before and after
March 13, 2024
Dr. Carlos Fernández Villares,

Clinical Case: Bulk Fill Composite in Class I

Using 3M™ Scotchbond™ Universal Adhesive, 3M™ Filtek™ One Bulk Fill Restorative, and the 3M™ Sof-Lex™ Spiral Finishing and Polishing system.

About the Case

Replacing failing composite restorations can be easily done with the use of modern bulk fill composites.

The use of multilayering technique for restoring molars and premolars can be a tricky procedure due to the possibility of trapping bubbles between composite layers. In addition, it can result in unfavorable dental anatomy which may subsequently lead to functional problems. The use of bulk fill composites could reduce the risk of problems due to the simplicity of the process. As the placement process is shorter, we have more time to focus on the anatomy and function of our restoration.

In this case we show the replacement of a failing composite restoration in first left lower molar, replaced by a bulk fill composite restoration. Utilizing just a few steps and within only 31 minutes from start to finish, bulk fill composite is a great practice tool to use.

close up of teeth

After the cavity preparation, the cavity is selectively etched with phosphoric acid.

3M Scotchbond Universal Adhesive applied to cavity

3M™ Scotchbond™ Universal Adhesive is applied to all cavity walls.

Close up air drying of tooth

Gentle air drying is applied to evaporate the solvent, and the adhesive is cured according to instructions.

Close up of tooth with 3M filtek bulk fill restorative applied

3M™ Filtek™ One Bulk Fill Restorative is applied in one increment of 4mm.

Close up of tooth showing cured application of 3M Filtek One Bulk Fill Restorative

The occlusal anatomy is modeled, and the restoration is light cured according to instructions.

Close up of tooth showing staining resin

In this case, the patient’s natural staining is mimicked using a staining resin.

Close up of tooth being finished and polished

After final curing, the restoration is finished and polished with the 3M™ Sof-Lex™ Spiral Finishing and Polishing system.

Close up of tooth

The rubber dam is removed.

Close up of tooth showing contact points

Final occlusion is checked to ensure there are no premature contact points.

headshot of Dr. Carlos Fernández Villares

Dr. Carlos Fernández Villares

Learn more about Dr. Carlos Fernández Villares

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