before and after
February 26, 2024
Dr. Giuseppe Chiodera, PhD

Clinical Case: Class II Composite Replacement

Using 3M™ Scotchbond™ Universal Adhesive, 3M™ Filtek™ Supreme XTE Universal Restorative, 3M™ Elipar™ DeepCure-S LED Curing Light, 3M™ Sof-Lex™ Contouring and Polishing Discs, and 3M™ Sof-Lex™ Diamond Polishing System.

About the Case

A previous restoration lacked sufficient proximal contact, making it difficult for the patient to floss and resulting in gingival irritation and occasional bleeding. The challende was to achieve better anatomy and contour to allow for improved occlusion and optimal flossing.

 


Learn more about the products used in this clinical case

Teeth close up where food impaction was found in the mesial sulcus

Food impaction was found in the mesial sulcus, indicating inadequate contacts were achieved when the previous composite restoration was placed.

Prepared tooth after removal of the old composite restoration

Prepared tooth after removal of the old composite restoration.

Tooth preparation with 3M Scotchbond Universal Etchant and 3M Sotchbond Universal Adhesive

After a 15-second selective enamel etch with 3M™ Scotchbond™ Universal Etchant, 3M™ Scotchbond™ Universal Adhesive was applied and scrubbed into the surface for 20 seconds.

After gently air drying for 5 seconds, the adhesive was light cured* for 10 seconds using a 3M™ Elipar™ DeepCure-S LED Curing Light.

Teeth close up with a sectional matrix

A sectional matrix was positioned. 3M™ Filtek™ Supreme Flowable Restorative was placed on the cavity floor, and the proximal walls were created using 3M™ Filtek™ Supreme XTE Universal Restorative, shade A3 Enamel, and light cured.*
Clinical Tip:
Transform any Class II into an easy-to-restore Class I by creating thin proximal walls using sectional matrices. Once the walls are cured, the matrices can be carefully removed, offering a clearer view of the tooth restored.

Incremental build-up of dentin layer with 3M™ Filtek™ Supreme XTE Universal Restorative

Incremental build-up of dentin layer with 3M™ Filtek™ Supreme XTE Universal Restorative, shade A3D, and light cured.*

Placement of final enamel layer with 3M™ Filtek™ Supreme XTE Universal Restorative

Placement of final enamel layer with 3M™ Filtek™ Supreme XTE Universal Restorative, shade A3E, and light cured.*

Fissure characterization of the uncured composite using brown stain followed by light curing of the composite.

Fissure characterization of the uncured composite using brown stain followed by light curing of the composite.

Finishing of restoration using different grits of 3M™ Sof-Lex™ Contouring and Polishing Discs

Finishing of restoration using different grits of 3M™ Sof-Lex™ Contouring and Polishing Discs.

The 3M™ Sof-Lex™ pre-polishing spiral was used to prepare the restoration for final polishing

The 3M™ Sof-Lex™ pre-polishing spiral was used to prepare the restoration for final polishing.

A high gloss polish was achieved using the 3M™ Sof-Lex™ Diamond Polishing Spiral

A high gloss polish was achieved using the 3M™ Sof-Lex™ Diamond Polishing Spiral.

Final result

The final natural looking restoration immediately after finishing and polishing.

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