before and after
June 7, 2023
Dr. Michal Dekel-Steinkeller, DMD, Specialist in Prosthodontics

Clinical Case: Minimally Invasive Caries Management

Using 3M™ Vitrebond Plus Light Cure Glass Ionomer Liner/Base, 3M™ Scotchbond™ Universal Etchant, 3M™ Scotchbond™ Universal Plus Adhesive, and 3M™ Filtek One Bulk Fill Restorative.

About the Case

The philosophy of Minimally Invasive Dentistry compels us to always choose the most conservative approach in treating caries-affected teeth. This young woman’s first lower molar showed suspicious signs of caries adjacent to a faulty composite restoration. A conservative approach was used to remove the caries-affected dentin, without need for local anesthetics, and a new esthetic restoration was placed using state of the art adhesives and restorative materials.

Initial situation

The patient presented with a failing restoration. Note the open, discolored margin, and underlying discoloration.

Preparation

A bitewing radiograph confirms suspicion of caries adjacent to the restoration, and it was decided to remove the restoration

Selective enamel etch

After removal of the faulty restoration, soft, carious dentin is prevalent

3M™ Scotchbond™ Universal

Using mechanical caries removal, the infected dentin is removed with a manual excavator.

Results

3M™ Vitrebond Plus Light Cure Glass Ionomer Liner/Base is placed on the deepest part of the preparation.

Application

Selective enamel etch is applied with phosphoric acid, 3M™ Scotchbond™ Universal Etchant, which is then rinsed.

3M™ Scotchbond™ Universal Plus Adhesive is applied to the entire preparation for 20 seconds, air dried for 5 seconds, and cured for 10 seconds.

Final light cure

Final outcome, 3M™ Filtek One Bulk Fill Restorative, A2, after finishing and polishing.

Dr. Michal Dekel-Steinkeller, DMD

Learn more about Dr. Michal Dekel-Steinkeller, DMD

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