Page 14 - DP Vol 20 No 5_Neat

COSMETIC SECTION

Fig 8: After completion, and then air polishing the restorations. Fig 9: Post op 3 weeks.

Fig 10: Comparison of pre and Post op 3 weeks. Fig 11: Comparison of pre and Post op 3 weeks.

proper polymerization across the entire restoration. in two increments using the snow plough technique, complemented
by a small quantity of Shofu Injectable Xsl (shade A3O). The marginal
STEP 4: SEQUENCE OF PERFORMING ADJACENT ridge is then refined in 2nd increment with a fine instrument to achieve
RESTORATIONS the correct contour and an even occlusal embrasure. The firmness of
We began with the most distal defect, which in this case is on the the band facilitates accurate replication of the marginal ridge. This
distal aspect of tooth #16. After applying the bonding agent, we used a method effectively creates both the contact and the marginal ridge.
thin layer of Shofu Injectable Xsl—a high-strength, self-levelling, 2nd The band is removed from the tooth #16 and sequential wedging is
generation injectable material—to seal the dentine. This initial layer, appointed using Strata G- SGBL small blue wedge
approximately 0.5 mm thick, is crucial for protecting the hybrid layer
from shrinkage stress. The self-levelling properties of this material Selection and Placement of the Blue Ring: The G blue ring is chosen
allow it to effectively adapt to uneven surfaces, ensuring a smooth and positioned between teeth #16 and #15. This ring helps to control
application without air bubbles and minimizing post-operative any excess flash of composite material by creating a space that ensures
sensitivity. tight contacts are achieved by moving the teeth slightly apart.
The defect is restored using Shofu Beautifil LS II, a low-shrinkage
composite with a shrinkage rate of 0.85% (shade A3). This is applied Material and Layering Protocol: You follow the layering protocol and

ARTICLE CITATION
Anand Narvekar (2024). Strategic approaches to addressing adjacent class 2 defects in quadrant dentistry. Dental Practice, 20(5), 12-15
14 Dental Practice I November-December 2024 I Vol 20 No 5