Author & Practice
Dr. Amir Badali Haghi created this highly esthetic direct anterior restoration using els extra low shrinkage® composite by SAREMCO Dental AG. The use of 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.
The initial situation was analyzed in terms of shade, translucency, and surface characteristics in order to define a precise layering concept for anterior restorations using els extra low shrinkage® composite.
Minimally invasive labial preparation to create optimal bonding conditions while preserving as much enamel as possible.
Build-up of the palatal shell with IT (Incisal Transparent) to stabilize the incisal base and provide an anatomical reference.
Selective effect layering with SW++ to create halo and translucency characteristics.
Build-up of the main dentin mass to define shape, volume, and brightness.
Targeted placement of SW to adjust opacity, contrast, and value.
A harmonious final layer to achieve natural translucency and depth.
Fine contouring, micro- and macro-texturing, followed by final polishing.
The compact application syringe enables precise dispensing and controlled layering of even the finest composite increments. Its firm consistency remains stable even at elevated temperatures, ensuring safe, reproducible sculpting. Ideal for anatomical body and enamel build-up in both anterior and posterior regions.
The prefilled composite tips allow highly targeted application in hard-to-reach areas. Perfect for proximal build-up, incisal characterization, and minimally invasive repairs. The material provides consistently uniform extrusion without run-on, supporting clean, controlled, and efficient handling.
SAREMCO els extra low shrinkage® flow is a flowable, light-curing, radiopaque microhybrid composite with extremely low polymerization shrinkage stress for permanent restorations in both 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 matching Flow Tips enables highly precise, minimally invasive workflows. This TEGDMA- and HEMA-free fine hybrid composite offers low polymerization shrinkage stress, excellent marginal integrity, and outstanding wettability. Ideal for the smallest cavities, fissure sealing, and microinvasive restorative procedures.
Esthetic Case Analysis
The focus was on a harmonious incisal edge position, balanced proportions, and functionally stable contact zones. Digital planning provided the foundation for precise layering, optimal shade selection, and predictable integration of the direct restorations.
Preparation and Surface Management
For the additive technique, the enamel was prepared minimally invasively to create optimal bonding conditions. The preparation ensured maximum enamel preservation for reliable bonding and stable margins. Controlled surface management was then performed to prepare for the palatal base and body layers.
Build Up of the Palatal Base with Incisal Transparent
The palatal shell was built using Incisal Transparent to precisely define the incisal edge and create the structural foundation for the complete layering process. This anatomical reference enables controlled 3D shaping, stabilizes the incisal edge, and ensures reproducible light guidance across the final enamel body.
AUFBAU DER PALATINALEN BASIS MIT INCISAL TRANSPARENT
Die palatinale Schale wurde mit Incisal Transparent aufgebaut, um die inzisale Kante exakt zu definieren und die strukturelle Grundlage für den kompletten Schichtaufbau zu schaffen. Diese anatomische Referenz ermöglicht eine kontrollierte 3D-Formgebung, sichert die Stabilität der Inzisalkante und gewährleistet reproduzierbare Lichtführung über den finalen Schmelzkörper.
Incisal Characterization and Optical Effect Design
Using Incisal Blue and additional effect shades, halo effects, translucency zones, and vertical light dynamics were created. This characterization reproduces natural optical depth without compromising structural integrity. This step establishes the foundation for realistic tooth esthetics and harmonious transitions in the final layering.
Body Layering with Snow White
The main dentin body was sculpted using Snow White to define the restoration’s volume, form, and brightness. The balanced opacity of the material creates natural luminosity and provides a stable foundation for incisal light effects. This results in harmonious proportions, functional contact points, and a realistic tooth architecture.
Opacity Control with Snow White++
Targeted application of Snow White++ enabled precise adjustment of opacity, value, and light blocking. This step ensures controlled color depth, stable brightness levels, and consistent light dynamics, essential for natural looking anterior restorations and accurate shade integration.
Final Enamel Layer and Surface Refinement
The final labial layer was applied using Incisal Transparent to harmonize translucency, gloss, and depth. This was followed by anatomical refinement with micro and macro textures and a multi step high gloss polishing. This combined surface treatment maximizes light reflection and gives the restoration a natural, vital appearance.
Intraoral Placement and Final Evaluation
During clinical placement, marginal integrity, contact points, and function were evaluated. The restored teeth showed stable occlusion and harmonious integration into the existing dentition. Final polishing and inspection confirmed precise shade matching, natural light dynamics, and durable esthetic results.
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.
