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Jason Smithson 4:46am
Thank you very much....may I use it in a lecture?...with credit
to you obviously Your First Year On Us

JASON SMITHSON BDS DIP REST DENT RCS (ENG)

BTW...let Ed know I am sitting in on his lecture on
thursday.....I am an opinion leader with Hereaus
americanexpress.com

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Johan Figueira 5:01am
o yeah..u can use it!
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This presentation is SPONSORED by COSMEDENT

In the past I have received financial compensation from GC, Carl-Zeiss Meditec, Ivoclar-Vivadent,

DENTIST
Kerr, Triodent, Hereaus-Kulzer, Addent, NuView, Clinicians Choice, NSK and Velopex

All of the cases are carried out on fee paying patients in a private office
within normal treatment time frames

There is no use of photoshop other than Straighten|Crop|Exposure Adjustment

The cases are all my own other than where credited

Please feel free to photgraph|record for your personal use

 The role of translucency The role of translucency

The CLASS IV (natural layering) The CLASS IV (natural layering)

The CLASS IV (simplified approach) The CLASS IV (simplified approach)

Masquerade Francesco Sambo Masquerade Francesco Sambo

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 The role of translucency

The CLASS IV (natural layering)

The CLASS IV (simplified approach)

Masquerade Francesco Sambo

 T
TYPODONT
PALATAL
STENT


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3'/0'+%
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1-
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RETRACTABLE CARPET KNIFE

IN LONG AXIS OF TOOTH
BUCCAL ASPECT OF INCISAL EDGE
 How much resin to
apply to stent
TOO MUCH-OVERHANGS|FINISHING ISSUES
TOO LITTLE-VOIDS AND FRACTURE

PROBLEM

How much resin to

Inter-Proximal Carver Long (IPCL)
apply to stent
TOO MUCH-OVERHANGS|FINISHING ISSUES
TOO LITTLE-VOIDS AND FRACTURE

PROBLEM

Rubber Dam
Fill to 2mm apical
to marked line PTFE (Teflon Tape)
 The role of translucency BBA|IPCL|Almore Microfill Multipurpose No 3 Brush|Brush & Sculpt

The CLASS IV (natural layering)

The CLASS IV (simplified approach)

Masquerade Francesco Sambo

Brush

Modelling Resin
(BRUSH&SCULPT)

IPCL

Allows easy use

of mylar strips
 !
!
No Water
"#$%&'(#!"! Avoid Tooth Structure
!!"##$%&'()*+,-+./0#)"#./')"#.0+"&1+'.2) Flexidisc (Cosmedent)
)&)3#4)0+)&'0#"/+")&#.0%#1*.)
!)*+,-!).*/0"01-/,2!+.2-3.-!".1-!4!5667!4!!!"4!!!!!57897 Medium Grit Flame Diamond
! 1.5 Speed Increasing handpiece (NSK)
!
 No3 Brush
Modelling Resin

0.7MM
VARIABLE DEPENDENT ON OPTICAL
PROPERTIES OF RESIN MASS

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&'!(+#//
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SUPERBRITE| MILKY WHITE OCCLUSAL

TINT APPROACH
Creative Color White|Honey Yellow

MICROHYBRID
CONSIDER OPAQUER (CREATIVE COLOR)
EXTEND TO FRACTURE|PREPARATION LINE
 NANO OR MICROFILL|EXTEND OVER ENAMEL MARGIN|MAMMELON EFFECTS WITH POCS & ASH 6

FULL CONTOUR IN MID-THIRD|UNDERCONTOURED IN INCISAL THIRD

Highly translucent enamel mass

Blue/Grey/Yellow/Amber Hue ROLL
(Occlusal Clear Microhybrid)
APPLY IPCL|MULTIPURPOSE
 ADAPT NO3 BRUSH&
MODELLING RESIN

EXCESS TOWARDS INCISAL

OXYGONE|GLYCERIN|KY JELLY
60 SECONDS
#$%&#'"()"*(+'(,-"
'5))))-($!:#;$!$;'#<':#;=!>!%??%(!?<!?%($<!
&%<@'%@<$!>%!#%&!=<$>%$&%!A@:=$!?<!B#>C$%$<!
D#%(!<$&E$'%!%?!>!&$:$'%$B!E>%(!?F!#;&$<G?;! Flexi-Discs
Backhand

FLEXIDISC
BACK-HAND
PENCIL LINES
 !"#$%$&#'()*+$ REFERRED CASE | TOO WIDE | BULKY | DEAD LOOKING !"#$%$&#'()*+$

VISIBLE MARGINS | MI ANGLE | MESIAL LINE ANGLE | INCISAL OPALESCENCE !"#$%$&#'()*+$ !"#$%$&#'()*+$

Jean-Luc Godard, 1930-Present, Actor and Director

%,) -*.#$("/"0)*/12$
 Lobes
Perikymata (Imbrication Lines of Pickerill)
Lamellae/Cracks
Wear

S URFACE T OP OGRAPH Y

BURR (FINE DIAMOND|CARBIDE)

1.5 SPEED INCREASING HANDPIECE
SHARPER CERVICALLY & WIDER INCISALLY (SWING BURR)
SMOOTH (FIGURE OF EIGHT MOTIONS)
!
!
!

RUBBER POINTS (FLEXIPOINT)

HORIZONTAL NOT VERTICAL

FLEXIBUFF
ENAMELIZE
PROGRESSIVELY HIGH SPEED
LIGHT TOUCH
Natural Layering Natural Layering

POST ORTHO PARTICLE ABRASION

WEAR 1.1 BEVEL
ISSUES WEAR 1.3|2.3
FAILING RESIN|DIASTEMA 2.2M
ISOLATION

Incisal Light
Incisal Medium
Milky White Occlusal
 Microhybrid OPALESCENCE
Vita A Shade Occlusal Clear

HYPOCALCIFICATIONS
Creative Color White ENAMEL
Microfill
Incisal Light|Medium
Superbrites
 (2 Week Control)

The role of translucency

The CLASS IV (natural layering)

The CLASS IV (simplified approach)

Masquerade Francesco Sambo

!!

A simpler approach
 CONCEPT: ADVANTAGES:
Reduced number of shades Reduced Armamentarium
Effects created with aid of tints Time Saving
Operator Ease

Palatal chamfer
Facial Bevel
Rounded Line Angles
APPLICATIONS:
Budget Cases
Multiple Veneers
*Often incisal reduction is unnecessary!
Transition Phase of FMR
(Anterior Guidance|OVD verification)
!

Chromatic microhybrid
*consider opaque (Creative Color)
Chromatic Enamel Opalescence Effects
Microfill (Renamel) 50:50 Violet/Grey mix (Corky Willhite)
Extend beyond margin Size 1 brush + Modelling resin
Smooth Finish Sparing
Bevel incisally

Vertical White Striations

White|Amber|Combination Halo
Number 1 brush *Optional

Thin with Dry Brush

Thin layer of high translucence

microfill (IL or SB)
Covers effects only
minimal preparation vision enhanced gingival retraction hydroabrasion electric handpiece

Incisor fracture
Fix NOW
Limited appointment
time (40 mins)
 Isolate
Bevel Finger Stent
Particle Abrasion Microhybrid

Tints
Microfill DARK BROWN
WHITE
(Chromatic) VIOLET|GREY

Microfill Final
(Achromatic)
(40 Mins)
 natural layering
simplified layering
opaque dentin (microhybrid)
translucent enamel (microfill)
vision enhanced finishing

Masquerade Francesco Sambo