Practice abstract


British Dental Journal 204, 181 - 185 (2008)
Published online: 23 February 2008 | doi:10.1038/bdj.2008.100

Subject Categories: Aesthetic dentistry | Restorative dentistry

Optimising aesthetics and facilitating clinical application of free-hand bonding using the 'natural layering concept'

D. Dietschi1

  • Modern composite resins fulfil many restorative objectives which could only be attained by ceramics in the past, including satisfactory and long-lasting aesthetics.
  • The natural layering concept makes use of only two basic masses which mimic dentin and enamel; the technique is therefore simple and accessible to all general practitioners with proper training.


The use of composites in the smile frame has evolved and gained maturity. However, ceramics remain the preferred aesthetic option for many clinicians because bonding techniques are still considered intricate, sensitive and, to a certain extent, unpredictable. These drawbacks, essentially related to the complexity of many composite systems, can be overcome today by the application of the 'natural layering concept', which makes use of only two basics masses, dentine and enamel, perfectly mimicking natural tooth structure. There are plentiful indications for the use of such a simplified but aesthetically uncompromised treatment modality. Actually, this approach is highly suitable for young and post-orthodontic patients where conservation of tissue is a must and in general for all patients with rather healthy dentitions.

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  1. Senior lecturer, Department of Cariology & Endodontics, School of Dentistry, University of Geneva, Switzerland/Adjunct Professor, Department of Comprehensive Dentistry, Case Western University, Cleveland, Ohio/Private Practice & Education Center – The Geneva Smile Center, Switzerland

Correspondence to: D. Dietschi1 Dept. of Cariology & Endodontics, School of Dentistry, 19 Rue Barthélémy Menn, 1205 Geneva, Switzerland
e-mail: didier.dietschi@medecine.unige.ch



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