Posterior composite restoration
Case by Dr Adrien Lavenant
Introduction
The patient consulted for a follow-up examination and presented with recurrent caries at the maxillary right first molar. A direct treatment with composite needed to be performed. We decided to use Kuraray Noritake Dental Inc.´s CLEARFIL MAJESTY™ ES-2 Universal composite for several reasons: the efficiency of the treatment, favourable handling properties and ease of use.
The clinical case illustrations below show the step-by-step approach carried out during a 30-minute treatment session.
Fig. 1. Initial situation showing an occlusal caries lesion on the maxillary right first molar.
Fig. 2. Pre-operative X-ray.
Fig. 3. Isolation of the working field with rubber dam.
Fig. 4. Situation after caries excavation and tissue preparation.
Fig. 5. Cavity ready for the application of the universal composite: CLEARFIL™ Universal Bond Quick is visible on dentin and enamel and the cavity floor is covered by a thin layer of CLEARFIL MAJESTY™ ES Flow Low.
Fig. 6. Appearance of the tooth after buildup of the restoration with several layers of CLEARFIL MAJESTY™ ES-2 Universal composite (in the shade U developed for the posterior area).
Fig. 7. Stains applied in the occlusal fissures ensure an even more natural appearance.
Fig. 8. Final result after polishing with CLEARFIL™ Twist DIA and checking of the occlusion.
Fig. 9. Final result immediately after rubber dam removal.
Fig. 10. Post-operative X-ray.
FINAL SITUATION
Fig. 11. Check-up after 15 days with rehydrated dental tissues.
Dentist:
DR ADRIEN LAVENANT
Dr Adrien Lavenant obtained his DDS degree at the University of Aix-Marseille in 2010. He pursued his post-graduate education in the field of periodontology, restorative and aesthetic dentistry (University Aix-Marseille and Paris).
Dr Lavenant is a former member of the teaching staff of the University of Aix-Marseille since 2011 and he continues to teach in the postgraduate program in restorative and aesthetic dentistry.
Since 2010, he owns a private practice in Aix-en-Provence specialised in restorative, prosthetic and aesthetic implant dentistry. He has been part of the international Bio-emulation group since 2019 and shares his philosophy of patient care in accordance with the principles of biomimetic dentistry.
- 4. mar. 2021
