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)
Anterior Fracture
A 27 year old businessman presented with a chipped upper anterior tooth. After examination and shade selection the chipped central incisor (#21) was restored using the direct silicone template technique. The main clinical challenge of this case was to obtain adequate retention with beveled margins.
Figure 1
Incisal fracture on tooth #21.
Figure 2
After placing a direct cosmetic restoration.
Figure 3
Figure 4
A clear view of the fracture.
Figure 5
Place a mock-up restoration with composite to prepare the silicone template.
Figure 6
Etch the enamel surface with phosphoric acid.
Figure 7
Remove the mock-up restoration.
Figure 8
Cut the the silicone impression.
Figure 9
Check the fit of silicone template in the mouth.
Figure 10
Prepare the tooth with a Diamond Point #F104.
Figure 11
Protect the adjacent tooth with a metal strip and etch the enamel.
Figure 12
Apply the bonding agent and light cure.
Figure 13
Dispense Opacious Dentin (#A3O) onto the silicone template.
Figure 14
Position the silicone template to achive an accurate lingual matrix.
Figure 15
Lingual matrix after light-curing.
Figure 16
Build-up dentin layer (#A2) on the lingual matrix.
Figure 17
Apply a yellow stain to mask the fracture line.
Figure 18
Apply a thin layer of enamel (#INC) over the stain.
Figure 19
Light cure the restoration before finishing and polishing.
Figure 20
Polish the surface with Super-Snap polishing disk.
Figure 21
Restored tooth #21 after super polishing.
Preserving Health, Enhancing Smiles
Minimally Invasive Cosmetic Dentistry
(MiCD) is a holistic patient-centric treatment approach
