Page 16 - DP Digital Sample

restorative section

FIG 9: After removal of all rings and bands, the resulting Class I restoration is now FIG 10: The cavity was filled with composite Beautifil II LS (Shofu) in small incre-
ready for filling. ments to avoid C factor, while mimicking natural anatomy. Brown stains were
added to give a natural effect.

Step 2
Restoration of tooth #35. After the initial cavity preparation, a
deeper carious lesion was identified. Caries dye was applied to
effectively remove caries with the help of a slow speed round car-
bide bur. (Figure 2)

Step 3
After removal of decay, the tooth was prepared using a small dou-
ble-sided Super-Snap Purple disk to bevel the proximal box,
remove sharp edges and unsupported enamel.
Clincial tip: This is the most important step if you want to achieve
great margin seal and avoid microleakage. (Figure 3)

Step 4
FIG 11: Rubber dam was removed and occlusion checked with 40 micron articulat- In order to achieve a natural contact, tooth #35 was restored first
ing paper in static occlusion. followed by tooth #36.
A Garrison pre-contoured premolar FX100(gray) matrix band
was placed in between #35 and #36. Then an extra small (yellow)
Fusion Wedge was placed in between.This provides a wedging
effect and sealing of the band with the proximal box so that when
composite is placed in the box it won't flow excessively beyond the
band. This is the most common failure seen in Class II’s.
Additionally, the wedge stabilizes the band during ring placement
(Composi-Tight 3D Fusion FX400 blue, short ring), preventing the
band from moving. This is the most important step in doing per-
fect Class II restorations. (Figure 4)
Step 5
After placing the band, a routine procedure of selective etching was
completed with 32% phosphoric acid etchant. Shofu 6th genera-
tion FL bond II primer and bond was then applied and photo
FIG 12: After finishing and polishing.
cured as per instructions. A small amount of Shofu Beautiful Bulk
Flow dentin shade was placed in the proximal box. (Do NOT
photo cure) Due to its low viscosity, this material provides an
excellent adaptation to irregular cavity geometry. Next, a small
amount of Beautifil LS II dentin shade A2 was placed in the proxi-

16 Dental Practice // January-February 2021 // Vol 17 No 4