Distal Occlusal Restoration in Asymptomatic Patient

Distal Occlusal Restoration in Asymptomatic Patient

Initial situation of the patient

The patient came for a routine control appointment. She didn‘t report any symptoms but some bleeding during brushing.

Before

Initial situation: an old class I composite restoration on 1.6. New caries on the mesial wall. Presence of plaque and inflammation.

After

Final situation 2 weeks after the filling. Great comfort and no sensitivity at all were reported by the patient.

Diagnosis

• On the x-ray examination, a mesial translucency (initial caries) was found on tooth 1.6. 
• The tooth presented an old class I composite restoration. 
• Marginal inflammation and plaque were present. 
• No symptoms were referred by the patient.

Treatment Plan

• Isolation
• Caries removal
• Matrix placement
• Adhesion
• Centripetal build-up technique
• Bulk restoration with SDR® flow+ Bulk Fill Flowable
• Occlusal restoration

_{1 Depending on market location, Palodent® Plus or Palodent® V3
2 Depending on market location, DeTrey® Conditioner 36 or Caulk® 34% Tooth Conditioner<
3 Depending on market location, Prime&Bond adhesives are available as either Prime&Bond elect®, Prime&Bond active®, or Prime&Bond Universal™
4 Depending on market location, Spectra ST composites are available as either TPH Spectra® ST, Ceram.x Spectra® ST, or Neo Spectra® ST}