10/26/2017

1

COMPOSITE ARTISTRYWorkshop

COMPOSITE ARTISTRYWorkshop

, DDS, FACD, FAGD, FAACD

10/26/2017

2

COMPOSITE ARTISTRY

and Practice.that takes Studyis a learned skill

High Value - Bright

Low Value - Dark

Incisals and Necks off

Value

Hue

Chroma

With permission AACD 2011

10/26/2017

3

Objective: Replace missing

tooth structure with artificialmaterials that appear natural.

Dentin:1. Is Opaque

Enamel:1. Is translucent

2. Is the window through which the color of the tooth is seen

2. Gives the basic color to the tooth

With permission: Prof. Larry Walsh, U. of Queensla nd

10/26/2017

4

2. A layered placement technique to achieve polyc hroma

1. Naturally Shaded Composite System:Shades, Opacity and Fluorescence of DENTIN,as well asthe Shades, Translucency and Opalescence of ENAMEL.

(Trans Enamel)

(Enamel)

(Dentin)

Semi-translucent

Translucent

Opaque Dentin

10/26/2017

5

Renamel (Cosmedent)

Esthet•X (Dentsply)

Point 4 (Kerr)

Vit-l-escence (Ultradent)

Venus (Kulzer)

Filtek Supreme (3M/Espe)

4 Seasons (Ivoclar)

Clearfill Majesty Premium (Kuraray)

Estelite Omega (Tokuyama)

mpr ss ® Direct sth ticE e

The esthetics of a ceramic with the convenience of a composite

Direct Esthetic Composite

IPSE e

10/26/2017

6

10/26/2017

7

Translucent Enamels

Trans 30 (Clear)Trans 20Opalescent

Dentins

A1A2A3A3.5A4A5A6B1B2C3D2

Bleach LBleach XL

Enamels

A1 C1A2 C2A3 C3A3.5 D2A4 D3B1 L (Bleach Light)B2 XL (Extra Light)B3B4

3228

10/26/2017

8

May 2011 #224Dr. Michael Miller, Editor

Bottom Line:

“Could be the best product in this category when pur e esthetics is concerned.”

- Awesome Shades

- Terrific Polish

Clinicians Report, April 2014 Vol. 7 Issue 4

“Empress Direct would serve best as an anterior rest orative with its beautiful colors and smooth surface.”

Exact Shades

Consistent opacities in narrow range

Intuitive Application (no formulas)

Sculptable-non-Slump

Broad shade range including Bleach shades

High polish – easy to obtain and stays

10/26/2017

9

- Conservative

- Versatile

- Underutilized

14 year old Female

10/26/2017

10

10/26/2017

11

“Nip and Tuck”

1. #7 & #9 dark and retruded

2. Ragged incisal edges

Diode Laser

55 year old Female

10/26/2017

12

66 year old female

40 year old Female15 year old Composite veneers

- 8 Empress Direct VeneersBleach L DentinBleach L EnamelBlue TintOpalescent

10/26/2017

13

15 year old Female

- Diode Laser Tissue Lift- 6 Empress Direct Veneers

B1 DentinB1 EnamelBlue TintOpalescent

10/26/2017

14

20 year old

10/26/2017

15

Enamel

Dentin

after Dr. D. Dietschi

10/26/2017

16

Enamel

10/26/2017

17

10/26/2017

18

High ShineAstroBrush (Ivoclar)

Gross Finish & Contour

Fine Finish & Polish

High ShineDiacomp Featherlite (Brasseler)

ASAP (Clinician’s Choice)

10/26/2017

19

“ “A Smile costs nothing, but gives much..”

- Dale Carnegie

10/26/2017

20

Short of contact

10/26/2017

21

Diamond Aluminum Oxide

10/26/2017

22