before and after
May 28, 2024
Dr. Jordi Manauta, Italy

Clinical Case: Bulk Fill in Class II – Proximal Caries

Using 3M™ Scotchbond™ Universal Etchant, 3M™ Scotchbond™ Universal Adhesive, 3M™ Elipar™ DeepCure-S LED Curing Light, 3M™ Filtek™ One Bulk Fill Restorative, and the 3M™ Sof-Lex™ Diamond Polishing System.

About the Case

Second upper premolar with deep carious lesion close to the pulp.

Challenge:
Use additive dentistry to increase the thickness of the tooth. Enhance esthetics by improving shape and hiding margins and defects.

Radiograph

Radiograph of initial situation: second upper premolar with deep carious
lesion close to pulp.

intact occlusal

Preop: intact occlusal surface of the second premolar, carious lesion was visible on radiograph.

Prophylaxis, acid etching

Insertion of a proximal wedge.

Customization of sectional matrix clamp

Customization of sectional matrix clamp.

Final appearance of the restoration

Caries removal and cavity preparation. Caries detection dye was used as a diagnostic aid.

selective enamel etch

A 15 second selective enamel etch using 3M™ Scotchbond™ Universal Etchant followed by rinsing and air drying.

3M™ Sof-Lex™ Diamond Polishing System

3M™ Scotchbond™ Universal Adhesive was scrubbed into the preparation for 20 seconds followed by air-drying and light-curing with 3M™ Elipar™ DeepCure-S LED Curing Light for 10 seconds.*

3M™ Filtek™ One Bulk Fill Restorative

3M™ Filtek™ One Bulk Fill Restorative A3 was placed in one increment.
The composite was cured for 10 seconds on the occlusal surface.*

composite

After removal of the matrix band, the composite was cured for 10 seconds on both the buccal and lingual surface.*

finishing and pre-polishing

After finishing and pre-polishing, the 3M™ Sof-Lex™ Diamond Polishing System on moist surface was used to create a high gloss polish.

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