Page 25 - GP Spring 2022

imal surfaces to ensure the position of the matrix and to prevent ite was removed, and the restoration shaped by a flame-shaped bur
unwanted ingress of material. The tooth was etched with 35% phos- (Dura-White, Shofu, San Marcos, CA) (Figure 12). The restoration
phoric acid (Figure 7), and two applications of a fifth-generation
bonding agent (Prime & Bond, Dentsply, Milford, DE) were ap-
plied. Next, a heated flowable composite (Filtek Supreme Ultra,
3M, St. Paul, MN) was placed at the most apical aspect of the ma-

Figure 12. Excess composite removed with a
flame-shaped bur.
was then finished and polished using medium (Figure 13) and fine
(Figure 14) polishers (Flexi-cups, Cosmedent, Chicago, IL). Figure
Figure 7. Placement of etch. 15 reveals the final restoration blown dry to evaluate both the polish
trix, but not cured (Figure 8). A heated microfilled composite (Re- and adaptation of the composite to the tooth.
namel Microfill, Cosmedent, Chicago, IL) was then injected into

Figure 13. Medium polisher.
Figure 8. Placement of heated flowable
composite.
the pool of flowable composite (Figure 9). The composite was then
cured (Figure 10).

Figure 14. Fine polisher. Figure 15. Final restoration.

Conclusion
The technique shown above represents an efficient and economical
method to easily complete a cervical restoration.

Figure 9. Placement of heated microfilled
composite.
Disclosure: None of the authors have any financial interests in any
of the products mentioned in this article.
Dr. Arthur Volker graduated from the Columbia
University School of Dental and Oral Surgery.
Dr. Volker has published articles and lectures
nationally and internationally on such topics
as cosmetic dentistry, minimally invasive
dentistry, and dental materials. He practices in
Figure 10. Composite cured. Sunnyside, New York.

Dr. Mohammed El-sayed Abdulhady earned his
The matrix was removed, and bachelor degree of Dentistry from Mansourah
the restoration was further University in Egypt. He later earned his degree
cured from multiple angles, from the University of Leeds School of Dentistry
with the final cure under a in England.
de-ox gel to ensure complete
polymerization and removal He practices in Dakahlia Governorate, Egypt.
of the oxygen-inhibited layer
Figure 11. Matrix removed.
(Figure 11). Excess compos-
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