dental cavity clean and sandblasted

A simple way to replace the old defective restoration

A clinical case by our Community member Dr. Mohammed Al Hasani

 

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.

 

Although it may seem a simple procedure, replacement of old defective restorations is often a path full of difficulties, from occlusion, contact points, and deep margins. For this reason using a composite with easy handling properties, a good choice in shade, and a good polishing system is important when dealing with such restorations.

old defective amalgam restorations

Fig.1

Old defective restorations on teeth 35 and 36.

pre-operative occlusal check

Fig.2

Preoperative occlusion check to locate the occlusion points on the teeth.

rubber dam isolation before removal of amalgam fillings

Fig.3

Rubber dam isolation to get a clean field for adhesive procedures.

cavities after removal of amalgam

Fig.4

The old restorations were removed.

sandblasted cavities under rubber dam isolation

Fig.5

The cavities were sandblasted after finishing preparation.

matrices and wedge for restoration of adjacent proximal walls

Fig.6

After adhesive procedures, two matrices were placed simultaneously for mutual support. After modeling one proximal wall one matrix is removed to proceed to the other one, without removing the wedge. The contact point will be strong as there is only one matrix separating teeth.

layering raw composite in posterior cavities

Fig.7

The proximal walls were built, class I cavity obtained, occlusal anatomy was created following the Essential Lines technique. The CompoSite (White Dental Beauty) material is very easy to handle.

finished composite restorations

Fig.8

The natural anatomy of the tooth was reestablished.

Lucida polishing system on posterior composite restorations

Fig.9

After finishing the restoration, polishing is done using the Lucida polishing kit from Diashine.

final result and occlusal check of composite class 2 restorations

Fig.10

Occlusion checked, little adjustment was needed.

Conclusions

In our everyday procedures, we need to think well about the instruments and materials that we use. Good materials and good techniques ensure stable results, on a daily basis.

Bibliography

1. Manauta J, Salat A. Layers An Atlas of Composite Resin Stratification. 2012. Quintessence Pub.
2. Chiodera G. Essential lines. 2018. Styleitaliano.org
3. Marchetti G. 10 TIPS on Posterior direct restoration in daily flow. 2018. styleitaliano.org