Aim: Bulk Fill composite resins were released on the market in order to reduce the time in clinical sessions by using increments of up to 5.0 mm thickness. The aim of this study was to evaluate the effect of the rinsing solutions on the surface roughness of the conventional composite and Bulk fill composite resins. Methods: 40 specimens were prepared from a 4.0mm x 10.0mm teflon matrix and photoactivated for 20 seconds, with 20 specimens made of Filtek Bulk-Fill composite resin (3M ESPE) and 20 specimens made with Filtek™ Z350 XT composite resin (3M ESPE). Each group was subdivided into 2 subgroups: G1 (Filtek™ Z350 XT-3M ESPE-immersed in Colgate PlaxWhitening®); G2 (Filtek™ Z350 XT-3M ESPE-immersed in PlaxFreshMint®); G3 (Filtek™ Bulk-Fill-3M ESPE-immersed in Colgate PlaxWhitening®) and G4 (Filtek™ Bulk-Fill-3M ESPE-immersed in Colgate PlaxFreshMint®). The surface roughness test was performed initially and after immersion in rinses by the Time Group Inc.-TR200® rugosimeter apparatus and the data were submitted to statistical analysis (two-way repeated measures ANOVA). Results: Surface roughness values of the Filtek™ Bulk-Fill composite resin (3M ESPE) were significantly higher than the Filtek™ Z350 XT composite resin (3M ESPE) (P <0.0001). However, no differences were identified before and after immersion in rinses with or without alcohol. Conclusion: The use of mouthwashes does not interfere with the surface roughness of the tested resins, but the composite resin Filtek Z350 XT (3M ESPE) presents a surface with less roughness.

Objective: The goals for this study were to present the history of the CAD/CAM system and the advantages of this system and other technological innovations in the clinician's daily dental practice. In addition to presenting a case report of a patient's treatment performed through DSD planning. Methodology: The entire aesthetic planning was demonstrated using the DSD and the patient additive mockup technique. After obtaining the 3D model, digital aesthetic planning was performed. In the manufacture of ceramic veneers, the CAD/CAM system was used. Then, the gingival removal and subsequent intra-oral scanning of the prepared region were performed. Photo-activatable adhesive cementation was used in the placement of the ceramic veneers, in addition to receiving a surface treatment, followed by the application of the adhesive system. Results: The result met the expectations of the patient, who was able to visualize the forecast of the final result. Conclusion: It was concluded that, although the CAD/CAM system has advantages, it is necessary for the professional's higher learning curve, with both techniques, both digital and analog, being adequate and efficient.

Objective: Commonly, esthetic procedures involve ceramic laminates and gingivectomy. However, the clinical demand caused by dental wear and gingival recessions due to parafunctional habits is increasing. Thus, in addition to restoring the anatomical and esthetic dental form, it is also necessary to restore the lost gingival volume. Clinical considerations: This article presents a case report of the treatment of a patient with marked incisal wear and gingival recessions. Initially, endodontic treatment of the upper lateral incisors was performed, which presented with pulp necrosis due to the marked wear caused by bruxism. Subsequently, the patient was treated with a subepithelial connective graft by a technique proposed by Zucchelli, along with minimally invasive ceramic laminates and finished with a myorelaxant plaque. Conclusions: This proposed approach aimed for and achieved esthetic excellence, and full recovery of function, which is of extreme clinical relevance. Ultimately, the stability of the surgery and the laminates after 1 year of follow-up is presented.Clinical Significance: Patients with bruxism in addition to incisal and occlusal wear are more likely to have gingival recessions. The esthetic planning of these patients should contemplate interdisplinarity temporomandibular disorder, periodontics, and dentistry for the recovery of the function and reaching esthetic excellence. K E Y W O R D Sconnective tissue, dental laminates, gingival recession