Mastering the Class IV Restoration

The Class IV fracture often presents itself as a challenge to the dentist who strives to match the shade, opacity and the varying levels of translucencies that exist between the surrounding dentition as well as within the tooth itself. When composite is the restorative material utilized, the choice of a highly esthetic composite with a range of opacities, and a layering placement technique are the only means of matching the shade, opacity and degrees of translucency of the adjacent tooth structure.

In this course, Dr. Margeas will guide participants, step-by-step, through his layering technique and rationale for the selection of opacities and translucent composite.

In addition, participants will learn efficient polishing and surface texturizing techniques to ensure a natural esthetic result.

1. How to create a lingual matrix and use it to replace a Class IV lingual shelf.
2. How and where to place Dentin, Incisal, Enamel and Specialty Enamel shades.
3. How to create life-like restorations.
4. How to create enamel texture to mimic real teeth.
5. A polishing technique that is fast and predictable.

Presenter

Bob Margeas, DDS

Dr. Bob Margeas received his D.D.S. from the University of Iowa, College of Dentistry in 1986 and completed an A.E.G.D. residency in 1987. He is currently an adjunct professor in the Department of Operative Dentistry at the University of Iowa. Dr. Margeas is board certified by the American Board of Operative Dentistry and is a Fellow of the American Academy of Esthetic Dentistry. He lectures on esthetic dentistry and has published numerous articles on the subject. Dr. Margeas maintains a private practice with a focus on comprehensive esthetic restorative dentistry in Des Moines, Iowa.