Aesthetic Renewal of an Insufficient Plastic Filling After Treatment of Caries Profunda

Aesthetic Renewal of an Insufficient Plastic Filling After Treatment of Caries Profunda 

- with PrimeBond7, Capo Bulk Fill Plus and NanoPaq 

A user report by dentist Dr. Marielle Falkenberg, Cologne/Germany 

Initial Situation 

During routine examination of a 41-year-old patient, we discovered an insufficient plastic filling with secondary caries on 16. Because the filling was very deep, we also took an X-ray of the initial situation.

Situation after excavation 

In the first step, the old insufficient plastic filling, including the secondary caries, was removed and the cavity appropriately prepared. The soft and infected dentin was fully removed – always ensuring that as little enamel as possible was removed from the healthy part of the natural tooth. There was no pulp inflammation.

Selective enamel under rubber dam

This deep cavity close to the pulp required a cavity lining and placement of a rubber dam with matrix (Fig. 4). Only in this way could flawless dry and hygienic preconditions be created for the further treatment steps. Before use of the 7th generation bonding agent PrimeBond7 (Schütz Dental), the tooth enamel was conditioned with 35% phosphoric acid. PrimeBond7 can be used with both the selective etch and self etch methods. We decided on the selective etch method.

Use of PrimeBond7

PrimeBond7 was now spread onto a micro-brush and applied to the cavity in thin layers. After being rubbed in for 20 seconds, the material was blown on until there was no more excess left.

Filling the cavity with Capo Bulk Fill Plus and NanoPaq

Due to the low shrinkage behavior, the light curing Capo Bulk Fill Plus composite (Schütz Dental), developed specifically for the bulk fill technique, was chosen for filling the cervical shoulder. The layering thickness was about 4 mm.

After a light curing time of 20 seconds, the layering and veneering was carried out with the light curing nanocomposite NanoPaq (Schütz Dental) in two layering steps (Figs. 10 and 11).

Finishing 

Clean finishing of the shoulder was then done, also using the NanoPaq composite. In the final step, the layered and finished filling was polished.

Final result 

The treatment was carried out in one visit. The cavity was immediately permanently sealed. The result shows an aesthetic restoration of 16. After the anesthesia wore off , the patient was able use the tooth with the filling immediately.

Conclusion 

The products Capo Bulk Fill Plus, NanoPaq and PrimeBond7 constitute a well-matched system. The materials work wonderfully well together and I was especially delighted with their excellent handling. Superb care of both easy and complex patient cases is possible.

For my everyday work in the dental office, it is important to be able to reply on my base materials in particular, such as composite and bonding systems. Fast, easy and straightforward handling is vital for me here. And that is exactly what convinced me with PrimeBond7, Capo Bulk Fill Plus and NanoPaq by Schütz Dental.

The Author 

Download this case study as PDF file:

Please note: This case study is not an instruction leaflet. Please adhere to the instructions provided with the material and/or equipment. The responsibility for the treatment remains with the attending dentist.