before and after
March 17, 2022
Dr. Augusto Robles, DMD, MS Associate Professor Operative Dentistry Curriculum Director UAB School of Dentistry

Clinical Case: Upgrade! From a provisional to a permanent restoration.

Using 3M™ Scotchbond™ Universal Plus Adhesive, 3M™ Filtek Supreme Ultra Universal Restorative and 3M™ Sof-Lex™ Diamond Polishing System.

About the Case

Patient came with chief complaint of having a “temporary restoration” that had an open contact. The treatment plan consisted of a class II, MO (mesio-occlusal) restoration using 3M™ Scotchbond™ Universal Plus Adhesive and 3M™ Filtek™ Supreme Ultra Universal Restorative, Shade A2B. After total isolation with rubber dam, the temporary restoration was fully removed, all the procedures related to the adhesive were made and the composite material was placed and finished with burs and a #12 scalpel blade. Polishing completed using 3M™ Sof-Lex™ Diamond Polishing System.

Initial situation

Initial situation: patient presented with a temporary Glass Ionomer restoration showing an open contact in the mesial.

Preparation

Extensive prep after removing all the existing Glass Ionomer.

phosphoric acid etch gel

37% phosphoric acid etch gel was applied using the selective etch technique. This was left on for 10 seconds, then rinsed away with water.  

HF etching

3M™ Scotchbond™ Universal Plus Adhesive was rubbed in for 20 seconds and air-drying for 5 seconds- Active application is the key for best results.

Application of adhesive

Adhesive was then light cured for 10 seconds.

Preparation ready for bonding

After 3M™ Filtek™ Supreme Ultra Universal Restorative was placed and light cured, a scalpel blade was used to contouring.

bite-wing radiograph

A final bite-wing radiograph showing the radiopacity of the adhesive and the marginal adaptation.

Final restoration

Final restoration. The high shine is obtained by following the sequence of the 3M™ Sof-Lex™ Diamond Polishing System.

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