Essential Lines Technique by Style italiano - styleitaliano.org
21.02.2020, 8:26 PM
RESTORATIVE & ADHESIVE
Essential Lines
! 15 January 2018 " by Giuseppe Chiodera ! Views 74,677
Designed to be useful in everyday dentistry, the Essential Lines
technique is basically a tip for shaping the occlusal anatomy altogether,
without missing proportions or valuable information which is drawn
onto the tooth.
Coming from the simplification approach of Style Italiano philosophy,
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the idea of the team was to find a way to make daily posterior
restoration procedures easy, combined with the Fast Modeling
Technique (coming soon on Style Italiano) by Prof Louis Hardan.
Fig.1
These are the Essential
Lines
Fig.2
And their purpose is to
move from point A to
point Z… saving time.
Fig.3
We reproduced them both
from superior and inferior
posterior teeth, copied
them from the natural
tooth, but shaping down
to the basic few lines, i.e.
the essential ones that
are enough to capture the
idea of a tooth.
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Fig.4
Fig.5
Fill, stratify, put the
material into the cavity up
to 1.5 mm from the cavity
edge, in the way you
prefer: horizontal, oblique,
respecting the C factor.
Posterior misura LM Arte
can lay on the edge of the
prepration because of its
shape and measure 1.5
mm thickness that will
represent that of the final
layer of the restoration.
Fig.6
It is important to be
careful to remove all the
composite excess and to
properly distribute the
composite on the margins
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Fig.7
Essential Lines are used
to draw the sulcus.
Fig.8
Essential lines and bulk &
body is some tasty
combination. Combining
bulk material and body,
bulk can be used to fill
the cavity all at once and,
thanks to the Posterior
Misura instrument it is
possible to calibrate the
thickness of the final
layer.
Fig.9
To have the best
performance from both
materials and achieve the
best result with body on
the occlusal surface and
bulk below, thickness
control is really important.
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Fig.10
If we decide to use a bulk
material to fill the entire
cavity altogether, the
Essential Lines will help
us to form the occlusal
anatomy without losing its
proportions and in a
simple way.
STEP BY STEP PROCEDURE
A key point is not to lose information about the tooth, from the residual
anatomy. Certainly the best way to find information is to not to miss it!
Fig.11
Hint no. 1: inclination of
the residual cusps
Fig.12
Hint no. 2: location of the
sulci, or what is left of
them.
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Fig.13
So, place the material by
compacting it with
Condensa LM Arte on the
entire occlusal area.
Fig.14
It is important to lay the
Condensa LM Arte
instrument on the cusp to
copy its inclination. This
way we also remove the
excess material.
Fig.15
With the Fissura
instrument we can draw
the sulci and improve the
marginal adaptation of the
material, to reduce the
finishing time and the
restoration.
Fig.16
A key point is to
determine the center of
the modeling, it is the
correct base to orient the
lines. It will be the
starting point of the lines
while the tooth tells us
where it should end, we
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just have to connect the
dots following the design
of the Essential Lines.
Once the sulci are drawn,
we can decide whether to
add secondary slots like
the one in blue if the
tooth anatomy requires it.
A clinical case is here
shown to explain the step
by step.
Fig.17
Pre op; cavity clean;
composite in place and
condensed with the
Condensa instrument on
the whole occlusal
surface.
Fig.18
Track the center; start
designing the lingual
sulcus; then the mesiobuccal.
Fig.19
The instrument movement
to trace the groove must
be from the center to the
periphery for a more
proper displacement of
the material.
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Fig.20 As a final step we use a Compobrush to make the anatomy
more gentle, and we enhance with a stain into the sulcus.
CONCLUSIONS
New materials allow to reduce the polymerization contraction and,
hence, a more effective deep polymerization.
Today, modeling the entire occlusal anatomy at one time is becoming
more and more a necessity if we are to exploit new materials. This can
lead to better results in terms of time and quality, if we spend less time
to layer, we have more time for the details and/or to finish and polish
the restoration.
Thanks to Roberto Spreafico, who inspired this approach.
Thanks to the Style Italiano Team, and, of course, our readers, that
make our ideas go far!
Where to learn Essential Lines tech
You can participate at one of our Daily Menu courses, we will teach you the technique i
practice. Dr. Walter Devoto and Prof. Angelo Putignano have organized courses rich of
hands-on, and they can teach you also many more techniques to become a master of
restoration.
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MORE INFO
15 Comments
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Lamees Ibrahim
Thank you for sharing, so the idea here is not to add composite layer by layer
but to bulk it, and then start to draw details?
Like · Reply · 4w
Величка Семова
Thanks for sharing. Amazing fast everyday work!!!
Like · Reply · 8w
Dennis Han
My fillings has become absoultely beautiful after learning this approach, only
took 2-3 months to master using your technique. Thank you for sharing!
Like · Reply ·
2 · 40w
Sangmin Lee
exellent
Like · Reply · 1w
Federico Pérez
Thanks so much. Grazie mille!
Like · Reply · 19w
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Ziliya Chayka
thanks. great!
Like · Reply · 22w
Allan Magid
Really amazing
Like · Reply · 33w
‫ﻟﯾث اﻟدراﺟﻲ‬
Thanks..
Like · Reply ·
1 · 35w
Mirabel Cayco
Very inspiring thank you for sharing
Like · Reply · 1y
Galina Burdina
great!!!!
Like · Reply ·
2 · 2y
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ESSENTIAL LINES
4 Previous post
https://www.styleitaliano.org/essential-lines/
COMPOSITE
FILTEK ONE
DIRECT POSTERIORS
LM KIT ANTERIOR
SHAPE
Next post
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ABOUT AUTHOR
GIUSEPPE
CHIODERA
My name is
Giuseppe
Chiodera , i
was born
born in 1979
in Brescia . I
graduated
in 2004 at
University
Of Studies
Brescia , the
town where
i live placed
in between
mountains
and lakes .
My activity
is focused
on diagnosis
, detect and
manage
caries
lesions in the very early stages. Thanks to the university of Bern and Ginevra i had the
opportunity to follow that street meeting great reserchers . Today my passion is Aesthetic
and Conservative Dentistry , especially find new tips and tricks . My professional hobbies are
Diode Laser and Ozone . I have the pleasure and the opportunity to do lectures in different
university masters and course, a great chance to share ideas and learn .
CASES AND PRODUCTS
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Bulk and Go
23 December 2019
Simplify Class 2 restoration
9 January 2020
ONE large and ONE small direct facing restorations.
30 January 2020
Filtek One
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LM ARTE Kit Anterior
3M
NEXT COURSES AVAILABLE:
Graduates - Corso di conservativa | 1°ed.
IN ITALIANO
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Daily Menu 2.0 2nd Edition | 23-26 MAR
Daily Menu 42nd Edition | 11-14 MAY
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