Silicone Additive Manufactured Indices Performed from a Virtual Diagnostic Waxing for Direct Composite Diastema Closure Combined with Resin Infiltration Technique on White Spot Lesions: A Case Report Academic Article uri icon


  • The present article describes the resin infiltration technique to address white spots lesions presented on anterior and premolar teeth of a young patient after orthodontic treatment and the digital workflow for planning a diastema closure on the maxillary anterior teeth using facial photographs, an intraoral scanner, a facially driven diagnostic waxing using a dental computer-aided design (CAD) software, and 3-piece additive manufactured (AM) clear silicone indices. The virtual design of the silicone indices was completed using an open-source CAD software and included a flexible clear buccal piece, flexible clear lingual piece, and rigid clear custom tray. The unique 3-piece index design allows a horizontal path of insertion, controlled uniform thickness of the indices, flexible and rigid material properties combination, accurate translation of the diagnostic waxing into the patient´s mouth, and digital storage of the designs.

published proceedings

  • Journal of Prosthodontics

author list (cited authors)

  • Revilla‐León, M., Fountain, J., Piedra‐Cascón, W., Zandinejad, A., & Özcan, M..

citation count

  • 4

complete list of authors

  • Revilla-León, Marta||Fountain, Joshua||Piedra-Cascón, Wenceslao||Zandinejad, Amirali||Özcan, Mutlu

publication date

  • September 2019