Clinical Cases, Chairside Clinical case - Restoration of a class II cavity in a mandibular second premolar By Aleksandra Łyżwińska, DMD This patient required the replacement of an insufficient composite restoration of the mandibular right second premolar. It was planned to restore the tooth using a combination of CLEARFIL MAJESTY™ ES Flow – Super Low A3 and CLEARFIL MAJESTY™ ES-2 Classic A3 with some tints. CLEARFIL™ SE BOND 2 was the adhesive of choice. It produces a reliable chemical adhesion to dentin and enamel as it contains 10-MDP. The best results are obtained after selective enamel etching. Fig. 1 Initial clinical situation. Fig. 2 Removal of the existing restoration reveals carious tissue underneath. Fig. 3 Appearance of the cavity after caries excavation and preparation. Fig. 4 Dried tooth structure after selective enamel etching with a sectional matrix in place. Fig. 5 Build-up of the interproximal wall with CLEARFIL MAJESTY™ ES-2 Classic (shade A3) after the use of CLEARFIL™ SE BOND 2. Fig. 6 Successful transformation of a Class II cavity to Class I. Fig. 7 Cavity filled with CLEARFIL MAJESTY™ ES Flow (Super Low A3). Fig. 8 Appearance of the tooth after the application of a final layer of CLEARFIL MAJESTY™ ES-2 Classic (shade A3) and some tints. Fig. 9 Polished restoration on the mandibular right second premolar. FINAL SITUATION Fig. 10 Treatment result ... Fig. 11 ... after rubber dam removal. 8 Sept 2020 restoration Clinical Case build-up enamel caries class II cavity preparation etching rubber dam About the Author Aleksandra Łyżwińska CLEARFIL MAJESTY ES-2 Classic View Product CLEARFIL MAJESTY ES Flow View Product Subscribe to our Newsletter Join thousands of dental professionals and receive free advice that can help you and your career. We will not spam or share your e-mail.