The composite crowns (DT Gilles Philip Laboratory) were cemented with individual rubber dam. After excesses removal, rubber dam is used again from teeth 1.4 to 2.4 to transform 1.3 and 2.3 into lateral incisors using direct composites (Fig 9.)
The usual procedure to close spaces is performed. After sandblasting, etching and adhesive technique, a palatal wall is built with a silicone stent made from the validated wax-up. Proximal walls are made by using posterior matrices used vertically. An amount of dentin is placed in order to manage a 0.5 mm space free for the layer of buccal enamel (Fig. 10)
Final result after polishing procedure, before rubber dam removal (Fig. 11). Direct post-op situation, immediately after rubber dam removal (Fig. 12).The outcome 1 month later is satisfactory (Fig 13). 6 months later, the patient is happy and the deciduous teeth show no mobility (Fig 14).
Reviewing the Results
Before starting any treatment it is important to listen carefully to the patient’s expectations. If we have to make realistic compromises, the patient has to understand and accept the limits of the new treatment plan. In the case presented here, the patient is aware the outcome won’t last for many years. Despite this, the patient is grateful and returns to the clinic every 6 months for the situation to be assessed.
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