Dr Shaadi Manouchehri explains how to effectively manage caries with direct class 1 and class 2 composite restorations.
By adhering to standardised operating protocols, using high-quality materials, and employing rubber dam isolation, clinicians can efficiently perform multiple direct restorations in a single appointment, reducing time in improving comfort for both, the clinician and patient.
A young female patient presented for a routine dental examination with the absence of symptoms (Figure 1). Following clinical and radiographic examinations we noted multiple carious lesions. In this report we look at occlusal caries affecting the upper left second molar and interproximal (Figure 2) caries affecting the upper left first molar.
Caries treatment
After adequate anaesthesia we proceeded to isolate the affected area with rubber dam to ensure optimal treatment outcome.We proceeded to clear the caries from the affected areas whilst protecting the adjacent teeth under magnification. The ADJ was cleared of caries with diamond burs.
Sectional matrix band and wedge was chosen to recreate the optimal interproximal anatomy. Separator ring was used to ensure the correct contact was achieved and minimise risk of post operative complications.
Marginal ridge was created (Figure 3) with a minimal amount of flow composite at the base (Visalys Flow A2). An adequate composite mass (Visalys Fill A2) was applied to enhance the margin between the restoration and the tooth. This area was light cured appropriately as per manufacturer’s advice.
A layer of fluid composite Visalys Flow A2 (Figure 4) was applied to the base of the cavity then light cured. The restoration was then built up in small increments. This minimises polymerisation shrinkage and the risk of post operative complications such as sensitivity.
The rubber dam was then removed and the occlusion checked with 8-micron thick articulating paper. The occlusion was adjusted using a fine grit diamond bur.
The restorations were polished and buffed, and the quality of contact points with adjacent teeth was tested using floss. The interproximal area was checked to ensure the absence of roughness or excess composite.
The Visalys composites were very easy to use. They have optimal physical and optical properties conclusion in an aesthetic and functional restoration. This was further enhanced by the level of polish we were able to achieve due to the physical properties of the product.
For more information, visit www.kettenbach-dental.com/products/restorations/visalys-flow.
This article is sponsored by Kettenbach.
