Patient attended my clinic suffer from fracture old restoration and want to save the remaining structure
After good clinical and radiographic examination,
Fortunately, The examination reveal that the tooth still vital
So , the I tried to save the vitality with the aid of CDD
After that , Immediate dentin seal to create a stable hybrid layer and prevents collagen fibrils degradation and consequently, bond strength will be high.
Then resin coating to protect the underlying hybrid layer and also let the adhesive resin to complete the full polymerization reaction.
•IDS + RC will increase the strength of dentin bond about 400%
•Optibond FL from Kerr
•pink Lap
Cementation with heated composite AP-X
Initial situation
After caries remove with CDD , and create Biobase
Emax from pink lab
Cementation with heated composite ap-x
Final result
Buccal view
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