AM.001Initial situation. Agenesis of maxillary lateral incisors. Diastema closure. Badly fitted composites. Dyschromia.

AM.002Esthetic diagnosis using V.E.P. allows a precise wax-up building. The next step is a clinical try-in of the mock up using self-curing resin. Mock-up helps shape, esthetic integration and functionnal assessment. Patient and dentist can now discuss and assess any change without any dammage to hard tissues.


Once mock-up is endorsed, preparation can be done.
Calibrated drills helps us to drill neither too much nor to little enamel in the final volume of the restauration (given by the mock-up).
AM.004Grooves are highlighted using graphite and gathered with a fine-grained drill.


Preparation completed.

AM.006 Preparation detail buccal view . Limit is supra-gingival. Periodontal tissues are not traumatized. New biomimetic ceramics luting cement allows those finition lines.

AM.007Low thickness restaurations (less than 1mm) are built in the lab. au laboratoire. Ips E.max has been chosen here.

AM.008Adaptation check before and after bonding. Rubber dam is mandatory to me after all those efforts (digital analysis, wax-up, mock-up, conception, try-in …) not to compromise the entire treatment with a blood or saliva droplet at the bonding time.

AM.009Before / After treatment.

AM.011.001Intra-oral view 26 days after bonding.

AM.010Final views.

Many thanks to my technician: Jésus Guerrero – Laboratoire Guerrero