Author & Practice
Dr. Amir Badali Haghi created this highly esthetic direct anterior restoration using the els extra low shrinkage® composite from SAREMCO Dental AG. The material’s extremely low polymerization shrinkage, balanced opacity system, and optimized handling properties enabled a fully controlled, minimally invasive workflow with exceptional precision, natural light dynamics, and long term stability throughout the entire restorative procedure.
Analysis of tooth shade, value, and translucency to define a structured layering protocol with els extra low shrinkage®. Establishment of the IT palatal base, condition based dentin layer, and final IB enamel coverage for controlled light dynamics.
Tooth preserving vestibular preparation to optimize the bonding surface while maintaining maximum enamel preservation. Foundation for low stress polymerization thanks to extra low shrinkage® technology.
Construction of the palatal shell using IT Incisal Translucent. Controlled light transmission and a stable incisal reference for the subsequent layering.
Condition based dentin build up to control form, volume, and value.
Targeted halo design coordinated with the dentin shade to optimize depth and light reflection.
Fine tuning of the optical outcome through precise material selection. Brightness control and depth effect are achieved by coordinated dentin and incisal masses.
Application of the IB Incisal Blue enamel layer to complete the morphology. Natural translucency, harmonious incisal edge, and stable surface esthetics achieved through structured micro texturing and polishing.
The compact application syringe enables precise dispensing and controlled layering of even the smallest composite increments. The stable consistency remains reliable even at elevated temperatures, ensuring safe and reproducible sculpting. Ideal for anatomical body and enamel build ups in both anterior and posterior regions.
The pre filled composite tips allow highly targeted application in hard to reach areas. Ideal for proximal build ups, incisal characterization, and minimally invasive repairs. The material provides consistently uniform extrusion without slumping, supporting clean, controlled, and efficient handling.
SAREMCO els extra low shrinkage® flow is a flowable, light cured, radiopaque microhybrid composite with extremely low shrinkage stress for permanent restorations in anterior and posterior regions. els extra low shrinkage® flow is a polymer based restorative material and is ideal for small cavities and extended fissure sealing.
The combination of els extra low shrinkage® flow and the corresponding flow tips enables a highly precise, minimally invasive workflow. This TEGDMA and HEMA free fine hybrid composite features low shrinkage stress, excellent marginal integrity, and outstanding wettability. Ideal for the smallest cavities, fissure sealing, and micro invasive restorative procedures.
Esthetic Case Analysis
The initial situation presented insufficient incisal edge guidance with limited light dynamics. The objective was to restore harmonious proportions and natural translucency. Treatment planning defined a structured layering approach using IT as the palatal base, a condition based dentin build up, and a final IB enamel layer.
Preparation and Surface Management
Minimally invasive enamel preparation to optimize bonding conditions while preserving maximum tooth structure. Controlled surface management provides the foundation for low stress polymerization with els extra low shrinkage®.
Build Up of the Palatal Base with Incisal Transparent
Sculpting of the palatal shell with IT to precisely define the incisal edge and stabilize light guidance. Structural reference for the entire layering procedure.
Incisal Characterization and Halo Integration
Targeted design of the halo effect coordinated with the dentin shade. Optimized depth and controlled light reflection in the incisal area.
Body Layering
Dentin build up to control form, volume, and brightness. When indicated, SW can be used to selectively increase value without compromising optical depth.
Final Enamel Layer with IB
Finalization with IB to harmonize translucency and brightness. Fine texturing and polishing ensure stable, natural anterior esthetics.
els extra low shrinkage® is a composite designed for highly precise anterior and posterior restorations, including flowable and tip based variants for minimally invasive indications. All els formulations are free from TEGDMA, HEMA, TPO, and fluoride. They offer extremely low shrinkage stress, excellent marginal integrity, minimal water absorption, and outstanding polishability. The result is long term esthetics and clinical reliability across all cavity classes.
