Saving time in daily practice. The bulk composite strategy. Part 2
We present a clinical case in which we have to restore a class 2 od on 24, class 1 on 24 with a distal caries and class 2 on 26.
Selective etching of the enamel only for 20-30 seconds (phosphoric acid, 37%).
In my practice, I have always been reaching for excellence trying to do my best in each step. Because in every clinic in the world time is a key factor, protocols that help us decrease the treatment total time are really appreciated for everybody (including the patient).
Stratification times decrease using the Bulk materials and with the essential lines, the technique to model the anatomy of the final occlusal layer in posteriors (which will be described very soon in a Styleitaliano article)
Before, I was afraid of using Bulk composite on the outer part of the restoration as they are “worse” than hybrid conventional composites mechanically speaking. On the other hand, some bulk composites have improved in many senses. I am very satisfied with this new material which is really good optically, mechanically and with a good handling, easy to use and easy to finish and polish. What else?
- A. Van Ende, J. De Munck, K.L. Van Landuyt, A. Poitevin, M. Peumans, B. Van Meerbeek. Bulk-filling of high C-factor posterior cavities: effect on adhesion to cavity bottom dentin. Dental Materials 29 (2013) 269-277
- Van Dijken JW, Pallesen U. 2016. Posterior bulk-filled resin composite restorations: a 5-year randomized controlled clinical study. J Dent. 51:29–35