Two discolored central incisors: full direct composite rebuild with the Bioclear method
Two central incisors with old, discolored restorations. We removed the old work and rebuilt both teeth with direct composite using Bioclear matrices, then shaped and polished them to blend with the neighboring teeth, in one visit and without cutting the teeth down.
The start
Both central incisors had old restorations that had become discolored, with outlines that no longer matched the neighboring teeth.
Treatment
- We removed the old fillings and decay under full rubber-dam isolation.
- The surfaces were cleaned carefully before bonding; this step is what makes a restoration last for years.
- Clear Bioclear matrices, which give the tooth its natural shape from the gumline, were placed and both teeth were rebuilt with injected composite.
- We then shaped the edges and the light-reflecting surface lines, and polished in stages to a natural enamel luster.
Result
Two centrals that match the rest of the smile in shape and color, with no drilling down of the teeth and no crowns.
The message
A good esthetic restoration is not just a filling but a rebuild of the tooth: emergence from the gum, edges and luster. Each of these takes time and precision.
Clinical details for dentists
1 Before: old discolored restorations on both centrals 
2 Old restorations and decay removed 
3 Isolation and caries check 
4 Bioclear anterior matrices in place 
5 Matrix and wedges for the second central 
6 Both centrals rebuilt with injected composite 
7 Marking the outline and surface lines 
8 Contouring and finishing 
9 Polished, still under isolation 
10 Final result 
11 Side view: contour and luster 12 Final close-up
Case summary
Two central incisors with failing, discolored composite restorations.
Protocol
- Rubber-dam isolation; removal of old composite and caries; caries-disclosing check.
- Surface cleaning (blasting) before adhesion.
- Bioclear anterior matrices with wedging; injection-molding technique.
- Finishing: outline and surface texture marked, contoured with discs, multi-step polishing.
Take-home message
Anatomic matrices plus disciplined finishing and polishing give predictable direct anterior results.
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