French and American have joined the ITENA Clinical to present and illustrate the performance of our products in complex clinical cases.
How to control layering?
Composite fillings are now the preferred alternative to alloy-based materials. More and more patients are refusing to have any new metallic fillings; some are even asking for their old amalgam ones to be replaced with more aesthetic materials. Composite materials continue to improve steadily, and bonding techniques even more so; this means we can offer our patients dependable, good-looking restorations which last a considerable time – provided certain conditions are met: the right choice of composite, a layering technique which allows guided shrinkage on curing (polymerization), minimum curing stress, proper rebuilding of the contact point and the correct occlusal anatomy.
Disguising a canine as an incisor by layering
A young male patient aged 14 and a half came for consultation following his orthodontic treatment. He had agenesis of tooth 12. His orthodontic treatment had consisted of the mesialisation of tooth 13 into the site of tooth 12.
Using glass fibre dental posts is less invasive and more sensitive to dentine tissues than reconstruction with a metallic core inlay. The absence of metal within the reconstructed structure means the fibre dental posts can be perfectly integrated, both aesthetically and biologically. Due to this, it is clinically essential that the post’s material possesses excellent mechanical, translucent and radio-opaque properties.
Periodontal plastic surgery is an extremely demanding discipline, both diagnostically and clinically. It is a daily challenge that leaves no room for error. In addition to knowing how to make a correct diagnosis and use periodontal micro-surgery techniques, it is important to go a step further and preempt the inflammatory effects that accompany surgery. In this regard, the use of Klirich in periodontics has for several years now proven successful in the treatment of gingivitis, aphthae and other mucous membrane injuries. It has taken 15 years of studies for the manufacturer ITENA Clinical to develop this plant-based product with groundbreaking intrinsic properties, both chemically and clinically.
The role of a reflectys customised shade guide
Shade selection is a daily challenge for the dental practitioner. It is an important, if not decisive, stage responsible for the final aesthetic result of a restoration. At present, we aim to follow the Vitapan Classical shade guide, which represents the gold standard, as closely as possible. In this context, our aims were:
- firstly, to propose a customised shade guide for the Reflectys (ITENA Clinical) collection studied;
- secondly, to study the correlation between the different shades of composite resin obtained and the Vitapan Classical shade guide.
This enabled us to present the enamel-dentine combinations resulting from this correlation and thus offer combinations that any practitioner could use. To illustrate this approach, we present a clinical case with reference to the combinations of the customised Reflectys (ITENA Clinical) shade guide used.
Direct composite restorations of posterior teeth are now a standard procedure in modern conservative dentistry. Although less exposed to view, the precise reproduction of their occlusal anatomy presents no less of a challenge.
Over the past decade, the research made us fear cement-retained restorations and their complications in implant dentistry.
Recommendations for use of screw-retained restorations have been formulated in order to obtain treatment results more predictable, as restorations sealed turn out to be simpler and more economical and that they offer passivity of adjustment.
The goal of this article is to allow us, as as clinicians, to provide treatment predictable using cement-retained restorations when necessary and to be able to use the correct cement without fear for implant restorations.