scholarly journals Indirect Composite Inlays Restoration: A Case Report

2020 ◽  
Vol 13 (1) ◽  
pp. 21-27
Author(s):  
Neelam Mittal ◽  
Keyword(s):  
Case Report ◽  
Indirect Composite ◽  
Composite Inlays

scholarly journals Direct-Indirect Technique Restoration for Non-Carious Cervical Lesions Treatment: a Case Report

2021 ◽  
Vol 23 (2) ◽  
pp. 131-135
Author(s):  
Antônio Pedro de Souza Júnior ◽  
Eric Felipe Saraiva Souto ◽  
Silvério Almeida Souza Torres ◽  
João Lima Rodrigues ◽  
Danilo Cangussu Mendes
Keyword(s):  
Case Report ◽  
Tooth Wear ◽  
Dentin Hypersensitivity ◽  
Cervical Lesions ◽  
Class V ◽  
Restorative Treatment ◽  
Direct Technique ◽  
Maxillary Premolars ◽  
Indirect Technique ◽  
Composite Inlays

AbstractNon-Carious Cervical Lesions are characterized by slow and progressive loss of hard tissue at the level of enamel-cement junction, without bacterial involvement. This work aimed to address a case report of restorative treatment in Class V cavities in multiple premolars using the direct-indirect technique with composite resin. A 42 year-old male patient presented for esthetic restorative treatment with the complaint of severe dentin hypersensitivity and wedged-shaped non-carious cervical lesions affecting the maxillary premolars. The restorative treatment chosen was a direct-indirect technique with composite performed into three sessions as follows: making the class V composite inlays, cementation, and final polishing. The direct-indirect technique as an alternative to the traditional direct technique has the benefits of a better contour of the restoration, since the finishing and polishing are made extraorally. Besides, the control of the polymerization stress and less discomfort to the patient are other advantages. In the case of direct-indirect class V restoration, the advantages far surpass those of the direct technique. Keywords: Hypersensitivity. Tooth Wear. Composites Resins ResumoAs Lesões Cervicais Não Cariosas se caracterizam pela perda lenta e progressiva de tecido duro próximo a junção cemento-esmalte, sem envolvimento bacteriano. Este trabalho tem o objetivo de relatar um caso clínico de tratamento restaurador em cavidades do tipo Classe V em pré-molares pela técnica direta-indireta com resina composta. Paciente do sexo masculino, 42 anos, queixava-se de forte sensibilidade e múltiplas Lesões Cervicais Não Cariosas na forma de cunha nos pré-molares superiores. O tratamento restaurador escolhido foi a técnica direta-indireta com resina composta realizado em três sessões distribuídas em confecção da peça em resina composta, cimentação e polimento final. A técnica direta-indireta surge como alternativa a técnica direta tradicional trazendo como benefícios um melhor contorno da restauração, uma vez que esta é acabada e polida fora da boca, além do controle do estresse de polimerização e menor desconforto ao paciente. A intervenção restauradora direta-indireta se mostra eficaz devido ao fato de conseguir contornar dificuldades encontradas em técnicas restauradoras diretas. Palavras-chave: Hipersensibilidade. Desgaste dos Dentes. Resinas Compostas

scholarly journals Marginal integrity and microleakage of direct and indirect composite inlays: SEM and stereomicroscopic evaluation

2005 ◽  
Vol 19 (4) ◽  
pp. 295-301 ◽  
Author(s):  
Carlos José Soares ◽  
Leonardo Celiberto ◽  
Paula Dechichi ◽  
Rodrigo Borges Fonseca ◽  
Luis Roberto Marcondes Martins
Keyword(s):  
Nitrate Solution ◽  
Silver Nitrate Solution ◽  
Sem Analysis ◽  
Fluorescent Light ◽  
Single Bond ◽  
Running Water ◽  
Direct Technique ◽  
Indirect Composite ◽  
Indirect Technique ◽  
Composite Inlays

The aim of this study was to evaluate the microleakage of direct and indirect composite inlays by stereomicroscopy and scanning electron microscopy (SEM). Thirty bovine incisors were ground to obtain an incisal platform, simulating the occlusal surface of a human molar. Each tooth received two 8° proximal cavities with cervical finishing line prepared in dentine or enamel. One of the cavities was filled with Filtek Z250/Single Bond, using the direct technique, and the other was filled with with Solidex/Rely X ARC/Single Bond, using the indirect technique. The samples were stored in water at 37°C for 24 hours and placed in a 50% silver nitrate solution for 6 hours in a dark container. Next, the samples were washed under running water, immersed in a developing solution and exposed to fluorescent light for 12 hours. The teeth were then severed and evaluated for dye penetration by stereomicroscopy and SEM. There were no significant differences between the direct and indirect techniques for the cervical finishing line in enamel, but for the finishing line in dentin, the indirect technique allowed less microleakage than the direct technique. SEM analysis showed leakage similar to that observed by stereomicroscopic analysis. The use of stereomicroscopic and SEM evaluations improves microleakage analysis.

