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Large Class 1 with Cuspal Coverage. Direct Build Up.

Replacement of old amalgum with a fracture of the distolingual cuspal wall.

Initial presentation showing fracture of the disto lingual cusp of old amalgum restoration.

removal of old amalgum and prep..

Selective etch..

Bonding agent..

1st layer of flowable composite..

build up of lingual wall using the ivory matrix folded manually and curing of composite..

individual composite cusp build up..

build up complete..

final restoration after adequate relief of occlusion especially over the distolingual cusp which fractured under occlusal load..

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