In the search of a more conservative, affordable and aesthetic approach, direct composite restorations are the most common choice. However, achieving success in a timely manner remains a challenge.
Reproducing nature and achieving the right balance of shade and opacity are within some of the main challenges. The variables that affect the perception of shade and opacity are multiple, including the lighting of the environment, enamel texture and thickness, and the dentin anatomy underneath it.
However, new generations of composites allow us to achieve optimal results with a single shade, utilizing an intermediary level of opacity that offers a "chameleon effect" to the restoration.
The following clinical case study shows the use of a new composite material with an intuitive shade system (FORMA, Ultradent Products) that takes the guesswork out of shade selection and increases predictability.
The Body shade of the FORMA restorative material* has a level of translucency between Dentin and Enamel.
The excellent chameleon properties of these shades allow the dentist to strike an ideal blend between the aesthetics of the direct restoration and the dental substrates. The system also offers the option to combine dentin, enamel and effect shades for more complex procedures.
Moreover, the inclusion of zirconia nanoparticles in its formulation gives FORMA excellent mechanical properties, optimal handling and a long-lasting shine.
Dr. Rony Rivera received his degree in Dental Surgery in 1990 from the Evangelical University of El Salvador, with a specialization in Aesthetic and Restorative Dentistry. He is a Professor at this institution and coordinates the program on Operative and Aesthetic Dentistry. He maintains a private practice exclusive to aesthetic and restorative dentistry. Dr Rivera can be contacted by email at rony.esteticadental@gmail.com.
*FORMA restorative material is available in select markets internationally. Please check with your regional Ultradent distributor