before and after
December 5, 2022
Prof. Paulo Monteiro, DMD, MSc

Clinical Case: Composite Replacement

Using: 3M™ Scotchbond™ Universal Etchant, 3M™ Scotchbond™ Universal Adhesive, 3M™ Elipar™ DeepCure-S LED Curing Light, 3M™ Filtek™ Supreme XTE Universal Restorative, 3M™ Filtek™ Supreme XTE Flowable Restorative, 3M™ Sof-Lex™ Contouring and Polishing Discs, 3M™ Sof-Lex™ Pre-Polishing Spiral and 3M™ Sof-Lex™ Diamond Polishing Spiral

About the Case

Patient was not satisfied with current anterior restorations (maxillary central incisors). Patient also expressed dissatisfaction with shade and surface texture.

The Challenge

Creating smooth and natural- looking restorations for patients who demand the highest level of esthetics can be challenging. The use of materials that mimic the shade and opacity of dentin and enamel is critical for success.

Refer to Instructions for Use (IFU) for complete product information. Results may vary.


Learn more about the products used in this clinical case

Initial situation

Initial situation: The patient was unhappy with the esthetics of their maxillary central incisors.

After tooth preparation

After tooth preparation, the teeth were etched for 15 seconds using 3M™ Scotchbond™ Universal Etchant.

3M™ Scotchbond™ Universal Adhesive was scrubbed onto the surface of the prepared teeth for 20 seconds, gently air dried for 5 seconds, and light cured* for 10 seconds with the 3M™ Elipar™ DeepCure-S LED Curing Light.

A silicone matrix was used to create the palatal wall with 3M™ Filtek™ Supreme XTE Universal Restorative, shade CT, and light cured*.

The interproximal enamel layer was built with 3M™ Filtek™ Supreme XTE Universal Restorative, shade A3E, and light cured*. For the incisal halo, 3M™ Filtek™ Supreme XTE Flowable Restorative, shade W, was used.

Application of the dentin layer using 3M™ Filtek™ Supreme XTE Universal Restorative, shade A1D, and light cured*. For volume control, a Misura instrument was used to leave a 0.5mm space for the facial enamel.

enhance translucency at incisal edge

Creation of mamelons and the application of a small portion of 3M™ Filtek™ Supreme XTE Universal Restorative, shade CT, was added between the dentin layer and the incisal halo, and light cured*, to enhance translucency at the incisal edge.

final layer and light cured

The final layer of 3M™ Filtek™ Supreme XTE Universal Restorative, shade A3E, was applied and light cured.

design and define the restoration anatomy

3M™ Sof-Lex™ Contouring and Polishing Discs are used to design and define the restoration anatomy.

Pre-polish

Pre-polishing of restoration with 3M™ Sof-Lex™ Pre-Polishing Spiral.

Final polish

Final polishing with the 3M™ Sof-Lex™ Diamond Polishing Spiral creates a smooth finish and high-gloss polish.

Natural looking final restoration

Natural looking final restoration.

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