Clinical Case: Class IV Composite Replacement
September 7, 2023 | Prof. Paulo Monteiro
About the Case
Case Description/Background: Patient was not satisfied with current anterior restorations (maxillary central incisors). Patient also expressed dissatisfaction with shade and surface texture. Challenge: Creating smooth and natural-looking restorations for patients who demand the highest level of esthetics can be challenging. The use of materials that mimic the shade and opacity of dentin and enamel is critical for success.
The patient was unhappy with the esthetics of their maxillary central incisors.
After tooth preparation, the teeth were etched for 15 seconds using 3M™ Scotchbond™ Universal Etchant.
3M™ Scotchbond™ Universal Plus Adhesive was scrubbed onto the prepared teeth for 20 secs, air dried for 5 secs, and light cured for 10 secs with the 3M™ Elipar™ DeepCure-S LED Curing Light.
A silicone matrix was used to create the palatal wall with 3M™ Filtek™ Supreme Ultra Universal Restorative, shade CT, and light cured.
The interproximal enamel layer was built with 3M™ Filtek™ Supreme Ultra Universal Restorative, shade A3E, and light cured. For the incisal halo, 3M™ Filtek™ Supreme Flowable Restorative, shade W, was used.
Application of the dentin layer using 3M™ Filtek™ Supreme Ultra Universal Restorative, shade A1D, and light cured. For volume control, a Misura instrument was used to leave a 0.5mm space for the facial enamel.
Creation of mamelons and the application of a small portion of 3M™ Filtek™ Supreme Ultra Universal Restorative, shade CT, was added between the dentin layer and the incisal halo, and light cured, to enhance translucency at the incisal edge.
The final layer of 3M™ Filtek™ Supreme Ultra Universal Restorative, shade A3E, was applied and light cured.
Natural looking final restoration after finishing with 3M™ Sof-Lex Contouring and Polishing Discs and polishing using 3M™ Sof-Lex Spiral Finishing Wheels.
Refer to Instructions for Use (IFU) for complete product information. Results may vary.
