Picture 1: Initial situation. A patient was referred after orthodontic treatment to close the distances between the teeth.
Picture 2: 3 months after removing the brackets. This period of wait was needed for the soft tissues to recover after the orthodontic treatment. During this period a home bleaching with 10 % carbamide peroxide was performed. Teeth bleaching is a minimal invasive procedure, it enhances the aesthetic appearance of the teeth and facilitates the shade selection also. It is always easier to mach the colour when the teeth are whiter.
Picture 3: The rubber dam isolation is essential in closing distances with direct composite. It preserves from contamination, but also retracts the soft tissues and to exposes the teeth structures covered with gingiva. This allows new emergence profiles to be created.
Picture 4: Enamel shade bleach XL Empress Direct by Ivoclar Vivadent is applied on the labial surface of the central incisors.
Picture 5: The composite layers change the shape of the teeth and close the distance at the same time.
Picture 6: Incisal view. The visual perception of the teeth shape Is crated by the labial composite layers.
Picture 7: The matrices are supported by the labial composite layers.
Picture 8: Applying the composite against the matrices. Empress Direct Enamel Bleach XL.
Picture 9: The same protocol is performed for the laterals.
Picture 10: Final polishing. OptraGloss by Ivoclar Vivadent.
Picture 11: The final result. One she one opacity Empress Direct Enamel Bleach XL.
Picture 12: The composite transition.
Picture 13: The composite transition at the palatal aspect.
Picture 14: Before and after.