scholarly journals Adhesion of Indirect MOD Resin Composite Inlays Luted With Self-adhesive and Self-etching Resin Cements

2012 ◽  
Vol 37 (5) ◽  
pp. 474-484 ◽  
Author(s):  
T Inukai ◽  
T Abe ◽  
Y Ito ◽  
P Pilecki ◽  
RF Wilson ◽  
...  
Keyword(s):  
Bond Strength ◽  
Resin Composite ◽  
Resin Cement ◽  
Acid Etching ◽  
Resin Cements ◽  
Significant Difference ◽  
Before And After ◽  
Indirect Composite ◽  
Bond Strengths ◽  
Composite Inlays

SUMMARY This study investigated the effect of loading on the bond strength to dentin and microleakage of MOD indirect composite restorations bonded with self-adhesive and self-etching resin cements with or without acid etching of the proximal enamel margins. Class II MOD cavities were prepared in 48 molar teeth into dentin and divided into three groups of 16 teeth. Impressions were taken and indirect composite inlays fabricated (Estenia C & B). The enamel margins of the proximal boxes of half the specimens were phosphoric acid etched, and the inlays were cemented with one of three cements (Panavia F 2.0, SA Cement, or Rely X Unicem). After luting, eight teeth in each cement group were mechanically loaded at 2.5 cycles/s for 250,000 cycles. Unloaded teeth acted as controls. Teeth were stored in Rhodamine B solution for 24 hours, sectioned buccolingually at the proximal boxes to examine microleakage using confocal microscopy, and further sectioned for μTBS testing of the resin-dentin interface. Analysis of variance was performed to assess the effect of loading and acid etching on microleakage and bond strength. Acid etching had no effect on microleakage. No significant difference in the dentin bond strengths between the three cements existed after loading. Panavia F 2.0 exhibited a significant reduction in bond strength. With regard to microleakage at the proximal boxes, loading had no effect on dye penetration at the cavity floor. However, at the axial walls, loading had a significant deleterious effect on Panavia F 2.0. No difference in microleakage existed between the three cements at both sites before and after loading. In conclusion, the two tested self-adhesive cements exhibited similar bond strengths before and after loading to the self-etching resin cement. Loading reduced dentin bond strengths and increased microleakage at the resin-dentin interface. However, acid etching of the enamel margins had no significant effect on microleakage in the approximal regions of the bonded inlays.

scholarly journals Perawatan saluran akar pada gigi molar pertama kanan mandibula dengan pulpitis ireversibel simtomatikRoot canal treatment of mandibular right first molar with symptomatic irreversible pulpitis

2021 ◽  
Vol 32 (3) ◽  
pp. 127
Author(s):  
Lydiawati Wibisono ◽  
Hendra Dian Adhita Dharsono
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Root Canal Treatment ◽  
Spontaneous Pain ◽  
Root Canal Filling ◽  
Root Canals ◽  
Pulp Inflammation ◽  
Indirect Composite ◽  
Irreversible Pulpitis

