Hidden caries on upper first pre-molar
May 25, 2021
Prof. Dr. Alberto Ferreiroa, Phd in Dentistry

Clinical Case: Hidden Caries on Upper First Pre-molar

Using 3M™ Scotchbond™ Universal Plus Adhesive and 3M™ Filtek™ Universal Restorative.

About the Case

Patient came with light pain on the left upper side, the clinical evaluation showed the presence of a caries on distal side of the right first upper premolar, which was confirmed by the periapical x-ray. The treatment plan consisted of a class II, OD (occluso-distal) restoration using 3M™ Scotchbond™ Universal Plus Adhesive and 3M™ Filtek™ Universal Restorative, Shade A2. After total isolation with rubber dam, the caries was removed, all the procedures related to the adhesive were made and the composite material was placed and polished using 3M™ Sof-Lex™ Polishing System.

Initial situation (occlusal view)

Initial situation. Occlusal view.

After isolation with rubber dam and preparation

After isolation with rubber dam and preparation.

Selective enamel etching

Selective enamel etching – phosphoric acid gel was applied for 15 seconds, rinsed and lightly dried.

Application of adhesive on dentin

Application of 3M™ Scotchbond™ Universal Plus Adhesive on dentin, rubbing in for 20 seconds, air-drying for 5 seconds and light curing for 10 seconds.

After the placement of universal restorative

After the placement of the 3M™ Filtek™ Universal Restorative composite, shade A2.

Polish the restoration

Polish the restoration with 3M™ Sof-Lex™ Pre-Polishing Spiral, applying the first step pre-polishing spiral.

Applying the second step

Applying the second step 3M™ Sof-Lex™ Diamond Polishing Spiral.

Final result

Final result.

Alberto Ferreiroa

Prof. Dr. Alberto Ferreiroa

Learn more about Prof. Dr. Alberto Ferreiroa

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