TWO WAYS JASON SMITHSON BDS DIP REST DENT RCS (ENG)

! Juttes Pallipatt likes Triple O Dental Laboratories.

Designer Shoes on Gilt™gilt.com

Get in Style for Spring!Shop Gilt & Save up to60%

Your First Year On Usamericanexpress.com

With the Amex GoldCard Earn 20,000 Points& Receive rewards ontravel

Are you an online seller?

Get up to £40,000 inless than 10 minutes togrow your online

4:46amJason Smithson

Thank you very much....may I use it in a lecture?...with credit

to you obviously

BTW...let Ed know I am sitting in on his lecture on

thursday.....I am an opinion leader with Hereaus

5:01amJohan Figueira

o yeah..u can use it!

Write a reply...

Like

HELLO HELLOHELLO HELLO

Image courtesy Ed MacLaren and Johan Figueira

This presentation is SPONSORED by COSMEDENT

In the past I have received financial compensation from GC, Carl-Zeiss Meditec, Ivoclar-Vivadent,

Kerr, Triodent, Hereaus-Kulzer, Addent, NuView, Clinicians Choice, NSK and Velopex

All of the cases are carried out on fee paying patients in a private office within normal treatment time frames

There is no use of photoshop other than “Straighten”|”Crop”|”Exposure Adjustment”

The cases are all my own other than where credited

Please feel free to photgraph|record for your personal use

DENTIST

The role of translucency

The CLASS IV (natural layer ing)

The CLASS IV (s impl if ied approach)

“Masquerade” Francesco Sambo

The role of translucency

The CLASS IV (natural layer ing)

The CLASS IV (s impl if ied approach)

“Masquerade” Francesco Sambo

Adj Adj

Adj � � � � � � � � � � � � � � � � � � �

� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �

� � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � �

The role of translucency

The CLASS IV (natural layer ing)

The CLASS IV (s impl if ied approach)

“Masquerade” Francesco Sambo

TYPODONTTYPODONTT

PALATAL

STENT

!

RETRACTABLE CARPET KNIFE

IN LONG AXIS OF TOOTH

BUCCAL ASPECT OF INCISAL EDGE

How much resin to apply to stent

TOO MUCH-OVERHANGS|FINISHING ISSUES

TOO LITTLE-VOIDS AND FRACTURE

PROBLEM

How much resin to apply to stent

TOO MUCH-OVERHANGS|FINISHING ISSUES

TOO LITTLE-VOIDS AND FRACTURE

PROBLEM

Inter-Proximal Carver Long (IPCL)

Fill to 2mm apical to marked line

Rubber Dam

PTFE (Teflon Tape)

The role of translucency

The CLASS IV (natural layer ing)

The CLASS IV (s impl if ied approach)

“Masquerade” Francesco Sambo

BBA|IPCL|Almore Microfill Multipurpose No 3 Brush|Brush & Sculpt

Brush

Modelling Resin (BRUSH&SCULPT)

IPCL

Allows easy use of mylar strips

!!

"#$%&'(#!"!!!"##$%&'()*+,-+./0#)"#./')"#.0+"&1+'.2)

)&)3#4)0+)&'0#"/+")&#.0%#1*.)

!)*+,-!).*/0"01-/,2!+.2-3.-!".1-!4!5667!4!!!"4!!!!!!!!57897!!

No Water Avoid Tooth Structure

Flexidisc (Cosmedent)

Medium Grit Flame Diamond

1.5 Speed Increasing handpiece (NSK)

No3 Brush

Modelling Resin

0.7MMVARIABLE DEPENDENT ON OPTICAL

PROPERTIES OF RESIN MASS

SUPERBRITE| MILKY WHITE OCCLUSAL

TINT APPROACH Creative Color White|Honey Yellow

MICROHYBRID

CONSIDER OPAQUER (CREATIVE COLOR)

EXTEND TO FRACTURE|PREPARATION LINE

NANO OR MICROFILL|EXTEND OVER ENAMEL MARGIN|MAMMELON EFFECTS WITH POCS & ASH 6

FULL CONTOUR IN MID-THIRD|UNDERCONTOURED IN INCISAL THIRD

Highly translucent enamel mass

Blue/Grey/Yellow/Amber Hue ROLL (Occlusal Clear Microhybrid)

APPLY IPCL|MULTIPURPOSE

ADAPT NO3 BRUSH& MODELLING RESIN

EXCESS TOWARDS INCISAL

OXYGONE|GLYCERIN|KY JELLY

60 SECONDS

#$%&#'"()"*(+'(,-"

'5))))-($!:#;$!$;'#<':#;=!>!%??%(!?<!?%($<!

