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When we finish the subgingival preparation, one unpleasant situation is to touch the gingiva and proceed with less visibility due to the bleeding.

There are multiple ways to protect the gingiva.
One way is to push the parodontium with an instrument during the finishing procedure. In this case I use the second cord before the impression teflon tape. With teflon tape in place it is possible to do the final finishing procedure with less risk of touching the gingiva and with no risk of removing the cord.

Have you tried this technique?

Most cases in my practice involve post-orthodontic composite restorations in adults. These may include minor occlusal adjustments, esthetic refinements, or subtle shape modifications to achieve better biological integration.

In this particular case, the main objectives were proximal closure and slight modification of the incisal margins. My workflow always starts with the proximal areas and finishes with the incisal margins.

The key instruments and materials used were:
• Sandblasting
• Flowable composite
• Enamel composite

In the end, small adjustments, but a clearly visible outcome.

Full arch rehabilitation with direct composite.
Based on wax-up the lab we have done printed keys for posterior and silicon keys for anterior. Everything done with packable composite.

Thanks Dr Pop Thomas for design and support.

What do you think?

Merry Christmas!

🎁 Giveaway Alert!

The E-Shape project is coming to an end, and this is the last KIT available — which we want to give away to one of you!

How to enter:
1️⃣ Follow and pages
2️⃣ Like ❤️ this post
3️⃣ Tag a fellow dentist who’s passionate about aesthetic restorations

🗓️ The giveaway is open until November 11, and the winner will be randomly selected and announced on November 12.

Good luck — and thank you for being part of the E-Shape project!

One of our main concerns when reconstructing the anterior zone with composite is achieving integration with the tooth structure. Using a bevel in certain cases can help create a smoother transition between the material and the tooth. However, while it’s necessary in some situations, in others it may not be needed.

For example - in class 3 reconstruction if the destruction goes BEYOND the transition line, a bevel can be helpful.

What other approaches do you use to mask the color transition?

Diastema closure can be a challenging procedure because we typically face two main issues:
1. Deciding how to distribute the space between the teeth—symmetrically or not
2. Restoring the entire proximal area, from the gingival to the incisal embrasure

In my experience, when the space between the anterior teeth is less than 1.5 mm, I can restore only the proximal area with composite, without significantly altering the tooth’s esthetic proportions—it doesn’t appear too wide.

However, when the space is greater than 1.5 mm, I usually need to add material to the buccal surface as well, in order to reposition the transition lines. In these cases, the restoration essentially becomes a composite veneer.

I found composite veneers to be more relaxing and less invasive when treating patients with wears and erosions.

Posterior reconstruction with new Tetric Plus

Proximal reconstruction with metal adjusted matrices are helping me to view better the final volume of the veneer. And if I place all of them at the same time it is even better for previsualisation.

So I reconstruct one proximal surface, remove one matrix, then second, remove the second and so on, also to have a nice contact point.

Full digital ceramic. No layering.