Direct Composite Build-up • Full Clinical Workflow 🦷 Wax-up has been one of my favourite things to do. With digital wax-up more prevalent nowadays, I tend to do less and less conventional wax-up but when it comes to simple cases like this, I’d still go for manual wax-up.😊 This patient requested to close the space on her front teeth. Having her preferring a simple build-up over Ortho, we went for a direct composite buildup. She initially requested to increase the size of her laterals but considering the shape & size of all 4 anteriors, the result would be more natural if we were to build up the centrals instead of the laterals. Wax-up and silicone template are prepared pre-op to save some clinical time. 💡Tips: One thing to remember about silicone template is to always extend it to the palatal region so it can seat firmly, preventing any inaccuracies during the Palatal shell buildup. Apologies for the Palatal shell and proximal buildup picture, my twin-flash ran out of battery.😂 💡Tips: Building up a good Palatal shell and proximal wall saves a lot clinical time...and composite. 😂 Thanks to my first composite veneer class lecturer @doctorarmyempol for teaching the technique. Being a fan of layering, I’ve chosen @3moralcaremalaysia ‘s Z350XT Enamel A3 to build the Palatal shell and proximal wall, followed by dentine layer with Shade A3 Dentine, and final layer of Enamel A3 again. Layering done with @dental2u composite instruments (I love the red one which gives me a good control to contour the proximal line angles!) 💡Tips: Thanks to @griya.rr for the tip of always placing a thin final layer of enamel instead of building up a thick layer and grinding it down. Polishing is done with @shofudentalapac One Gloss & Diacomp Eve Twist. 💡Tips: Always document your cases, doesn’t matter if you only have a mobile phone camera. That’s good enough!! Self-review is always the best way to grow.🤗 #SmileMakeover #Composite #Veneers #CompositeVeneers #InjectableComposite #CompositeInjection #Aesthetic #Dentistry #AestheticDentistry #Smile #Dental #CeramicVeneers #Veneer #Dentist

[ One-visit Smile Makeover with Composite Restoration ] Clinical Workflow: 1. Rubber dam isolation (Split dam technique) + Composite shade selection with button technique [ @3moralcaremalaysia 3M Filtek Z350XT Composite used] 2. Removal of old restoration and bevelling on 11 & 21. Etch and bond. [💡Quick Tip from sifu @hakienoon : OneGloss Polisher helps a lot in removing composite restorations without excess enamel removal, being conservative is always good for our patient!] 3. Placement of Palatal Enamel Layer with silicone index and 3M Filtek Z350XT Enamel A3. Proximal wall build up using Matrix and Z350XT Enamel A3.Dentine layer placement done with Z350XT Body A2. Final Facial Enamel layer placement done with Z350XT Enamel A3. [💡Quick Tip: thickness of Dentine layer should be adequate for thin layer of enamel layer placement! Anticipate 0.5mm enamel layer thickness] 4. Functional movement checked and occlusal adjustment done [💡 Quick Tip: Anterior Restoration? Check your Anterior & Canine Guidance] 5. Finishing and polishing done with @dental2u polishing kit + @shofudentalapac super-snap polishing kit + Eve Twist Polisher All composite layering also done with @dental2u composite instrument set. Love their new Optrasculpt instrument! #Anterior #Composite #Restoration #CompositeVeneer #DentalPhotography #Dental #Dentistry #DirectComposite #AestheticRestoration #Anterior #Shofu #RubberDam #AnteriorComposite #Veneers #DentalVeneer #Dentist #DentalAesthetic #DirectRestoration #PorcelainVeneer #DiastemaClosure #RestorativeDentistry #Veneer #DrKaylaTeh #Clinic

A gentleman requested to close the space in between his front teeth after a routine scaling. Advised him to seek orthodontic treatment to correct the malalignment yet he refused due to time and financial concerns. We have decided to proceed with direct composite buildup (Composite Veneers) for a more conservative approach in his case. Pre-op: Impression and wax-up. *Important for us to visualise the end result, assess the occlusion, and make sure the increment in the crown height doesn’t not interfere with patient’s protrusive movement. Clinical Workflow: 1. Rubber dam isolation (Floss ligature technique thanks to @griya.rr ‘s tips) 2. Composite shade selection with button technique (As @sonialee90 always remind me, always check by taking pics. Camera sees better than our eyes!) 3. Minimal prep (0.3mm) on the distofacial surface of 11 & 21 to ensure the proper emergence profile of buildup 4. Etch and bond 5. Placement of Palatal Enamel Layer with silicone index and Shofu Beautifil II Inc 6. Proximal wall build up using Matrix and Shofu Beautifil Injectable Inc 7. Dentine layer placement done with Shofu Beautifil II A2O. Incisal edge of dentine layer at the mamelon area blended with Shofu Beautifil Flowplus A2 8. Dentine layer and Palatal enamel layer blended at the incisal area with Shofu Beautifil II Enamel HVT & LVT 9. Final Facial Enamel layer placement done with Shofu Beautifil II Inc 10. Functional movement checked and occlusal adjustment done 11. Finishing and polishing done with @dental2u polishing kit and @shofudentalapac super-snap polishing kit. (All composite layering also done with @dental2u composite instrument set) Special thanks to @_skyliew_ for borrowing me his Macro lens, and @onghuijun1193 @jeynnchong24 for assisting! (Please drop your comments below for me to improve better!😁🙏🏻) #Anterior #Composite #Restoration #CompositeVeneer #DentalPhotography #Dental #Dentistry #DirectComposite #AestheticRestoration #Anterior #Shofu #RubberDam #AnteriorComposite #Veneers #DentalVeneer #Dentist #DentalAesthetic #DirectRestoration #PorcelainVeneer #DiastemaClosure #RestorativeDentistry #Veneer #DrKaylaTeh #Clinic