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material application as previously described. This consistency References:
is crucial for maintaining the quality and uniformity of the 1. Ferraris F. Adhesion, layering, and finishing of resin composite resto-
restoration. rations for class II cavity preparations. Eur | Esthet Dent. 2007 Sum-
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Removal of Ring and Wedge: After the composite has been 2. Jordan RE, Suzuki M. Posterior composite restorations. Where and how
cured and set, the ring and wedge are removed. they work best. J Am Dent Assoc 1991:122:30-37
3. Van Meerbeek B, Peumans M, Verschueren M. et al. Clinical status of ten
Final Assessment: Upon removal, you observe that there is no dentin adhesive systems. J Dent Res 1994:73: 1690-1702.
excess flash of composite material, and the marginal ridges are at 4. Van Meerbeek B. Peumans M, Gladys S. Braem M. Lambrechts P.
an equal height, indicating a well-finished restoration. (Figure 5). Vanherle G. Three-year clinical effectiveness of four total-etch dentinal
It’s time to restore the mesial defect on tooth #15. The layering adhesive systems in cervical lesions. Quintessence Int 1996; 27:775-784
protocol and material are followed as described earlier. Creating 5. Fortin D. Swift EJ. Denehy GE, Reinhardt JW. Bond strength and micro-
the marginal ridge is very important and is carefully crafted with leakage of current dentine adhesives. Dent Mater 1994;10:253-258.
a fine instrument like the LM Art Fissura (Figure 6). 6. Kanca J. Improving bond strength through acid etching of dentin and
After completing the restoration of tooth #15, we removed bonding to wet dentin surfaces. J Am Dent Assoc 1992:123:35-43-
the band and the wedge. Sequential wedging is then performed, 7. Tjan AHL, Bergh BH, Lidner C. Effect of various incremental techniques
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brown stains are applied in the grooves to create a natural- 8. Feilzer AJ, Dooren LH, de Gee AJ. Davidson CL. Influence of light in-
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STEP 5: CONTOURING AND FINISHING 9. Comparative evaluation of the degree of conversion of four different
The contours and embrasures were well established and finished composites polymerized using ultrafast photopolymerization technique:
using a Shofu Super Snap purple disk. The oxygen inhibition An in vitro studym 2021 Sundaresan Balagopal1, Nagarajan Geethapriya1,
layer was removed using sodium bicarbonate powder with an Sebatni Anisha1, Bahavathi Ananthan Hemasathya2, James Vandana1,
air polisher unit. (Figure 8) Chandrasekaran Dhatshayani1
10. An In-Vitro Comparison of Micro Leakage Between Two
STEP 6: REMOVAL OF OCCLUSAL POINTS AND PosteriorComposites Restored with DifferentLayering Techniques
POLISHING Using Two Different LED Modes Nikhil Relhan, KC
A rubber dam was removed, and high points were checked using 11. Clinical considerations in restorative dentistry —A narrative review
40-micron paper, followed by 8-micron foil in static occlusion. For 2015 Ashwini Tumkur Shivakumar, Sowmya Halasabalu Kalgeri,
dynamic occlusion, 200-micron paper was used, and adjustments Sangeeta Dhir
were made to the cuspal slopes and non-functional cusps. 12. Simplified protocol of adjacent class 2 direct resin restoration by Dr.
Anand Narvekar Australisa, Dental tribune June 2020
FINISHING AND POLISHING PROTOCOLS
• Finishing and margination of the occlusal surface were
performed with a Dura-Green Stone. ABOUT THE AUTHOR
• Polishing was done with SHOFU OneGloss MidiPoints.
• Super polishing was achieved with SuperBuff impregnated Since his graduation from Bharatiya Vidyapeeth
discs to provide a high gloss and an extra enamel-like lustre. Dental College, Pune in 1996, Dr. Anand Narvekar
The patient was recalled after 3 weeks for a checkup and was has immersed himself in the field of dentistry
informed about the use of a water flosser to maintain regular with a special focus on aesthetic dentistry.
oral hygiene. His prime interest lies in treating complex
full mouth rehabilitation and smile design
CONCLUSION where management of occlusal disorders and
restoration of a balanced occlusion are key
Restoring posterior teeth defects presents significant challenges components in his restorative treatment protocol.
due to difficulties with accessibility, isolation, and bonding His keen eye for aesthetics extends beyond
strength. The complexity increases when multiple adjacent dentistry as he is an avid and globally acclaimed photographer
defects are involved. Utilizing a sequential restoration technique with his photographs published in industry-wide publications -
with an advanced matrix system like Strata G from Garrison can dental, Travel, auto media, wildlife, health, and architecture. He
simplify the process and enhance predictability. Success hinges is a mentor at the leading photography forum- the Photography
on achieving well-sealed restorations with proper contact and Club of India. Dr. Anand’s dental work is reflected in leading Asian
contours. This article aims to outline a straightforward and dental magazines and publications. He is an adjunct faculty at
reliable protocol for managing adjacent Class II direct resin various private dental institutes, He is MICD fellow, advocator, and
certified Clinical trainer for Minimally Invasive Cosmetic Dentistry
restorations using bioactive composite from Shofu in everyday (MICD). Recently he was honored as a Fellow of the Bangladesh
clinical practice. n Academy of Dentistry International. Dr. Anand is a key opinion
leader and advisor for many global dental manufacturers and
ACKNOWLEDGMENT: The author extends gratitude to Garrison Dental routinely conducts courses on various aesthetic, biomimetics, and
Solutions and Shofu Dental Asia-Pacific for their support with materials. photography in India and internationally.

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