Essential Flow – Cervical (4 of 8)

Clinical Case in collaboration with Dr. Paulo Monteiro.

Clinical Applications of Flowable Composite Resins: A Comprehensive Series

The use of flowable resins in the restoration of cervical lesions (Class V) has emerged as an effective and versatile solution in modern dentistry. These lesions, located in the cervical region of the teeth, often result from factors such as caries, abrasion, erosion, or abfraction, and present unique challenges due to their proximity to the gingival margin and the irregular shape of the cavity. Flowable resins, with their low viscosity, offer superior adaptation to the cavity walls, ensuring a tight seal and minimizing marginal infiltration. Additionally, their ability to easily flow into hard-to-reach areas facilitates application and reduces the risk of bubble or gap formation in the restoration. Flowable resins also provide excellent aesthetics, blending well with the natural tooth color, which is particularly important in the aesthetic region of the mouth. Finally, these resins offer adequate durability and resistance, supporting chewing forces and contributing to the longevity of the restoration. Thus, the use of flowable resins in cervical lesions provides an efficient, aesthetic, and long-lasting restorative treatment.

styleitaliano style italiano essential flow initial situation cervical solventum 3M filtek supreme flowable composite resin

Fig.1
Upper pre-molar and canine with a cervical non carious lesion / cavity.

styleitaliano style italiano essential flow bevel preparation cervical solventum 3M filtek supreme flowable composite resin

Fig.2
Bevel preparation in the incisal/occlusal cavity area allows for better aesthetic blending of composite and increases the bonding surface area on enamel.

styleitaliano style italiano etching and bonding application essential flow cervical solventum 3M filtek supreme flowable composite resin

Fig.3
After the teeth surface cleaning, the selective enamel etch technique was used.
Next, the 3M Scotchbond Universal Plus adhesive (Solventum) was applied and light-cured for 10 seconds.

styleitaliano style italiano essential flowable composite application flow cervical solventum 3M filtek supreme flowable composite resin

Fig.4
After applying the adhesive, 3M Filtek Supreme Flowable A3 composite resin (Solventum) was used to restore the cervical lesions. A small amount of 3M Filtek Supreme Flowable A3 was applied to the cavity.

solventum style italiano styleitaliano filtek supreme flowable composite
solventum style italiano styleitaliano filtek supreme flowable composite
styleitaliano style italiano essential flow flowable composite adaptation cervical solventum 3M filtek supreme flowable composite resin

Fig.5
The small amount of 3M Filtek Supreme Flowable A3 composite resin (Solventum) was spread and adapted in the cavity using the LM Arte Fissura instrument (LM-Dental, Parainen, Finland).

styleitaliano style italiano surface smoothness by means of a brush essential flow cervical solventum 3M filtek supreme flowable composite resin

Fig.6
A brush was also used to assist in achieving smooth transitions and surface texture between the tooth and the 3M Filtek Supreme Flowable composite resin (Solventum). The resin was light-cured according to the manufacturer’s instructions.

styleitaliano style italiano polishing of the composite placed essential flow cervical solventum 3M filtek supreme flowable composite resin

Fig.7
The composite resin was polished with composite rubbers to smooth the surface and the transition between the composite and the tooth.

styleitaliano style italiano polishing lucida diashine essential flow cervical solventum 3M filtek supreme flowable composite resin

Fig.8
A polishing paste and a star felt (Lucida by Style Italiano) were used at low speed to finish the restoration, providing smoothness and gloss to the composite surface.

styleitaliano style italiano essential flow cervical solventum 3M filtek supreme flowable composite resin after finishing and polishing

Fig.9
Situation immediately after the finishing and polishing and excess removal.

styleitaliano style italiano essential flow cervical solventum 3M filtek supreme flowable composite resin final situation

Fig.10
The final clinical situation after hydration reveals the integration and smoothness of the flowable composite restoration alongside the remaining tooth structure.

Conclusions

In conclusion, the use of flowable resins such as 3M Filtek Supreme Flowable (Solventum) for the restoration of cervical lesions (Class V) offers numerous advantages that enhance both the efficacy and aesthetics of dental treatments. These resins provide exceptional adaptation to the cavity walls, ensuring a secure seal and reducing the risk of marginal infiltration. Their ease of application and ability to reach difficult areas result in fewer voids and a more reliable restoration. Additionally, their excellent aesthetic properties ensure a natural-looking result that blends seamlessly with the surrounding tooth structure. Furthermore, the durability and resistance of 3M Filtek Supreme Flowable (Solventum) ensure that restorations can withstand the forces of mastication, contributing to their longevity. Overall, the use of flowable resins in cervical lesion restorations represents a significant advancement in dental restorative techniques, offering patients a highly effective, aesthetically pleasing, and durable solution.

solventum style italiano styleitaliano filtek supreme flowable composite
solventum style italiano styleitaliano filtek supreme flowable composite

Bibliography

  1. Attar N. Influence of flowable composite lining on the microleakage and adaptation of composite restorations. Journal of Dentistry. 2016 Mar;44:14-20.
  2. Poitevin A, De Munck J, Van Ende A, Suyama Y, Mine A, Peumans M, Van Meerbeek B. Bonding effectiveness of self-adhesive composites to dentin and enamel. Dental Materials. 2013 Feb;29(2):221-30.
  3. David JR, Gomes OM, Gomes JC, Loguercio AD, Reis A. Bond strength of self-adhesive flowable composite resins to dental tissues: A systematic review and meta-analysis of in vitro studies. Journal of Adhesive Dentistry. 2022 Jun;24(3):193-208.
  4. Hikita K, Van Meerbeek B, De Munck J, Ikeda T, Van Landuyt K, Maida T, Lambrechts P, Peumans M. Bonding effectiveness of adhesive luting agents to enamel and dentin. Dental Materials. 2007 Jan;23(1):71-80.
  5. Karaman E, Ozgunaltay G.  A two-year comparative evaluation of clinical performance of a nanohybrid composite resin to a flowable composite resin. Journal of Functional Biomaterials. 2021 Sep;12(3):53.
  6. Alqabas AA, Mously HA, Alkhurays MA, Alhumaidan HJ, Alnassar AS. The effect of gravity on marginal integrity of different flowable bulk-fill resin composites. Medicina. 2024 Feb;60(2):230.
brain boost style italiano styleitaliano hands-on lectures styleitaliano tv 3M Solventum
brain boost style italiano styleitaliano hands-on lectures styleitaliano tv 3M Solventum

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