A clinical case by our Community members Dr. Simona Chirico
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.
The use of bulk composites has become increasingly widespread in recent years, thanks to their mechanical, functional, and aesthetic properties. A case of direct restoration at the level of the fourth quadrant is illustrated below.
Fig.1
Initial radiological situation and isolation with rubber dam. The patient presented multiple carious lesions involving elements 44,45,46,47. Therefore the proposed treatment plan was to perform direct restorations.
Fig.2
The cavities were prepared for direct restoration: class II on 45 and 46; class I on 44 and 47.
Fig.3
Adhesion protocols performed: application of a universal adhesive.
Fig.4
Restoration of the mesial cavity on 46, and positioning of the sectional matrices for the creation of the marginal ridges of 45.
Fig.5
Marginal ridges completed on 45.
Fig.6
Cavities were filled in a single increment of SimpliShade Bulk Fill Universal Composite by Kerr, which was adapted, and excess material was removed. The occlusal surfaces were then shaped following the Espresso posterior lines technique, saving valuable time.
Fig.7
Characterization with brown stains.
Fig.8
Result after removing the rubber dam.
Fig.9
Occlusal check.
Fig.10
Radiological control after 1 year follow-up.
Fig.11
Clinical control after 1 year follow-up.
Conclusions
This clinical case demonstrates the versatility of bulk-fill composites. Their use simplifies direct restorative procedures, ensuring efficiency, predictability, and excellent clinical outcomes. These approaches streamline workflows while maintaining high standards of functionality and aesthetics.
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