Accuracy of Direct Composite Veneers via Injectable Resin Composite and Silicone Matrices in Comparison to Diagnostic Wax-Up

Purpose: To evaluate the discrepancy between the diagnostic wax-up and the resulting direct veneers using different matrices. Materials and method: A total of 48 identical misaligned models, 12 wax-up models and one ‘every other tooth’ wax-up model were 3D printed. Group 1: Transparent silicone matrices with holes for the injection of the flowable composite. Group 2: The same procedure as group 1, but the first three teeth were restored using the matrix constructed from the ‘every other tooth’ wax-up model. Group 3: Transparent silicone matrices cut for each tooth and preheated resin composite. Group 4: The same procedure as group 3, but the loaded matrix was placed first in the clear plastic tray, which was used for the matrix’s fabrication. Group 5: Wax-up models (control group). Scans from the veneers were superimposed with the scans from the wax-up and compared using the Patient Monitoring software. Measurements were made at the incisal, middle and cervical third. Kruskal-Wallis test and Dunn post-hoc test (p < 0.05) were used to analyze the results. Results: No statistically significant differences were found between groups 1 and 2 and the control. Group 3 was different from the control in the incisal and middle third, and group 4 was different in the cervical third. Conclusions: (1) Use of one or two matrices and the injection of flowable composite were accurate techniques. (2) Use of a matrix for each tooth combined with a pre-heated composite was the most inaccurate technique, but the use of the clear tray in combination with the matrix improved the accuracy.