Treatment of defective filling and deep caries with subsequent restoration

Patient Victoria
Date October 2023
Patient Victoria came in for a routine check-up.

Here we see a defective filling on tooth 2.6 with obvious marginal adaptation issues. Treatment is conducted under the operating microscope.

Initially, we isolate the working area.

Due to slight darkening on the lateral surfaces of the tooth, I suspect deep caries there. However, it is visible on the CBCT, so we know for sure it’s present.

The orange item is a wedge. It helps us separate the teeth for easier tissue preparation.

We observe deep caries on both lateral sides.

Everything is cleaned and the tooth is prepared for further restoration.

We notice caries on the lateral surface of tooth 2.7. We’ll address it during the next appointment.

Special matrices are placed to recreate the lateral wall.

Another view.

The tooth is restored using a layering technique to mimic the anatomical structures, crucial for bite and overall chewing function.

Here we see the relief of our restoration, identical to the natural tooth anatomy.

The restoration doesn’t interfere with the bite and visually resembles intact (previously untreated) teeth.

Treatment of the adjacent tooth will be addressed at the next appointment.

Treatment Duration

Duration: 2 hours.

Doctors who treated

Dr. Alina Pavlovets
general dentist (endodontics and teeth restoration treatment with microscope);
languages: English, Russian
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