Polychromatic Restoration of Anterior Fractured Teeth Using a Custom-made Silicone Matrix

Area of Science:

• Dentistry
• Restorative Dentistry
• Dental Materials

Background:

• Silicone guide matrices from diagnostic wax-ups are recommended for resin composite restorations of anterior teeth, aiding layering and efficiency.
• This technique is especially beneficial for polychromatic layering and multiple anterior tooth restorations.
• However, immediate restoration is often needed for fractured anterior teeth, making traditional waxing impractical.

Observation:

• A modified technique for creating a custom silicone guide matrix directly from a patient's fractured tooth is proposed.
• This approach eliminates the need for a preliminary impression and waxing procedure.
• The technique was applied to restore two fractured central incisors in a young patient.

Findings:

• The custom silicone matrix, derived from the fractured tooth itself, simplifies the restorative process.
• This method allows for efficient and esthetic restoration of anterior teeth in emergency situations.
• The technique proved effective in a clinical case involving traumatic dental injuries.

Implications:

• This modified technique offers a valuable alternative for immediate anterior tooth restoration using resin composites.
• It streamlines the workflow for dentists treating patients with fractured anterior teeth.
• The approach enhances patient satisfaction by providing rapid esthetic solutions.