Restoring function and anatomy in posterior direct composite restorations
Chief complaint
The patient presented with food impaction in the posterior region and discomfort during mastication. Clinical examination revealed defective Class II composite restorations with compromised marginal integrity, inadequate proximal contacts, and secondary caries.
Treatment
Following rubber dam isolation, the existing restorations were removed, and carious tissue was selectively excavated while preserving healthy tooth structure. After adhesive procedures, the cavities were restored using the IDS Nano Ceramic composite system.
IDS Nano Ceramic A3E was used to reproduce the dentin/body layer, while IDS Nano Ceramic A2E was applied as the enamel layer to achieve a natural optical effect. IDS Flow Nano BLE was placed selectively to accentuate the cusp ridges and occlusal anatomy, enhancing depth and characterization of the final restorations.
Special attention was paid to rebuilding tight proximal contacts, proper emergence profile, and accurate occlusal morphology. After finishing and polishing, the restorations demonstrated excellent marginal adaptation, functional occlusion, and natural esthetics.
Outcome
The patient reported immediate resolution of discomfort during chewing. Proper proximal contacts eliminated food impaction, while the reconstructed occlusal anatomy restored function and harmonized with the adjacent dentition.
Materials
- IDS Nano Ceramic A3E
- IDS Nano Ceramic A2E
- IDS Flow Nano BLE
Share on:
