Manu Rathee*, Mohaneesh Bhoria and Madhuri Dua
Department of Prosthodontics, Post Graduate Institute of Dental Sciences, Pt. B.D Sharma University of Health Sciences, Rohtak, Haryana, India
Received: 28 September, 2015; Accepted: 15 October, 2015; Published: 19 October, 2015
Dr, Manu Rathee (M.D.S), Senior Professor and Head, Department of Prosthodontics, Post Graduate Institute of Dental, Sciences, Pt. B.D Sharma University of Health Sciences, Rohtak, Haryana, India. E-mail:
Rathee M, Bhoria M, Dua M (2015) Direct Composite Laminates - A Case Report. J Dent Probl Solut 2(3): 041-43. 10.17352/2394-8418.000016
© 2015 Rathee M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Composite Restorations; Dental Aesthetic; Discoloration; Laminate
Rehabilitation of lost dental aesthetic is one of the most important concerns for contemporary dentistry. Conservative treatment modality along with aesthetic approaches, such as direct and indirect laminate veneer restorations were the treatment of choice. Laminate veneers are restorations to correct aesthetic deficiencies and discolorations. Direct laminate veneers involve the application of a composite material directly to the prepared tooth surface. This case report discusses the composite mirroring using direct composite laminate veneer technique application to the re-established the aesthetic problems related to discolorations in anterior region.
With the advancement in dentistry, various materials and methods were introduced with aims to achieve aesthetics and successful dental rehabilitation with minimal invasiveness. Among these material, composites are the most dynamic restorative material, especially for the aesthetic dentistry. The aesthetic dentist uses composite in a mirage of indications and techniques. Its uses includes as direct and indirect restorative material on anterior and posterior teeth, correction of erosive and abfraction lesions, bases, liners, core build-ups and post and cores, mock-up for anterior aesthetic or posterior occlusal trial therapy, splinting, provisionalization, gingival stabilization .
Direct laminate veneer technique has been developed for advanced aesthetic problems of anterior teeth. When considering the direct anterior restoration in composite, one need to understand natural tooth structure in colour, form, and function, then composite mirroring becomes the objective. Composite mirroring is the replacement of teeth with minimal or no additional removal of the intact, health dentition to normal form and function with tooth-coloured material. Tooth discolorations, coronal fractures, congenital or acquired malformations, diastemas, discoloured restorations, abrasions and erosions are the main indications . With this approach, the restorative dentist must indulge the optical, anatomic, and functional characteristics of natural teeth. In this case report, composite mirroring direct laminate veneer technique, used for the rehabilitation of aesthetic problems related to discolorations due to intrinsic staining.
A 24-year-old female, presented with aesthetic complaints due to intrinsic stains on maxillary anterior dentition (Figure 1). She reported previous bleaching treatment with mild resolution of stain. Oral examination revealed mild fluorosis staining, rotation of tooth #22 and the rest of teeth structures were adequate for composite laminate (Figure 2). Direct composite restorations were considered treatment of choice due to financial constraint and immediate restoration of problem. Teeth #12 to #22 were also included in the treatment plan due to discolorations and correction of mild rotation to achieve better aesthetic results.