Restorations using bulk-fill composite

At this stage of development of dentistry, it has become possible to produce restorations quickly, simply and beautifully thanks to the use of bulk-fill composite. This material is the material of choice for restoring posterior teeth and is considered an affordable and economical option.

Learn more about this material in the webinar Features of adhesion and polymerization of Bulk Fill filled composites .

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Let's consider this clinical case. The patient complained about the complete absence of a contact point. He complained of food getting stuck between his teeth and pain when chewing hard food.

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Figure 3

Removal of old restoration. To reconstruct the proximal wall, we use a sectional matrix. For a perfect fit of the matrix we use Teflon tape.

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After selective etching of the enamel, we apply and cure the universal adhesive.

The first portion of the composite is used to create a proximal wall with the goal of creating a class I cavity from a class II cavity.

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In this case, we use the new highly filled composite DMG Ecosite Bulk-Fill to produce the restoration.

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The bottom of the cavity is filled with a small amount of flowable composite (0.5-1 mm). We fill the remaining cavity with one portion of the packable composite. After marginal adaptation of the composite, we model the chewing surface in the direction of the main lines of Giuseppe Chiodera.

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After polymerization of the composite, spots are added for a better aesthetic effect (we use dye). For finishing and polishing you need: a carbide bur, a flexible contour disc, a brown polisher and a silicone carbide brush.

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After removing the rubber dam, we check the occlusion using 8 mm articulation paper. Sanding down small premature contacts.

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Examination after a week, complete integration of the restoration with the tooth.

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Bulk-fill materials

Modern bulk-fill composite materials simplify the process of restoring the chewing teeth. This material can be easily and quickly introduced into cavities (in a layer up to 5 mm thick), it lends itself well to modeling and polishing, as shown in this clinical case.

DMG Ecosite Bulk-Fill is easy to use and has good optical properties due to its special opalescence. In addition, this material retains its shape without “falling” into the cavity before light curing. As for polishing, the results are similar to those of conventional composite polishing.

For the reasons listed above, this material is ideal in all situations where we need to save time and at the same time obtain a high-quality restoration without compromising function and aesthetics.

The online lesson Direct restoration of chewing teeth using the technique of stress-reduced direct composite restoration is devoted to the technique of restoration of chewing teeth.

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