Page 22 - DP Vol 21 No1_Neat

PEDIATRIC DENTISTRY SECTION

QUADRANT WISE FULL MOUTH REHABILITATION AND FOLLOW-UP
Maxillary Right Quadrant

Fig 9: 54 – Carious lesion – Distal Fig 10: 54 – After excavation of carious lesion Fig 11: 54, 55 - Photograph taken
55 – Mesial Marginal Ridge – appears frosty – 55 – Mesial Marginal Ridge involved. from Mesial aspect to reveal the
demineralized – Incipient decay. excavated carious lesion of 55 –
Mesial.

Fig 12: 55 – Restored with Nano-cluster Fig 13: 54 – Restored with Nano-cluster Paste form Fig 14: 54, 55 – Four and half months after
Paste form Composites. Composites. restorations with Nano-Cluster Paste Form
Composites.

Maxillary Left Quadrant

Fig 15: 64, 65 – Proximal Carious Fig 16: 64 – Distal Carious Fig 17: 64 – (Disto - Occlusal) Fig 18: 64, 65 – after Four and
Lesions – Pre-treatment. lesion excavated and enamel Restored with Nano Cluster Flowable half months- Post Restoration.
cavosurface modified. Composites – Incrementally layered. The Nano Cluster Flowable
- 65 – Mesial Carious Lesion 65 – (Mesio- Occlusal) Restored with Composite on 64 is as good as
excavated and enamel Nano Cluster Paste Form Composites – the Nano-Cluster Paste form
cavosurface modified. Incrementally layered. Composite restoration on 65.
Clinically: Restoring with Nano-
Cluster Flowable took lesser time as
compared to Nano- Cluster Paste Form
Composite.

Rationale for using Nano–Cluster - Flowable over Paste Form:

- Flowable due to its lesser viscosity and, higher flowability and consequent wettability tend to adapt to the tooth
structure better whereas paste form composites have to be adapted to the tooth surface.
9
- Flowables though having lower filler content (65% by weight; 46% by volume) as compared to Paste Form
Composites (72% by weight; 55.6% by volume) have slightly lower strength but, the filler content has almost neared
9
that of the paste form composites due to the Nano–Cluster effect, which allows more loading of the fillers. Earlier,
the flowable composites had even lower filler content. The Nano-Cluster therefore allows greater filler content in
Flowables.

22 Dental Practice I January-February 2025 I Vol 21 No 1