Procedure Solution

Class II Restorative Solution

CONTACT US

Contact us for more information

Connect with one of our Restorative product specialists to learn how our Class II solutions can help you.
Contact Us

Restore your love for Class II Procedures

Every year, a large percentage of your patient base will receive a Class II restoration, providing an opportunity to strengthen their relationship with your practice. Yet, they are tedious and can be difficult to place efficiently and predictably. An approach that addresses the most common challenges with Class II restorations can help you be successful.

Approach Class II cases with confidence. The Dentsply Sirona Class II Approach is the first and only complete approach to Class II restorations designed to increase efficiency and predictability for more consistent, successful clinical outcomes.

Class II Solution by Dentsply Sirona

Workflow

Class II Restorations complete procedure solution

"The Dentsply Sirona Class II Approach has been the foundation of my posterior composite armamentarium and teaching protocols for more than 15 years. Using this system simplifies the protocol and enables the clinician to produce efficient and consistent successful outcomes without the stresses of complications and failures."

Dr. Alan Atlas

Dr. Alan Atlas 

Solutions for key challenges of class II restorations

Navigating key challenges of Class II Restorations

It may be difficult to achieve your goals due to challenges associated with Class II restorations. Predictably and efficiently manage Class ll restorations to keep patients happy and your practice profitable. Learn more!

Isolation

2/3 of doctors' experience difficulty achieving adequate isolation in a Class II restoration. 12

If the restorative field is contaminated with moisture, the physical properties and ultimate success of the composite restoration may be compromised.13

Learn more

Contact Creation

70% of clinicians find contact creation to be the most challenging part of a Class II restoration. 14

An open or improperly placed or shaped proximal contact can result in a fracture or food impaction, which can lead to periodontal inflammation, bone loss, and recurrent caries.15

Use Palodent Matrix System together with SDR flow+ material to alleviate the challenges of contact creation.

Learn more

Sensitivity

Research shows that on average, 10-15% of posterior composite restorations result in postoperative sensitivity.5

The leading causes of postoperative sensitivity are:

  • Over-etching of the dentin8
  • Insufficient adhesive sealing of the dentin 9,10
  • Poor adaptation, leading to unfilled areas or voids 9,10
  • High shrinkage stress11
Learn more

Adaptation

2 out of 3 dentists indicate cavity adaptation is the most important attribute for a successful restoration. 16

High shrinkage stress may lead to marginal gap formation. Even if unfilled areas are avoided during placement, a gap-free restoration isn’t guaranteed if materials with high shrinkage stress are used.17,18

Use Prime&Bond active together with SDR flow+ material to alleviate the challenges of adaptation.

Shade Matching

Dentists spend as much as 14% of Class II chair time selecting the appropriate composite shade. 19

Closely matching the shade of a natural tooth can be challenging because of the time spent taking a shade and the inherent limitations of the human eye to accurately match color.20,21

Learn more

Depth of Cure

Many lights deliver less than 35% of their stated output to the floor of the proximal box. 22

An insufficient cure can lead to adverse effects on physical properties, including:23

  • Reduced bond strengths
  • Breakdown at the margins
  • Microleakage
  • Secondary caries

Cure fully and reliably with confidence, including bulk filled restorations. Use SmartLite Pro curing light together with SDR flow+ material for faster, fully cured restorations that last.

Learn more

Discover more about Class II Restorations

Class II Clinical Cases

As part of its Class II approach, Dentsply Sirona provides the tools and techniques necessary for patient satisfaction and procedure success.

Learn more

Contact us

Find out more about our Restorative products and solutions.

