Case 97: Class II Restoration with Tunnel Preparation

Assalammualaikum Wr Wb.. Good Morning!!

welcome back to SekilasKonservasiGigi.Com, a full story of my mini series updated from my social media such as instagramfacebookgoogle plus, and also twitter. Sometimes, I also updated my cases at Line or Linkedin. 🙂 this topic will focus only on conservative dentistry cases such as restorative dentistry and endodontic or root canal treatment.

Class II Restoration with Tunnel Preparation
Tunnel (ˈtənl)
an artificial underground passage, especially one built through a hill or under a building, road, or river.
While in here, tunnel preparation means a caries removal on class II cavity without removing a marginal ridge. This will create a tunnel between occlusal and mesial wall.
Let’s call my patient in this case as Risa. Risa felt discomfort with her upper right first molar due to two things. First, the black appearance of amalgam filling. Second, the food impaction in the proximal area. Risa is 35 years old, and this amalgam had been there since she was 25. Hmm.. i think, amalgam existence should be finished on that day i treat the patient, and replaced with composite resin.

dokter gigi rio suryantoro spesialis konservasi gigi jakarta relax tunnel jun

dokter gigi rio suryantoro spesialis konservasi gigi terbaik jakarta tambal resin komposit 16 mart jun

After taking a proper informed consent, i placed rubber dam (blossom rubberdam sheet and hu friedy rubber dam clamp). Then, I Removed the amalgam, prepared the cavity with tunnel technique, placed the sectional matrix band (Triodent), followed with the placement of BulkFill composite (Filtek BulkFill – 3M). The restoration was polished with enhance (dentsply) and soflex (3M) at the proximal area. Finally, xray evaluation with VistaRay 7.1 (Durr) showed that there is an intact margin between composite resin and tooth structure, also a homogeneous body of restoration.
Alhamdulillaah.. Risa loved the new filling, although the color didn’t fully match. But for the long term function, it will give a predictable result.

Yup, that’s for my 97th story in SekilasKonservasiGigi.Com, For more stories please visit CeritaPasienRio.Com or browse my fb at and don’t forget to click the follow botton on your rigth side to get the latest updates from my site.. see you on my next dental story..

thank You Very Much,

keep UP the GOOD WORK!!

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with love from Jakarta, Indonesia

Wassalammualaikum Wr Wb..

-drg. Rio Suryantoro, Sp.KG-

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About Rio Suryantoro, drg., Sp.KG

Dentist, conservative dentistry specialist (Restorative Dentisty and Endodontist)|case reports' author on and|trainer of conservative dentistry | live in Jakarta.
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