before and after
July 12, 2023
Dr. Marco Maiolino,

Clinical Case: Bioclear™ Class II on Lower Molar

Using Bioclear™ Evolve Matrix Height Indicator, Bioclear™ Blue Evolve Matrix, 3M™ Filtek™ Supreme Flowable Restorative, 3M™ Scotchbond™ Universal Plus Adhesive, 3M™ Filtek™ Supreme Ultra Universal Restorative, and 3M™ Sof-Lex™ Contouring and Polishing Discs.

About the Case

A Caucasian male, age 46, presented for a first consultation. During the consultation, interproximal decay was found on the distal of the lower left first molar which caused fracturing of the marginal ridge. The patient was scheduled for a class II restoration using the Bioclear™ method. One of the main challenges of class II restorations is the ability to create tight contacts and to finish the restoration properly due to the limited access to the interproximal area. These problems are easily managed using the Bioclear™ method. The push-pull technique with the new TwinRing Universal easily created tight contacts. The cavity design, with the creation of the infinity edge, and the injection molding technique are a game changer in restorative dentistry. The beauty of this approach is in the quality of the wide and rounded contact points, the quality of the restoration due to the injection molding technique and the easy polishing of excess composite.

Initial situation

Preoperative situation showing a fracture of the distal marginal ridge of the lower first molar.

Preparation

Biofilm disclosing solution was used prior to biofilm removal.

Selective enamel etch

The distal interproximal decay was removed, and the cavity was cleaned.

Bioclear™

The Bioclear™ Evolve Matrix Height Indicator was used to select the correct matrix.

Results

The Bioclear™ Blue 5mm Evolve Matrix, large Diamond Wedge, and TwinRing Universal were used.

Application

The spot weld technique was performed to create a broad and tight contact, using 3M™ Filtek™ Supreme Flowable Restorative.

Final light cure

Results after using 3M™ Sof-Lex Contouring and Polishing Discs and the Bioclear™ Rockstar Polishing system.

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