&%<@'%@<$!>%!#%&!=<$>%$&%!A@:=$!?<!B#>C$%$<!

D#%(!<$&E$'%!%?!>!&$:$'%$B!E>%(!?F!#;&$<G?;! Flexi-Discs Backhand

FLEXIDISC BACK-HANDPENCIL LINES

!"#$%$&#'()*+$ !"#$%$&#'()*+$REFERRED CASE | TOO WIDE | BULKY | DEAD LOOKING

!"#$%$&#'()*+$VISIBLE MARGINS | MI ANGLE | MESIAL LINE ANGLE | INCISAL OPALESCENCE !"#$%$&#'()*+$

%,) -*.#$("/"0)*/12$Jean-Luc Godard, 1930-Present, Actor and Director

SURFACE T OP OGRAPH Y

Lobes

Perikymata (Imbrication Lines of Pickerill)

Lamellae/Cracks

Wear

BURR (FINE DIAMOND|CARBIDE) 1.5 SPEED INCREASING HANDPIECE

SHARPER CERVICALLY & WIDER INCISALLY (SWING BURR) SMOOTH (FIGURE OF EIGHT MOTIONS)

!

!

!

RUBBER POINTS (FLEXIPOINT)

HORIZONTAL NOT VERTICAL

FLEXIBUFFENAMELIZE

PROGRESSIVELY HIGH SPEED

LIGHT TOUCH

Natural Layering Natural Layering

POST ORTHO WEAR 1.1

WEAR 1.3|2.3

FAILING RESIN|DIASTEMA 2.2M ISSUES

PARTICLE ABRASION BEVEL

ISOLATION

Incisal Light

Incisal Medium

Milky White Occlusal

MicrohybridVita A Shade

OPALESCENCE Occlusal Clear

HYPOCALCIFICATIONS Creative Color White ENAMEL

Microfill

Incisal Light|Medium

Superbrites

(2 Week Control)

The role of translucency

The CLASS IV (natural layer ing)

The CLASS IV (s impl if ied approach)

“Masquerade” Francesco Sambo

!!

A simpler approach

CONCEPT:Reduced number of shades

Effects created with aid of tints

ADVANTAGES:Reduced Armamentarium

Time Saving

Operator Ease

APPLICATIONS:Budget Cases

Multiple Veneers Transition Phase of FMR

(Anterior Guidance|OVD verification)

Palatal chamfer

Facial Bevel

Rounded Line Angles

*Often incisal reduction is unnecessary!

!

Chromatic microhybrid*consider opaque (Creative Color)

Chromatic Enamel

Microfill (Renamel)

Extend beyond margin

Smooth Finish

Bevel incisally

Opalescence Effects

50:50 Violet/Grey mix (Corky Willhite)

Size 1 brush + Modelling resin

Sparing

White|Amber|Combination Halo Number 1 brush

Vertical White Striations *Optional

Thin with Dry Brush

Thin layer of high translucence

microfill (IL or SB)

Covers effects only

minimal preparation vision enhanced gingival retraction hydroabrasion electric handpiece

Incisor fracture

Fix NOW Limited appointment

time (40 mins)

Isolate Bevel

Particle Abrasion Finger “Stent” Microhybrid

Microfill(Chromatic)

TintsDARK BROWN

WHITE

VIOLET|GREY

Microfill (Achromatic)

Final(40 Mins)

“Masquerade” Francesco Sambo

natural layering

simplified layering

opaque dentin (microhybrid)

translucent enamel (microfill)

vision enhanced finishing