cervical restoration

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

Fig.1

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

Fig.2

Gingivectomy with electrosurgery.

Fig.3

Healing after 1 week.

Fig.4

Isolation with rubber dam and proper clamp.

Fig.5

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

Fig.6

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

Fig.7

Applying adhesive on both dentin and enamel.

Fig.8

Using the Fissura instrument for better layering of injectable composite.

Fig.9

Just after the finishing and polishing of the restoration.

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.