Sometimes, a routine class 1 appearing to be a small or medium sized carious lesion can in fact be much larger.
We know that once the caries reaches the DEJ, it then spreads laterally.. resulting in the undermining of enamel ..
In such deep carious lesions, it is important to disinfect the lesion with Chlorhexidine followed by the standardized bonding protocols and incremental build up..
Good isolation is also key as it prevents contamination with saliva and ease of work is improved..
Initial presentation..
entry reveals significant carious activity..
disinfection with chlorhexidine..
etching..
7th gen bonding agent..
Build ups..
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