Aesthetic Evolution 2. Additive Direct Composite Restorations (ADCR) in the anterior teeth

- Pre-op mock and/or wax-up to determine the final form of the restoration- Shade selection and optical characteristic reproduction based on tooth age- Evaluation of tooth thickness to manage the three-dimensional layering of dentin and enamel shades- Shade selection technique for the cervical, middle and incisal third- Additive layering protocol for Class IV, diastema closure and composite veneers- Reproduction of the aesthetic appearance of porcelain restorations using composite materials- New technique for the restoration of discolored teeth resistant to bleaching

The final aesthetic outcome of an anterior restorations depends on the combination of the final form of the restoration with the color selection, tooth anatomy and the thickness of each composite shade.

Clinicians should have a precise idea of the form of the final restoration in their mind before starting color selection and composite layering (Deliperi, 2011).