The 'marginal ridge sculpture' technique for anterior composite veneers. Clinical application in generalized diastemas.

Abstract

Aim: The objective of the present study was to close multiple diastemas. This presents a significant challenge for clinicians, given the esthetic considerations and the need for precise replication of various types of tooth tissue. While direct composite resin layering is a demanding technique, it proves to be a viable approach for reshaping tooth anatomy. This article outlines a sculpting technique designed for anterior composite veneers, emphasizing the importance of marginal ridge reconstruction preceding the enamel buccal increment.

Clinical considerations: This report details the clos-ure of multiple diastemas using direct composite resin without any tooth preparation, focusing on extending the lingual shell composite resin layering and subsequently sculpting marginal ridges. A mylar strip was employed to aid in accommodating the composite resin along the length of the marginal ridge. Rubber dam isolation was used, secured with dental floss ties. The final esthetic outcome was achieved through meticulous finishing and polishing procedures.

Conclusions: The technique, centered on marginal ridge reconstruction, streamlines the stratification process and significantly reduces the time required for finishing and polishing. While mastering the technique demands practice, its application contributes substantially to achieving both esthetic and functional success, enhancing contact points to avoid gingival inflammation in anterior restorations.