Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2014, vol. 20, issue 3
Subject Collection: Oral and Dental Medicine
Pages: 550-553
DOI: 10.5272/jimab.2014203.550
Published online: 07 August 2014

J of IMAB 2014 Jul-Sep;20(3):550-553
Janet Kirilova1 Corresponding Autor, Dimitar Kirov2, Snezhanka Topalova-Pirinska1.
1) Department of Conservative Dentistry, Faculty of Dental Medicine,
2) Department of Prosthetic Dentistry, Faculty of Dental Medicine,
Medical University - Sofia, Bulgaria.

Background: Because of their main characteristics: transparency, opalescence and color density, the tooth structures are extremely difficult to restore by means of completely inconspicuous restorations of the natural tooth tissue characteristics.
The aim is to show successful aesthetic restoration of III Class dental lesions in upper incisors by means of high quality composites.
Materials and method: A female patient visited the clinic being not satisfied with the esthetics of her front teeth. The intraoral examination showed previous restorations and carious lesions in 12, 11, 21, 22. After defining the tooth color a silicone key was made. The treatment was performed under anesthesia, the existing restorations were removed and the carious lesions in teeth 11, 12, 21, 22 were treated with restorations using Vanini edge preparation.  The teeth were restored by means of stratification technique. After etching and rinsing, bonding was applied for 20 sec. and then polymerized. After fixing the silicone key enamel shade was applied and then dentine shades UD2, UD3, UD4 of 0.5mm thickness each. The polymerization was done layer by layer. Applied were 10 to 15 layers in total. The composite material was preheated in oven up to 55. Teeth 21 and 22 are restored with Enamel Plus HRi (Micerium).
Results and Discussion: Excellent aesthetics is achieved with composite material. They have enamel and dentine shades and allow high quality aesthetics. The polishing is excellent in Enamel Plus HRi (Micerium) which is typical for this type of composite. The result of the carious lesion treatment in this patient is real improvement of the dental appearance of her anterior incisors.
Conclusion: Materials show excellent aesthetic results due to their characteristics and the stratification technique used.

Key words: stratification technique, composite restoration, dental esthetics,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Kirilova J, Kirov D, Topalova-Pirinska S. Stratification Technique in Maxillary Anterior Incisors Restoration. J of IMAB. 2014 Jul-Sep;20(3):550-553. doi:

Correspondence to: Dr. Janet Kirilova, Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University - Sofia; 1, St. Georgi Sofiiski Str., 1431 Sofia, Bulgaria; E-mail:

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Received: 26 May 2014
Published online: 07 August 2014

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