PMC4736806_01
Preoperative extraoral view of the patient with aesthetic problems due to the tongue thrust.
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Patient's medical history did not reveal any systemic diseases and intraoral examination revealed presence of midline spacing between maxillary central incisors (~4 mm) due to tongue thrust parafunction (Figure 1).
Preoperative intraoral view of the patient and the midline diastema.
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No preparations were performed before the restoration procedure (Figure 2).
Maxillary anterior teeth were isolated with rubber dam and the central incisors were retracted with retraction cord. No preparations were achieved.
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All maxillary incisors were isolated with rubber dam (Kerr, USA) and the central incisors were retracted by using retraction cord (Figure 3).
The adjacent central incisor was covered with Teflon band while the other was restored. A thin layer of JE shade transparent composite resin was used palatinally as enamel.
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A thin layer of JE shade transparent composite resin was used palatinally as enamel (Figure 4).
A thin layer of BW shade opaque composite resin was placed roughly as the second layer.
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A thin layer of BW shade opaque composite resin was placed roughly as second layer (Figure 5).
A1 shade composite resin was used as dentin layer and a thin layer of JE shade was used as the top enamel layer. Labial surfaces of the restorations were flattened by using a red banded knife-edge tip diamond bur.
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Labial surfaces of the restorations were flattened by using a red banded knife-edge tip diamond bur (Acurata, Germany) (Figure 6).
Polishing discs were used for detailed polishing from rough to fine grit.
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Polishing discs (Ultra Gloss Composite Polishing System, Axis, USA) were used for detailed polishing from rough to fine grains by using a low speed handpiece (DURAtec 2068D, Germany) (Figures 7 and 8).
Postoperative view of the restorations just after removal of the rubber dam and the retraction cords.
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fig8
Polishing discs (Ultra Gloss Composite Polishing System, Axis, USA) were used for detailed polishing from rough to fine grains by using a low speed handpiece (DURAtec 2068D, Germany) (Figures 7 and 8).
The view of the restorations at one-year recall.
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At one-year recall no sensitivities, discolorations, or fractures were detected on the teeth and the restorations (Figure 9).