Direct composite restoration with ever x posterior for dentin replacement that prevent the cracks through the filling and so decrease the failure rate of composite that comes from cracks
Initial situation, after endodontic treatment the patient come to clinic to complete the final restoration
During old amalgam and caries removal, look to the adjacent teeth what do you see ? Sharp irregular composite of first premolar and first molar , must corrected now with finishing disc to get proper contact until the time of there treatment
All caries removed using CDD , IDS with gold standard clearfil SE bond, RC with flowable composite, DWT,
The composite in the adjacent teeth now corrected
Ever x posterior for dentin replacement, can prevent the cracks through the filling
Immediate result
Palatal view
Immediate after rubberdam removal
Look to the contact
After finishing and polishing
Final result
6 months later
6 months later ,you can see that the filling still looks good 👍
Immediate x ray after endo treatment
Post operative X ray after final result you can see the fitness of the filling
8 months follow-up for lithium disilicate overlay #4
One year follow-up for direct composite of #5
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