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Double-Stamp Technique With Internal Resin Staining for Enhanced Esthetic Outcomes
Ronaldo Hirata1, Rafaelly Cubas Camargo2, Pedro Hideki Hiromoto2
1Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, New York, USA.
Objective:
To describe a fully digital restorative protocol that combines a 3D-printed stamp guide relined with transparent silicone, a controlled cut-back, and internal resin staining to enhance the esthetic integration of direct anterior composite restorations.
Clinical Considerations:
This approach enables enhanced esthetic characterization of direct anterior restorations while maintaining the predictability and minimally invasive nature of guided digital techniques.
Conclusion:
The double-stamp technique integrates digital planning and guided anatomy transfer with controlled cut-back and internal staining, enabling polychromatic, natural-appearing anterior direct restorations without sacrificing the efficiency and predictability of stamp-based workflows.
Clinical Significance:
By combining a silicone-relined 3D-printed stamp guide with internal optical characterization and a second stamping step, this technique addresses common limitations of guided injectable/stamp restorations-guide-to-composite sticking and monochromatic outcomes-while maintaining a minimally invasive, reproducible approach for highly-esthetic anterior cases.
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