Evidence map›Paper›PMID 40574665›Full record

ArticleJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]2025

The Multilayer Flowable Injection Technique for Highly Esthetic Restorations.

Yolanda M Liaropoulou, Ana K Jiménez, Francesco Chierico, Markus B Blatz

Abstract readCase Reports
In one paragraph

Article in Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Double-Stamp Technique With Internal Resin Staining for Enhanced Esthetic Outcomes.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Article
  3. [Long-term prognosis and influencing factors of anterior composite resin restoration].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2025
    Review
  4. The Multilayer Flowable Injection Technique for Highly Esthetic Restorations.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Yolanda M LiaropoulouDepartment of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain.ORCID 0000-0001-6715-7510
Ana K JiménezDepartment of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain.ORCID 0009-0002-2599-0533
Francesco ChiericoPrivate Practice, Verona, Italy.
Markus B BlatzDepartment of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-6341-7047

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis article introduces an alternative to the classic flowable injection technique to enhance esthetic outcomes and describes its application for the restoration of six maxillary anterior teeth in a young patient. CLINICAL CONSIDERATIONS: An esthetically enhanced flowable injection technique was applied to six maxillary anterior teeth after a fully digital treatment plan. A virtually guided dentin cutback model was created from the digital full wax up. Clear polyvinyl siloxane indices were created from three different 3D-printed models: one from the dentin cutback model of all teeth, one from the enamel model with every other tooth waxed up completely in an alternating sequence, and the third one from the enamel wax up model of all teeth. The two different enamel models are only necessary when multiple anterior teeth are restored to simplify interproximal contouring and control. The multilayer approach enhances esthetic outcomes of direct resin-based flowable composite restorations without any or only minimal tooth preparation.

conclusionsThe multilayer injection technique facilitates predictable transfer of the digitally planned dentin and enamel tooth structure shapes and volumes to the patient's mouth to fabricate highly esthetic and minimally invasive direct restorations with flowable resin-based composites. CLINICAL SIGNIFICANCE: The precise transfer of the digital tooth and/or smile design with the updated flowable injection technique allows the clinician to fabricate esthetic restorations in a most predictable and tooth-structure-preserving manner.

Indexed as

Composite ResinsDental Restoration, PermanentEsthetics, DentalFemaleHumansMaxillaYoung AdultComposite Resinsdigital planningesthetic dentistryflowable injection techniqueminimally invasive dentistry

Identifiers

PMID40574665
PMCPMC12457876

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.