A clinical case by our Community member Dr. Muhammad Alhafudh
This article and its content are published under the Author’s responsibility as an expression of the Author’s own ideas and practice. Styleitaliano denies any responsibility about the visual and written content of this work.
A male patient come to my clinic suffering from a sharp pain and food impaction in the upper left area.
Fig.1
We decided to improve the shape of restoration in order to achieve proper contact point. An endodontic treatment was performed on tooth 26 suffering from pulpitis.
Fig.2
Contact check was carried out before starting using a thin articulating paper. This way you can see where the contact points are, in which areas you have to be very careful during the sculpting of the final layer.
Fig.3
Isolated the operating field with the rubber dam, old filling and decayed tissue were removed.
Fig.4
A piece of teflon tape was placed to protect the canals. Matrices were adapted to perform a pre-endodontic restoration.
Fig.5
Etching was carried out using 37% phosphoric acid for 30 seconds.
Fig.6
After drying the cavity, a universal adhesive was applied, using a microbrush for 20 seconds.
Fig.7
A flowable composite layer is an excellent system to even out the bottom of the cavity.
Fig.8
The inter-proximal wall was layered by using Enamel shade from the CompoSite system.
Fig.9
One by one, we start to restore contact points. Just after restoring the firs tooth (mesial wall of tooth 26) we can remove the matrix around the restored tooth.
Fig.10
Teflon tape was used to increase pressure of the ring onto the matrix in the palatal area.
Fig.11
After complete modeling of the occlusal surface with one enamel shade from the CompoSite system.
Fig.12
Immediately after removing the rubber dam. Restorations were polished using the simplified Lucida system, star felt and sub-micron, hybrid and watersoluble paste.
Conclusions
Dividing a multi-step treatment into single, easy-solution problems is a good strategy to achieve high-quality results.
Bibliography
1. Manauta J, Salat A. Layers An Atlas of Composite Resin Stratification. 2012. Quintessence Pub.
2. Dias W. New techniques and tools for approximal restorations of class II. Dent Art. 2012 No66.
3. Radilinsky S. Restoration of the contact surfaces in the side teeth. Dent Art. 2015 No79 p.22-40
