ENA HRi clinical cases

Direct composite restoration with ENA HRi stratification technique
– clinical case by Dr. Lorenzo Vanini

Step 1

Complex fracture of central incisor

Step 2

The fracture is deep with pulp exposure

Step 3

Plaster model

Step 4

Wax-up

Step 5

Silicon stent setting

Step 6

Silicon stent setting

Step 7

Cavity preparation and pulp capping

Step 8

Cavity preparation and pulp capping

Step 9

Stent try in

Step 10

Etching with Ena Etch

Step 11

Adhesive application of Ena Bond

Step 12

Application of a layer of enamel UE2 directly on the silcon stent

Step 13

Build up of the palatal wall with UE2

Step 14

Build up of the palatal wall with UE2

Step 15

Build up of the palatal wall with UE2

Step 16

Build up of the interproximal wall with a acetate matrix with con UE2

Step 17

Build up of the interproximal wall with a acetate matrix with con UE2

Step 18

Build up of the dentine body with UD3

Step 19

Build up of the mamelons with UD1

Step 20

Characterization of the margin with OA

Step 21

Build up of the Opalescence with OBN

Step 22

Application of Intensive IWS

Step 23

Vestibular wall with UE2

Step 24

Macro and micro geography

Step 25

Macro and micro geography

Step 26

After polishing

Step 27

Case finished

Step 28

Case finished - palatal view

Step 29

Case finished - picture with polarizator

Direct composite restoration with ENA HRi stratification technique
– clinical case by Dr. Lorenzo Vanini

Step 1

Class IV lesions in a young patient; on the lateral incisor the lesion is very deep, close to the exposed pulp. The elements show positive test to vitality.

Step 2

Cavities: on vestibular side a chamfer has been prepared on the enamel thickness, while on the interproximal and palatal wall a 90° preparation has been made; the exposed dentine has not been touched.

Step 3

The silicone index, obtained by the diagnostic wax up and properly cut, is tried after isolation of the field.

Step 4

After the adhesive phase, to create the palatal walls, a thin enamel layer is applied on the silicon index. The enamel HRi UE2 is applied on the cavity margin with a dry brush, then it is cured and the stent removed.