Pendahuluan: Pulpitis ireversibel simtomatik ditandai dengan hipersensitivitas terhadap stimulus termal, yang menyebabkan nyeri spontan atau rasa sakit yang bertahan 30 detik atau lebih setelah stimulus dihilangkan, nyeri yang parah, persisten, dan sulit dilokalisir, dapat menjalar ke telinga, pelipis, mata atau leher. Kondisi pulpa yang terinflamasi tidak dapat kembali pulih dan perawatan saluran akar merupakan pilihan perawatan. Tujuan laporan kasus ini membahas mengenai perawatan saluran akar dengan pulpitis ireversibel simtomatik untuk menghentikan inflamasi pulpa dan mempertahan gigi. Laporan kasus: Pasien laki-laki berusia 35 tahun datang ke klinik dengan keluhan gigi belakang kanan bawah terasa sakit berdenyut sejak 1 minggu yang lalu. Gigi tersebut pernah dilakukan penambalan sementara 4 bulan sebelumnya dan tambalan tersebut patah serta nyeri spontan. Pemeriksaan radiologis gigi 46 menunjukkan gambaran radiolusen pada bagian mahkota hingga mencapai tanduk pulpa, terdapat 2 akar, dengan akar mesial dilaserasi ke arah distal dan akar distal lurus, serta saluran akar yang menghilang pada 2/3 dan 1/3 saluran akar distal dan mesial, tidak terdapat pelebaran membran periodontal, lamina dura normal dan tidak terdapat kelainan periapikal. Gigi 46 dilakukan anestesi lokal, dilanjutkan pembukaan akses dan ekstirpasi pulpa, kemudian preparasi saluran akar menggunakan nikel titanium rotary ProTaper Next® (Maillefer, Switzerland) dengan teknik crown down dan pengisian saluran akar. Restorasi follow up overlay komposit indirek pada gigi 46. Simpulan: Pulpitis ireversibel simtomatik pada gigi molar dengan akar dilaserasi terbukti dapat ditangani dengan perawatan saluran akar yang adekuat, ditandai dengan hilangnya keluhan pada pasien dalam kasus ini.Kata kunci: Pulpitis ireversibel simtomatik, perawatan saluran akar, teknik crown down. ABSTRACTIntroduction: Symptomatic irreversible pulpitis is characterised by hypersensitivity to the thermal stimuli, which causes spontaneous pain that lasts 30 seconds or more after the stimulus removed, severe, persistent and difficult to localise, can radiate to the ears, temples, eyes, or neck. The inflamed pulp does not recover; thus, root canal treatment is the treatment option. This case report was aimed to discuss the root canal treatment for symptomatic irreversible pulpitis to stop the pulp inflammation and preserve the teeth. Case report: A 35-year-old male patient came to the clinic with complaints of pulsating pain in the mandibular right molar since one week prior. The tooth had a temporary filling four months earlier, and the filling was fractured, and the pain was spontaneous. Radiological examination of tooth 46 showed radiolucent images on the crown until the pulp horn, there were found two roots, with mesial roots dilated distally and straight distal roots, and root canals that disappeared in the two-third and one-third of the distal and mesial root canals, no dilation of the periodontal membrane, normal lamina dura and no periapical abnormalities. Tooth 46 was subjected to local anaesthesia, followed by access opening and pulp extirpation, then the root canal preparation was performed using the ProTaper Next® rotary nickel-titanium (Maillefer, Switzerland) with the crown-down technique and root canal filling. Indirect composite overlay follow-up restoration was conducted of tooth 46. Conclusion: Symptomatic irreversible pulpitis in molars with dilacerated roots proved to be manageable with adequate root canal treatment, marked by the loss of the patients’ complaints.Keywords: Symptomatic irreversible pulpitis, root canal treatment, crown-down technique.

scholarly journals No-Prep Semidirect Composite Resin Veneer. A Step-by-Step Case Report in a Deciduous Canine with a One-Year Follow-Up

2020 ◽  
pp. 147-153
Author(s):  
Gerardo Durán O. ◽  
Katherine Zamora
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Composite Resin ◽  
Clinical Report ◽  
Indirect Composite ◽  
One Year

The presence of deciduous canines in adulthood may be of aesthetic concern for patients. Many clinical alternatives include surgical and orthodontic treatment. Since patients search for highly esthetic results and more conservative alternatives, the present clinical report describes a treatment for deciduous canine through an indirect composite resin veneer and an indirect composite resin fragment restoration in a premolar to improve esthetic outcomes with a one-year follow up.

scholarly journals Restoring Large Defect of Posterior Tooth by Indirect Composite Technique: A Case Report

2018 ◽  
Vol 6 (4) ◽  
pp. 54
Author(s):  
Pei-Ying Lu ◽  
Yu-Chih Chiang
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Shrinkage Stress ◽  
Large Defect ◽  
Tooth Structure ◽  
Posterior Tooth ◽  
Adhesive Dentistry ◽  
Indirect Composite ◽  
One Year ◽  
The Given

Advances in adhesive dentistry have led to increased use of indirect restorations. In some situations, indirect composite techniques are more advantageous than direct composite filling techniques, such as establishing proper occlusal and interproximal anatomy, reducing polymerization shrinkage stress, and promoting the degree of conversion. This article presents a case about restoring the lower right first molar with extensive loss of tooth structure by the composite onlay to achieve a proper anatomic form and rehabilitate chewing function. This one-year clinical case encourages clinicians to manage large decay of posterior tooth conservatively. The given functional and esthetic outcomes demonstrate the promising applicability of the indirect composite technique.

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