Class V cervical lesion restored with Vittra APS Unique Flow unichromatic resin

Author: Prof. Dr. Sérgio Ricardo Garcia Badini

Gender and age of patient

Patient, male, 50 years old.

Main complaint

Tooth sensitivity and unsatisfactory restoration (Class V region), which caused discomfort due to the color and lack of contour.

Initial assessment

On analyzing the case, two restorations in the porous cervical edge were noted, with little material and darkened. A radiographic examination was performed, pulp vitality analysis was conducted, and a vital tooth was confirmed

Treatment carried out

It was decided to remove the restoration and make a new restoration with VITTRA UNIQUE FLOW – FGM resin, a resin which, after polymerization, takes on the color of the tooth, imitating its color, for being unichromatic, that is, of a single color.

The patient was anesthetized, the restoration was analyzed with an exploratory probe, and the restoration that was porous and sub-contoured was removed. After removing the composite resin restoration, the cavity was isolated with a B4 Absolute Isolation clamp, secured with high fusion compound.

A buccal bevel was fabricated and, after Selective Acid Etching on enamel (CONDAC 37), the Universal AMBAR (FGM) adhesive was applied on enamel and dentin, air was applied and photopolymerized for 10 seconds.

VITTRA APS UNIQUE FLOW – FGM composite resin was applied, polymerized in layers, until Class V cavities are completed.

Before removing the absolute isolation, finishing was carried out with an ultra-fine drill and, once this isolation was removed, polishing with abrasive rubbers, DIAMOND PRO – FGM sandpaper discs, and DIAMOND FLEX – FGM FELT polishing disc, with DIAMOND EXCEL – FGM diamond polishing paste.

After the treatment was completed, the color of the tooth structure and the resin was verified, as well as the contour and adaptation of this composite resin, VITTRA UNIQUE FLOW – FGM, in the patient.

FIGURA 1: Caso inicial
FIG 1: Initial case
FIGURA 2: Sonda exploradora e fio de afastamento inserido
FIG 2: Exploratory probe and retraction wire inserted
FIGURA 3: remoção da restauração
FIG 3: Removal of the restoration
FIGURA 4: bisel vestibular
FIG 4: buccal bevel
FIGURA 5: aplicação do CONDAC 37
FIG 5: application of CONDAC 37
FIGURA 6: ácido fosfórico aplicado sobre o dente
FIG 6: phosphoric acid applied to the tooth
FIGURA 7: Após aplicação do adesivo, aplicação da resina VITTRA APS UNIQUE FLOW
FIG 7: After application of the adhesive, application of VITTRA APS UNIQUE FLOW resin
FIGURA 8: aplicação da VITTRA UNIQUE FLOW em camadas
FIG 8: application of VITTRA UNIQUE FLOW in layers
FIGURA 9: acabamento das restaurações com VITTRA APS UNIQUE FLOW em camadas
FIG 9: finishing of restorations with VITTRA APS UNIQUE FLOW in layers
Figura 10: vista vestibular das restaurações após acabamento inicial com brocas FF
FIG 10: Buccal view of restorations after initial finishing with FF drills
FIGURA 11: polimento
FIG 11: polishing
FIGURA 12: Resultado final
FIG 12: Final result
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