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Clinical case: restoration of a lateral incisor with extensive
coronal destruction using Kiyomi cosmetic dentistry solutions

The restoration of endodontically treated teeth with extensive coronal destruction is one of the most demanding procedures in modern dentistry. In this clinical case, Dr. Noe Hernández demonstrates how it is possible to save a seemingly non-restorable tooth through an optimized protocol and the use of high-performance Kiyomi cosmetic dentistry materials. 

If you are looking to purchase professional dental restoration materials that improve your clinical outcomes, this case shows step by step how to achieve it. 

Diagnosis: lateral incisor with severe destruction

The treatment begins with an upper lateral incisor (12) presenting: 

  • Significant loss of coronal structure  
  • Need for endodontic treatment  
  • High risk of fracture  
  • High aesthetic demand  


These situations require a comprehensive approach where endodontics, structural reinforcement, and cosmetic restoration work together.
 

Optimized clinical protocol with Kiyomi materials

The success of the treatment is based on a well-defined clinical sequence supported by materials designed to provide maximum reliability, efficiency, and aesthetics. 

Absolute isolation with K-Rubber Dam

The first step is to ensure a completely isolated working field. K-Rubber Dam allows treatment without contamination, improving adhesion and procedural safety. 

Unlike other rubber dams on the market, its elasticity and resistance enable more precise placement, resulting in reduced clinical time and greater control throughout the procedure. 

Endodontic treatment and canal preparation

Endodontic treatment is performed using IPG instrumentation systems. This phase is key to ensuring proper canal disinfection and laying the foundation for a long-lasting restoration. 

A well-executed endodontic treatment reduces future complications and improves the longevity of the restorative outcome. 

Dual cement for posts: maximum reliability with Dual Cem Core

After endodontic treatment, a fiber post is cemented using Kiyomi’s Dual Cem Core, a dual-cure cement designed to deliver predictable results. 

Its main advantage lies in the dual polymerization system, which ensures rapid light curing (20 to 40 seconds) and chemical curing (3 to 4 minutes), achieving maximum bond strength even in deeper areas. 

Additionally, its excellent flowability allows uniform adaptation, preventing bubbles and improving overall structural resistance. 

Compared to other options on the market, this type of cement provides more reliable adhesion and greater long-term stability—key factors in structurally compromised teeth. 

Aster+ aesthetic composite: natural and durable reconstruction

The final reconstruction is carried out using Aster+ composite from Kiyomi, a material developed to combine aesthetics and mechanical strength. Aster+ is reinforced with zirconia nanoparticles and barium silicate, with an inorganic filler content of approximately 80%. 

Its optical behavior allows seamless integration with the natural tooth, which is essential in anterior restorations. At the same time, its handling properties facilitate anatomical modeling and reduce clinical working time. 

This enables clinicians to achieve predictable aesthetic results without compromising durability—a clear advantage over conventional composites. 

Result: aesthetic and functional dental restoration

The final outcome demonstrates that it is possible to restore a tooth with a poor prognosis using the appropriate protocol: 

  • Complete structural recovery  
  • Natural aesthetics in the anterior region  
  • Restored function  
  • Increased treatment longevity  


This approach helps avoid unnecessary extractions and preserves the patient’s natural dentition.
 

Buying Kiyomi cosmetic dentistry materials: benefits for your clinic

If you are looking for professional cosmetic dentistry materials that truly make a difference in your daily practice, Kiyomi offers a comprehensive solution: 

The materials are designed to work in an integrated way, simplifying protocols and improving clinical efficiency. They also enable more predictable results, reducing complications and retreatments. 

Unlike other brands, Kiyomi focuses on optimizing real clinical performance, helping professionals work with greater confidence and reliability. 

Conclusion: how to improve your results in dental restoration

This clinical case highlights that the combination of technique, planning, and appropriate materials is the key to success in complex restorations. 

Choosing solutions specifically designed for each phase of treatment improves both clinical outcomes and clinic profitability. 

If you are looking to purchase dental restoration materials with predictable results and high aesthetics, integrating systems like Kiyomi into your protocol can make a significant difference in your daily practice.