Treatment of primary caries in a third molar

Treatment of primary caries in a third molar

Case by Dr. Michał Pokojski

 

When restoring primary carious lesions in the posterior area with composite, I wish to use a material that allows me to produce high-quality outcomes in an efficient procedure. The most important qualities of the restoration are its perfect marginal integrity and reliable long-term behaviour, which set the stage for a long and healthy life of the otherwise healthy tooth.

 

Reliability paired with ease of use is what I expected from the selected material combination: CLEARFIL™ SE Bond 2, a popular self-etch adhesive containing the original MDP monomer, and CLEARFIL MAJESTY™ ES-2 Universal. According to Kuraray Noritake Dental, the innovative resin composite comes with a universal shade concept and mechanical properties such as shrinkage, wear resistance and colour stability similar to those of proven CLEARFIL MAJESTY™ products. As a single shade is available for the posterior region, the need for shade determination is eliminated, which allows the dental practitioner to focus on the clinical work steps. In this case, a small primary defect in a third molar was restored. The outcome speaks for itself.

 

Fig. 1. Situation during cavity preparation revealing the carious lesion.

 

Fig. 2. Prepared cavity after the application of the bonding agent.

 

FINAL SITUATION

 

Fig. 3. Treatment outcome with the composite harmoniously integrated into the surrounding structure.

 

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