Contact Us

Explore Related Products

false
Palodent Family
Prime&Bond active
SDR flow+
Template Webshop Images
Ceram.x Spectra ST Family
OLYMPUS DIGITAL CAMERA
Enhance
Product image
SmartLite Pro
false

Sources:

  1. DentalTown. Restorative dentistry monthly poll: What is the most challenging part of a Class II Restoration? 2012. For more information, contact Consumables-Data-Requests@dentsplysirona.com
  2. Key Group International Survey, 2019. For more information, contact Consumables-Data-Requests@dentsplysirona.com
  3. Dentsply Sirona Restorative, GNY 2016 Attendee Survey. For more information, contact Consumables-Data-Requests@dentsplysirona.com
  4. Internal data on file. For more information, contact Consumables-Data-Requests@dentsplysirona.com
  5. Usman AB, Ahmed A, Qasim J. Frequency of postoperative sensitivity in posterior class I composite restorations. Pakistan Oral Dent J. 2014;34(3):532-535. / Berkowitz GS, Horowitz AJ, Curro FA, et al. Postoperative hypersensitivity in class I resin-based composite restorations in general practice: interim results. Compend Contin Educ Dent. 2009;30(6):356-363. / Haller, Die postoperative Hypersensibilität, zm 99, Nr. 6a, 13.03.2009 S. 44-51./ Briso ALF, Mestrener SR, Delício G, et al. Clinical assessment of postoperative sensitivity in posterior composite restorations. Oper Dent. 2007;32(5):421-426. doi:10.2341/06-141
  6. BlueLight Analytics. Irradiance value comparison among commercially available curing lights. 2012. Unpublished commissioned study, data on file. For more information, contact Consumables-Data-Requests @dentsplysirona.com 
  7. Internal data on file. For more information, contact Consumables-Data-Requests @dentsplysirona.com
  8. Perdigão J, Geraldeli S, Hodges JS. Total-etch versus self-etch adhesive: effect on postoperative sensitivity. JADA. 2003;134(12):1621-1629. 
  9. Jackson RD. Placing posterior composites: increasing efficiency. Dent Today. 2011;30(4):126,128,130-131. 
  10. Kuper NK, Opdam NJ, Ruben JL, et al. Gap size and wall lesion development next to composite. J Dent Res. 2014;93:108S-113S. 
  11. Schneider LFJ, Cavalcante LM, Silikas N. Shrinkage stresses generated during resin-composite applications: a review. J Dent Biomech. 2010;131630. doi:10.4061/2010/131630
  12. Key Group International Survey, 2019, n=300. For more information, contact Consumables-Data-Requests@dentsplysirona.com
  13. Gilbert GH, Litaker MS, Pihlstrom DJ, Amundson CW, Gordan VV. DPBRN Collaborative Group. Rubber dam use during routine operative dentistry procedures: findings from the Dental PBRN. Oper Dent. 2010;35(5):491-499. doi:10.2341/09-287C
  14. DentalTown. Restorative Dentistry. Monthly poll: what is the most challenging part of a Class II restoration? 2012
  15.  Rosenburg JM. Making contact: a method for restoring adjacent posterior direct resin. Dent Today. 2013;32(3):92,94-95
  16. Key Group International Survey, 2019, n=300. For more information, contact Consumables-Data-Requests@dentsplysirona.com. 
  17. Jackson RD. Placing posterior composites: increasing efficiency. Dent Today. 2011;30(4):126,128,130-131. 
  18. Kuper NK, Opdam NJ, Ruben JL, et al. Gap size and wall lesion development next to composite. J Dent Res. 2014;93:108S-113S. doi:10.1177/0022034514534262
  19. Data on file. Dentsply Sirona Restorative. GNY 2016 Attendee Survey. For more information, contact Consumables-Data-Requests@dentsplysirona.com
  20. Clinicians Report March 2021. 
  21. Paul S, Peter A, Hämmerle CHF. Visual and spectrophotometric shade analysis of human teeth. J Dent Res. 2002;81(8):578-582. 
  22. BlueLight Analytics. Irradiance value comparison among commercially available curing lights. 2012. 
  23. Boksman L, Santos GC. Principles of light curing. Inside Dentistry. 2012;8(3). https://www.aegisdentalnetwork.com/id/2012/03/principles-of-light-curing