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DEEP MARGIN ELEVATION, INDIRECT AND
DIRECT COMPOSITE RESTORATIONS, A
CLINICAL CASE
20104 Views - Sep 2012
indirect and direct composite restorations a clinical case Giuseppe Marchetti D.D.S., Private practice:
Studio Dentistico Marchetti Parma, Italy, drgmarchetti@hotmail.com
1) Pre-operative
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CLINICAL CASE
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CLINICAL CASE
4) Removal of the old and incongrous restoration and of the secondary decay
5) Detail of the cavity distal cusps are reduced because of the lack of supported enamel
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CLINICAL CASE
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CLINICAL CASE
9) Application of primer and bonding in two steps and hybridization of the dentin
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CLINICAL CASE
10) For ease of impression making and next isolation and cementation a deep margin elevation is done
with an etch and rinse 3 steps techinque and a flow composite
11) Immediate dentine sealing & margin elevation & prep. Of the onlay
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CLINICAL CASE
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14) Rubber dam isolation (detail of 3.6 and mesial decay of 3.7)
15) 3.7 is filled before the cementation of the composite onlay of 3.6
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CLINICAL CASE
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CLINICAL CASE
20) After polishing the build up with air flow, enamel is etched
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CLINICAL CASE
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CLINICAL CASE
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CLINICAL CASE
27) A first finishing abrasive strip is passed under the contact areas of 3.6
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CLINICAL CASE
28) A burr for reciprocating handpiece is used for the first finishing
29) The old and incongrous filling on 3.8 is removed and a news done.
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CLINICAL CASE
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34) 3.5 3.6 3.7 3.8 are cured under glycerine to inhibit the presence of oxygen
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CLINICAL CASE
37) A finishing abrasive strip is passed under the contact areas of 3.5
38) At the end a goat hair brush with cerium oxide is passed to polish all
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CLINICAL CASE
39) The full left posterior arc is restored from 3.5 to 3.8
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CLINICAL CASE
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45) After the rubber dam removal just some little occlusal corrections are needed
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CLINICAL CASE
47) After the occlusal corrections both centric occlusion (blue paper) then protrusion and lateral
movements (red paper) are good.
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