By Aleksandra Łyżwińska, DMD

The MOD restoration on the maxillary left second premolar of this patient was in need of replacement. It was decided to create a direct composite overlay with CLEARFIL MAJESTY™ ES Flow - Super Low A3, CLEARFIL MAJESTY™ ES-2 Classic A2. CLEARFIL™ SE BOND 2 was used after selective etching of the enamel to establish a chemical bond to enamel and dentin. For the finishing and polishing procedure, abrasive discs were used first, followed by silicon carbide rubber instruments and the CLEARFIL™ Twist DIA system.

Fig. 1. Initial clinical situation revealing the composite restoration to be replaced on the second premolar.

Fig. 2. Occlusal view of the teeth after cavity preparation including cusp reduction.

Fig. 3. Lateral view of the teeth after cavity preparation.

Fig. 4. Matrix band held in place with wedges and two rings.

Fig. 5. Situation after etching, bonding, removal of one ring, and build-up of the interproximal walls with CLEARFIL MAJESTY™ ES-2 Classic in the shade A2.

Fig. 6. Cavity filled with CLEARFIL MAJESTY™ ES Flow - Super Low A3.

Fig. 7. Occlusal surface restored with CLEARFIL MAJESTY™ ES-2 Classic in the shade A2.

Fig. 8. Polishing with the pre-polisher of the CLEARFIL™ Twist DIA system.

Fig. 9. Polishing with the high-shine polisher of the CLEARFIL™ Twist DIA system.

Fig. 10. Appearance of the restoration immediately after rubber dam removal and checking of the occlusal contacts.

FINAL SITUATION

Fig. 11. Linguo-occlusal view of the treatment outcome.

Fig. 12. Lateral view of the treatment outcome.

Dentist:

ALEKSANDRA ŁYŻWIŃSKA
Warsaw, Poland

Aleksandra Łyżwińska, DMD, is a passionate aesthetic and adhesive dentist. Driven by Evidence Based Dentistry, her goal includes using modern composite materials and bonding agents in her clinical practise. In addition to her primary job, she worked as a lecturer and an assistant professor at the Department of Conservative Dentistry and Endodontics of Medical University of Warsaw, her alma mater.

• 29 dec. 2020

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