Restoring cervically eroded and fractured teeth using Beautifil^TM restorative material

By Jeffrey C. Hoos, DMD, FAGD
and Therese Mainella CDA, RDA, Marketing Manager, Shofu Dental Corp.
As appeared in Dental Products Report

Giomer restoratives with PRG technology fill several significant and specific needs for directly restoring teeth. Their advantages --fluoride release and recharge, ease of use, natural light-diffusing esthetics, and high strength -- make them a practical and versatile choice for most types of direct restorative applications.

Following are step-by-step procedures for two restorative cases involving cervically eroded teeth and fractured teeth using Beautifil giomer restorative material.

Case 1 -- Cervical erosion

A 37-year-old male presents with cervical erosion and sensitivity on teeth 28 and 29 (Figure 1). Because of the acute sensitivity and soft consistency of the teeth, Beautifil restorative material was selected because of its fluoride-releasing properties and high bonding strength to dentin.

FIGURE 1. Cervical erosion on teeth #28 and #29.

1. Prepare the teeth conservatively.
2. Apply a mixture of FL-Bond Primers A and B. Note: The surface appears shiny when sufficient primer is applied (Figure 2).
3. Apply FL-Bond adhesive (Figure 3) and light cure for 10 seconds using a conventional halogen light.
4. Select two shades-A4 and C2-because of the shade differences in the natural teeth. Apply using a cervical matrix (Figs. 4 and 5).
5. Use a T&F hybrid point for gross reduction (Figure 6). Note: Do not "ditch" the restoration or touch tooth structure.
6. Final finish and polish with OneGloss One-Step composite finishers and polishers (Figure 7).
   Figure 8 shows the completed restorations.

Figure 2. The surface appears shiny when sufficient primer is applied.

Figure 3. Apply FL-Bond adhesive.

Figure 4. Apply Beautifil shades A4 and C2.

Figure 5. Apply shades using a cervical matrix.

Figure 6. Use a T&F hybrid point for gross reduction.

Figure 7. Polish and finish using OneCloss One-Step composite finisher and polisher.

Figure 8. Magnified image of impression showing incomplete capture of the tissue margins.

Case 2 -- Mesial/incisal fracture

A 12-year-old patient presents with a mesial/incisal fracture of tooth #8 (Figure 9).

Figure 9. A fractured mesial incisal of tooth #8.

1. Create a slight bevel to enhance surface area using Robot diamond points (Figure 10).
2. Apply a mixture of FL-Bond primers A&B.
3. Place FL-Bond adhesive (Figure 11) and light cure using a conventional halogen light.
4. Select Beautifil shade A1; sculpt (Figure 12) and light cure.
5. Use OneGloss One-Step finisher/polisher to adjust, finish, and polish (Figure 13) the restoration.
6. Use a Robot carbide bur to smooth interproximal embrasure space (Figure 14).
   Figure 15 shows the completed restoration.

Figure 10. Create a slight bevel.

Figure 11. Place FL-Bond adhesive.

Figure 12. Sculpt Beautifil shade A1.

Figure 13. Finish and polish using OneGloss One-Step finisher/polisher.

Figure 14. Use a Robot carbide bur to smooth interproximal embrasure space.

Figure 15. The completed restoration.

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