Palodent
Case Study
Class II Procedure
Enhance®
SDR®
Restorative
Product Training
SmartLite Pro EndoActivator™
Spectra ST
Patient Details
Age
30 years old
Gender
Female
Distal Occlusal Restoration in Asymptomatic Patient
Initial situation of the patient
The patient came for a hygiene visit. No symptoms were referred.
Case Details
Date of Issue
November 2023
This case report is published as an inspiration for you as a clinician and not necessarily as a recommendation from Dentsply Sirona
Before
Initial situation: Caries on 2.4, 2.5, and 2.6.
After
Final situation 20 days after the fillings. Great comfort and no sensitivity at all were reported by the patient.
Diagnosis
- Clinically, a grey shadow is visible on the distal surfaces of both premolars.
- The x-ray confirms the diagnosis of initial caries for both premolars and also for the mesial surface of the first molar.
- The patient reports no symptoms.
Treatment Plan
- Isolation
- Caries removal
- Matrix placement
- Adhesion
- Centripetal build-up technique
- Bulk placement of base layer with SDR® flow+ material
- Occlusal layer with Spectra ST¹ Composite
Clinical Workflow
Step 1:
The situation after rubber dam isolation.
Step 2:
Initial cavity preparation.
Step 3:
Class II cavity prepared.
Step 4:
Selective acid etching of enamel with DeTrey® Conditioner 36.
Step 5:
Etched enamel.
Step 6:
Effective and fast light curing process with SmartLite® Pro Curing Light, after application of Prime&Bond2.
Step 7:
The complete Palodent3 system in place: sectional matrix, wedge and ring. The flat and compact design of the ring makes stacking of multiple rings possible.
Step 8:
Transformation of Class II into Class I, restoring the interproximal walls with Spectra ST¹ composite in shade A2.
Step 9:
SDR® flow+ material applied in the maxillary demonstrating great flowability and ability to not flow out of the preparation.
Step 10:
Transformation of a big Class I into a small Class I, using SDR® flow+ material in one increment up to 4mm to create the initial base increment of the restoration.
Step 11:
Occlusal surface restored using Spectra ST1 composite in shade A2.
Step 12:
Finishing with the Enhance® Finishing System.
Step 13:
Occlusal check.
Step 14:
Final situation.
Step 15:
20 days control.
1Depending on market location, Spectra ST composites are available as either TPH Spectra® ST, Ceram.x Spectra® ST, or Neo Spectra® ST
2Depending on market location, Prime&Bond adhesives are available as either Prime&Bond elect®, Prime&Bond active®, or Prime&Bond Universal™
3Depending on market location, Palodent® Plus or Palodent® V3
