28/04/2025
Difficult Contact Reproduction and Composite Retreatment
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The patient presented to the clinic complaining of persistent food impaction between the premolars and the first molar.
The patient reported a history of multiple composite restoration attempts in the same area, none of which successfully resolved the issue of food stagnation.
After clinical and radiographic evaluation, replacement of the existing restorations was selected as the treatment plan.
Caries removal and removal of the previous restorations were performed using the selective caries removal approach, ensuring a peripheral seal zone of sound enamel and dentin to optimize adhesive bonding and long-term success.
A Palodent sectional matrix system was utilized, selected for its thin, burnishable matrix band properties. Additional matrix adaptation was achieved using anatomical plastic wedges and stabilized with a universal separation ring from Palodent to ensure proper contact and emergence profile.
Bonding was performed using Beautibond Xtreme (Shofu, Japan), a HEMA-free universal adhesive, following a selective etch protocol (etching enamel only).
Cavity restoration was completed using a combination of:
• SFRC (Short Fiber Reinforced Composite) as a dentin substitute material,
• Beautifil LS (low-shrinkage composite resin, Shofu) for the main body restoration,
• and Flow Plus X F03 (bioactive highly filled injectable composite, Shofu) for good adaptation as a liner
Final finishing and polishing were performed using the Super-Snap discs and OneGloss polishing system (Shofu), achieving anatomical contour, smooth surface finish, and optimal esthetics.
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