Case 98: Restoration Of Deep Class 2 Cavity on Upper Premolar

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.

Restoration of Deep Class II Cavity
Many problem can occur from an overhanged dental filling, such as food retention which leads to cervical plaque accumulation prior to marginal periodontitis. Also, leaked dental filling may initiate a secondary caries prior to pulpal infection. What happen when those condition appear on one tooth?
Let’s call my patient name as Sissi. My friend, a dentist, sent her to me to solve a problem on upper right first and second premolar. I already did root canal retreatment on the second premolar, and a few days later i did the case on the first premolar.
The tooth still vital, radiographic image showed a radiolucencies (void) under composite resin. After taking a proper informed consent, i started my dental treatment.

dokter gigi rio suryantoro spesialis konservasi gigi jakarta relax jun (2)

dokter gigi rio suryantoro spesialis konservasi gigi terbaik jakarta ani slipi jun

At first, i put rubber dam (nictone rubber dam and hu friedy rubber dam clamp), followed with remove all the old filling, and matrix placement (greatercurve matrix). Then, i place bulkfill composite (filtek bulkfill from 3M) up to 2 mm from the coronal area, then i placed universal/packable composite (ceram-X-one) as coronal layer. Polishing was done with soflex (3M) and enhance (dentsply). Final xray evaluation with Vistaray 7.1 (durr) showed an intact margin between composite resin and tooth structure, plus a homogeneous body of restoration.
Hope this dental treatment will be long last!

Yup, that’s for my 98th 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!!

keep on Sharing,

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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