Cervical restoration

Here is presented a simple cervical abrasion case needing soft tissue management, isolation, restoration. Flowable composite was chosen for this restoration.

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Fig.1
Cervical abrasion presented on tooth no. 13, note over contoured gingival margin.

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Fig.2
Gingivectomy with electrosurgery.

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Fig.3
Healing after 1 week.

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Fig.4
Isolation with rubber dam and proper clamp.

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Fig.5
After moving of soft tissues from the surface, minimal enamel margin preparation, 30 seconds acid etching on enamel, 15 seconds on dentin.

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Fig.6
After surface disinfection with chlorhexidine solution and self etch priming on dentin.

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Fig.7
Applying adhesive on both dentin and enamel.

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Fig.8
Using the Fissura instrument for better layering of injectable composite.

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Fig.9
Just after the finishing and polishing of the restoration.

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Fig.10
After 1 week.

Bibliography

Kubo S. Three-year clinical evaluation of a flowable and a hybrid resin composite in non-carious cervical lesions. Journal of dentistry 2009;38(3):191-200.
Chan DC, Adkins J. Technique on restoring sub-gingival cervical lesions. Operative Dentistry 2004; 29(3):350-353.
Peumans M, Munck J, Van Landuyt K, Lambrechts P, Van Meerbeek B. Three-year clinical effectiveness of a two-step self-etch adhesive in cervical lesions. Eur J Oral Sci. 2005; 113(6):512-8.

Baratieri LN, Canabarro S, Lopes GC, Ritter AV. Effect of resin viscosity and enamel beveling on the clinical performance of Class V composite restorations: three-year result. Oper Dent. 2003; 28(5):482-7.

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