch the enamel with phosphoric acid.
Figure 6
Apply the bonding agent and light-cure.
Figure 7
Build-up dentin layer (#A3) mesially.
Figure 8
Build-up dentin layer using free hand technique.
Figure 9
Smoothen the surface with a brush.
Figure 10
Build-up enamel layer (#INC) and increase the incisal length.
Figure 11
Apply an orange stain selectively to smiluate adjacent tooth.
Figure 12
Cover the stain with a thin enamel layer and light-cure.
Figure 13
Contour the restored surface with Diamond Point #102R.
Figure 14
Finish the surface with OneGloss Midi Point.
Figure 15
Finish the interproximal area with a coarse Super-Snap polystrip.
Figure 16
Polish the incisal edge with a Super-Snap polishing disk.
Figure 17
Finish the interproximal area with a superfine Super-Snap polystrip.
Figure 18
Measure width of restored tooth #11 with a caliper.
Figure 19
Restored tooth #11 after finishing and tooth polishing.
Figure 20
Apply Vaseline with a dental floss to protect mesial surface of tooth #11.
Figure 21
Build-up dentin and enamel layer of tooth #21 with free hand technique.
Figure 22
Break the contact gently after light-curing.
Figure 23
Protect tooth #11 with a metal strip and finish tooth #21 with a Diamond Point #SF215.
Figure 24
Apply Vaseline with a dental floss to protect mesial surface of tooth #11.
Preserving Health, Enhancing Smiles
Minimally Invasive Cosmetic Dentistry
(MiCD) is a holistic patient-centric treatment approach
