I decided to mill this instead of building it up by hand for this young woman. It milled in 6 min and then I added color tints and a thin layer of microfill of the top to seal in the color tints.
This was one of those cases that was just fun for me to do ;) I might have gone a little intense with my translucency stain but overall I think it blended pretty well. She was really excited to not have the dark tooth anymore. Just something a little different!
Looks Awesome Kristine!
I have been doing these since I first did one 3 years ago on a lower incisor (incisal 1/3). Still holding on after 3 years when a number of resin build ups failed.
It didn't look as good as yours does though.
On 11/15/2018 at 12:44 pm, Eric Prouty said...
Very nice Kris, but how retentive will it be? Would not the size of the fracture warrant a crown?
Hey Eric, So I heard about this from Shawn Sharp (aka Sharpie). He has a pedo doc in his office and they do this all the time for kiddos to be conservative and they rarely have problems with the retentiveness. I wouldn't imagine it would be much different than regular composite.
If this was an adult, yes, I think it would warrant a crown and would have no problems putting a crown on this. On a kiddo, I want to keep as much tooth structure for as long as possible. If she keeps knocking it off, then yes, I'll switch to a crown.
On 11/15/2018 at 12:46 pm, Gary Templeman said... Curious, did your thin layer of composite go beyond the prepped margin in order to help blend the transition zone?
Yes I did. That was actually a decision on material choice. Composite is easy to repair and because she is so young, I wanted that option. If it was e.max I would have a harder time with that super thin margin and then if there was ever a gap over time I think it would be more difficult to restore. With Cerasmart I can bond composite over the top. I also had this theory in my head that if I went beyond the prepped margin it would help with retentiveness. This is purely made up in my head, but it sounded good ;)