Creating esthetic composite restorations.

The purpose of this article is to describe a fabrication technique to assist dental technicians creating esthetic indirect composite restorations. After the teeth have been prepared and the models completed, the technician can begin the fabrication process. Translucent dentin is selected to reduce opacity and enhance the blend with the remaining dentition. High chroma modifiers can then be placed into the fossa area to replicate dentin seen in natural dentition. Different incisal materials can then be layered into the build-up to regulate the value of the restoration. Special effects such as hypocalcification are placed internally to mimic naturally occurring esthetics. Realistic anatomy is created using a small-tipped instrument directly into the final layer of uncured enamel material. Fissure characterization is placed in the restoration to match existing dentition. Fit and margins are verified on separate dies to minimize discrepancies. Path of insertion and proximal contacts are established on a solid model to minimize chairside adjustments.