Although called the “Vit-l-escence Three Shade Technique,” Dr. Jaimee’ Morgan, who demonstrates the technique often, actually uses four shades.
She begins every final restoration with a universal opaque shade, such as the Vit-l-escence Opaque Snow to prevent the darkness from the mouth coming through and creating the appearance of a gray restoration.
1. The Opaque Snow acts as a white canvas for the rest of the restoration. After smoothing the composite, Dr. Morgan suggests cutting the Opaque Snow at the incisal edge to make the final restoration look multi-dimensional and natural. She finishes off this first step with a 10-second cure, using Ultradent’s VALO curing light.
2. Next, Dr. Morgan fills in the voids she created with the Opaque Snow at the incisal edge with the Trans Gray composite. After thinning the Trans Gray, finish this step with another ten-second cure.
3. Using A2 Dentin, blend it at the gingival margin with a pushing and pulling motion to avoid creating air bubbles or voids in the final restoration. Smooth the composite out at the center, creating a few irregularities at the dentin layer edge for a more natural look and added dimension. Cure for ten seconds.
4. Place the Pearl Neutral Composite on top. Its translucency creates wonderful dimension in the overall look of the restoration.
5. Using Composite Wetting Resin, smooth off the top layer of the restoration, cutting off the excess composite before finishing with a final ten second cure.
6. After pulling the restoration out of the mold, finish the edges using a high speed handpiece equipped with the finishing burr.
7. Next, put the Jiffy Brush on the handpiece, and watch the tooth come alive! The Jiffy Brush is already equipped with a polishing agent in the bristles to create incredible shine. Make sure to use a light touch, combined with high RPM’s to avoid from creating too much friction.
There, you have created a beautiful final restoration with incredible, natural looking dimensions and translucency! You can see the difference that using three simple shades makes in the overall look of the tooth, especially when compared to the other restorations that utilitized only one or two composite shades. The Vit-l-escence Three Shade Technique effects exquisite detail along the dentinal and incisal edges, and creates intricate irregularities that would normally be seen in the natural tooth– making for a life-like final restoration!
*Opaque Snow not counted as bottom layer on 3 shade restoration
Watch the Vit-l-escence Three Shade Technique come to life as Dr. Jaimee’ Morgan demonstrates it in the video below: