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Direct Aesthetic and Functional Restorations

Here we will introduce you with one of aesthetic dentistry areas – direct aestethic restoration. Often direct aestethic restorations are named aesthetic fillings.

Why to Choose Direct Aesthetic Restoration Procedure at VivaDens?
About Direct Aesthetic Restorations
In what Cases Direct Aesthetic Restorations are Used
The Main Pluses and Minuses of Direct Aesthetic Restorations
Harmonization of Procedures

Why to Choose Direct Aesthetic Restoration Procedure at VivaDens?

If you are looking for professionalism and world level quality of direct aesthetic restorations - visit VivaDens. Here professional dentists of the highest and very high qualification in aesthetic restorations are employed, laureates and finalists of Lithuanian and international competitions in the art of direct aesthetic restorations.

Dentist Ingrida Ivance (Ivanciute), is the initiator of direct aesthetic restorations in Lithuania, already for more than ten years organizes and leads professional development courses for dentists; from her the best Lithuanian specialists in aesthetic restoration were learning. From more than 10 years of its experience VivaDens knows where direct aesthetic restoration is the most suitable and where aesthetic prosthesis (indirect aesthetic restorations) with veneers or crowns, etc. would suite more and could be recommended.

Including the needs of client we harmonize direct aesthetic restorations with indirect aesthetic restorations in a team work of qualified specialists. Each dentist has photo examples of his/her works that would allow you to understand better the possibilities of direct and indirect aesthetic restorations and choose the dentist. After procedure in front teeth area you will also receive your teeth photos "before and after". Besides, the most modern and safest medical equipment (laser, microscope, digital spectrophotometer, etc.) and exceptionally qualified dentist assistants guarantee the good result at the maximum.

About Direct Aesthetic Restorations

Material used to make aesthetic fillings or direct aesthetic restorations is called composite or popularly – "aesthetic filling". Missing dentine and enamel are recreated with it. By its strength the composite equals to amalgam fillings, it is resistant to wear, releases fluoride preventing from further formation of caries lesions.

Direct aesthetic restoration we offer at VivaDens center is one of the most preserving methods of teeth restoration. When making direct aesthetic restoration natural tooth tissues are preserved to the maximum, deep cut preparation is not needed, teeth remain alive, gingiva is not damaged, natural teeth layers are recreated, their translucency and form. Natural tooth is an optimal substance guaranteeing stability, resistance and compatibility with surrounding gingiva and bone structure.

Direct aesthetic restorations are done with the precision of fine jeweler, biomimeticly – layer by layer – exactly the same way as teeth tissues developed during evolution, the small details and depth of color are imitated. Usually clients are very satisfied, because that it the most preserving tooth structure restoration method.

In what Cases Direct Aesthetic Restorations are Used

In Lithuania dentists restore the teeth with composites made in Japan, USA, Germany, i.e. completely with the same materials which are used by their colleagues from the progressive Western countries.
The composites differ among themselves the by certain parameters, for instance, color, reflection coefficient, elasticity module, i.e. capacity to deform along axis, polishing characteristics and similarly. Therefore, for teeth restoration the skilled dentist shall select various composites in accordance with different clinical situation.
The scale of composite colors is very wide, thus it is possible very naturally to imitate missing tooth tissue (See Photo 1).


With composites it is possible to recreate or beautify a tooth form (See Photo 2). Deep cut preparation is not used, thus teeth remain vital. Gingiva is not damaged. Restoration is done by recreating teeth layers, their translucency, form and functions. After procedure teeth look very naturally, often even professionals do not notice a restored tooth.



Having enamel of teeth incisal edge worn, dentin is exposed, a tooth tissue that is five times softer, and then wearing accelerates. It is possible to notice in the mouths of elder people that due to substantial wear the teeth look as if "cut-off". It is possible and even necessary to restore worn incisal edges with composites (See Photo 3). That is healthier and also more functional, and more aesthetic.



Entire tooth front surface may be covered with composites to restore or cover teeth form and color changes, i.e. so named direct laminate or veneer is placed. Indirect (i.e. made in laboratory) porcelain (ceramic) veneers are used for the same purpose.



Having supporting bone loss, teeth necks are exposed and so named "black triangles" become visible near gingiva. Professional aesthetic restoration is also helpful much in this case, because transparent black gaps near gingiva are closed. (Photo 5)



In case of irregular teeth position, first of all orthodontic treatment with braces is recommended that is also more correct medically, because this way natural, own teeth are completely preserved.
However, some clients refuse such usually rather long time taking orthodontic treatment (for instance due to profession, going to other country, forthcoming marriage, etc.). Then it is possible with aesthetic fillings even to "straighten" a teeth that are positioned irregularly (Photo 6). In this case teeth tissues situated in undesirable position are removed by deep-cut preparation, and missing ones – imitated with composite.


When creating a tooth structure, which is characteristic to specific individual, with restoration materials, the color that is identical to other teeth is chosen and also multilayer view that is characteristic to other teeth is created. Already during one visit that lasts from 4 to 6 work hours, it is possible to restore four teeth, for instance, to fill gaps between front teeth (Photo 7).
A tooth to be restored is harmonized with nearby present teeth and this way symmetry is created considering the same tooth which has grown on the opposite side.


Direct aesthetic restoration is suitable not only for front teeth, but also for lateral and back group of teeth (Photo 8).  

Direct aesthetic restoration: properly matched composite color.
Photo 1: dentist I.Ivance ©, DDS

Direct aesthetic restoration: form changing.
Photo 2: dentist I.Ivance ©, DDS

Direct aesthetic restoration: restored incisal edges of teeth.
Photo 3: dentist I.Ivance ©, DDS

Direct aesthetic restoration
Photo 4: dentist I.Ivance ©, DDS

Direct aesthetic restoration: closed "black triangles" near gingiva
Photo 5: dentist I.Ivance ©, DDS

Direct aesthetic restoration: changing of irregular position of six front teeth.
Photo 6: dentist I.Ivance ©, DDS

Direct aesthetic restoration: gap closing and form changing.
Photo 7: dentist I.Ivance ©, DDS

Direct aesthetic restoration of molars. Photo 8: dentist I.Ivance ©, DDS


The Main Pluses of Direct Aesthetic Restorations:

  • Very aesthetic, natural, warm appearance of restorations (that is often missing in teeth prosthesis)
  • Usually fewer teeth tissues are removed than in teeth prosthesis
  • Strengthens teeth
  • Fast solution (in one, several visits)
  • Especially suitable for children, young people in case of teeth fractures
  • In some cases may be as alternative to orthodontic treatment (braces, etc.), prosthesis
  • Laboratory procedures are not needed (time, finances are saved)
  • Having the restoration fractured it is usually easy to correct it in one visit

The Main Minuses of Direct Aesthetic Restorations:

  • Composites shrink (1.2 - 3.5%) when polymerized (hardened with halogen lamp) – due to that over the time marginal integrity may be lost, permeability and coloring develop
  • Composites match optical and physical characteristics of dentin, but not enamel, thus composites suit the best for dentin restorations only and ceramic (porcelain) restorations would match enamel.
  • Composites accumulate plaque more, thus it is advised to polish restorations during annual professional oral hygiene visit
  • Aesthetic and good quality restorations require experience, professionalism and talent from dentist.

Harmonization of Procedures

The best case is when teeth and oral cavity are treated in entirety – starting from professional oral hygiene, teeth whitening, if needed, aligning teeth with braces, treating teeth root canals, gingiva, placing implants, making dental prosthesis, harmonizing dental prosthesis with fillings, etc. Only then we may rejoice together in teeth functionality and aesthetics as well as in a long term result.

And to smile miraculously!