Bulk Fill Restorations

7 Jan 2016 - 39118

New materials allow us to improve our restorations making them look natural in a very fast way and without too many difficulties. In this case we present a class I made with new bulk fill material in only one increment obtaining a result feasible, teachable, and repeatable

Fig. 1

Initial situation of an old restoration that produces some pain and discomfort in a female patient

Fig. 2

Selective etching of the cavity preparation during 15 seconds with 37% orthophosphoric acid

Fig. 3

this approach allows us to dry the enamel while we maintain dentin without etching

Fig. 4

We apply three coats of universal adhesive system to auto-etch the dentin and bond to dentin and enamel in a proper way

Fig. 5

every layer of adhesive must be evaporated with air and suction to eliminate solvent and obtain better results

Fig. 6

application of A2 color of Bulk Fill Posterior in one increment

Fig. 7
Fig. 8

with the help of LM Arte instruments and brushes we model the occlusal surface of the molar

Fig. 9

immediate result without characterization with tints

Fig. 10

ochre tint to simulate natural aspect of the molar

Fig. 11

pre polishing with yellow spiral disc

Fig. 12

polishing with white spiral disc

Fig. 13

immediate result

Fig. 14

checking occlusion, first we use a 400 microns paper to allow the tint to stick to the teeth

Fig. 15

then we apply the thin paper of 40 microns to make the adjustment

Fig. 16

review two weeks after

Fig. 17

the process for the restoration is really shorten by this technique. from initial situation till checking the occlusion including documentation took 32 minutes