Page 28 - DP Vol 22 No 1

AESTHETICS

ADHESIVE-DENTISTRY-SYMPOSIUM

CASES FROM THE BIG SCREEN:

CLASS IV COMPOSITE RESTORATIONS

Vishal Gupta

CASE PRESENTATION blend the restoration seamlessly with the natural tooth.
Class IV composite restorations (anterior incisal edge/angle fractures)
are one of the most challenging anterior restorations. When restoring This a case of 14-year-old boy, who reported with a class IV fracture
such defects, the focus is primarily on achieving natural shape, color, of 21, left central incisor. The tooth was vital, mildly sensitive to cold
and texture, creating realistic morphology/anatomy. with no pulp involvement. It was decided to restore the tooth with
Success hinges on techniques like layering shades, using specific direct composite adhesive restoration following the minimal invasive
matrices (like Mylar or custom-made) to build a strong palatal shell, additive protocol. The details of steps and protocol followed to restore
careful layering/contouring, and meticulous finishing/polishing to such defects with predictability are illustrated as under. n

Fig 1: Pre-operative frontal view Fig 2: Pre-operative right lateral view Fig 3: Pre-operative left lateral view

Fig 4: Pre-operative incisal view Fig 5: Dentin shade selection - customised Fig 6: Dentin opacity confirmation in polarised
shade tab view

Fig 7: Customised enamel shell and dentin Fig 8: Mock up on the stone model to create a Fig 9: Putty index fabricated on the mock up
shade confirmation palatal shell model

28 Dental Practice I January-February 2026 I Vol 22 No 1