Usage of the silicone key for an as accurate aesthetic restoration

Abstract

Intoduction: The present study discusses the most efficient restoration methods in the frontal area, as well as the distribution of their application according to age and sex. Objectives of the study: The objective of the study, after establishing the incidence of aesthetic restorations through physiognomic obturations as the main method applied for the preservation of the teeth with aesthetic value according to age and sex, was to settle, starting from clinical data and radio-graphic images, a most adequate therapeutical scheme Materials and methods: The study was performed on a group of patients with ages between 14­ 66 years, the working method including usage of the silicone key for an as accurate as possible dental morphology permitting the application of layered obturation, capable of reproducing most correctly the “natural” aspect of the tooth under discussion, comparatively with the classical methods of composite obturation by monoblock or sandwich techniques. Results: Application of the technique of composite layering may solve the aesthetic defetcs that may occur in the restoration of teeth having an aesthetic value. Restoration of the physiognomic function will be completely established especially when applying the principle of a minimum invasive therapy, assuming conservation, as much as possible, of the natural tissues present in any type of restoration, along with implicitly satisfying high aesthetic qualities, once known that no obturation material is aesthetically better than the natural tooth structure Conclusions: Consequently, layered stratification is viewed as an extermely valuable procedure for the recovery of the aesthetic function, as it succeeds, to a considerable extent, to reproduce layering of the components present in a natural integral tooth, which necessarily requires conservation of the components of enamel margin-type in the vicinity of the lesion because, even at minimum sizes, the margin of the obturation should become invisible. The indications for a direct therapeutical selection should always consider the individual decision of the patient, his medical, cosmetic and economic requirements and expectations.