{"id":413069,"date":"2023-06-16T11:47:22","date_gmt":"2023-06-16T14:47:22","guid":{"rendered":"https:\/\/fgmdentalgroup.com\/?p=413069"},"modified":"2024-01-10T16:39:42","modified_gmt":"2024-01-10T19:39:42","slug":"use-of-vittra-aps-unique-composite-amalgam-restoration","status":"publish","type":"post","link":"https:\/\/fgmdentalgroup.com\/intl\/blog\/posts\/use-of-vittra-aps-unique-composite-amalgam-restoration\/","title":{"rendered":"Use Of Vittra Aps Unique Universal Chroma Composite To Replace An Amalgam Restoration"},"content":{"rendered":"

Author: Dr. F\u00e1bio Sene<\/p>\n

35-year-old female patient.\u00a0<\/span><\/p>\n

CHIEF COMPLAINT:<\/strong><\/p>\n

Dissatisfaction with the class I amalgam restoration in tooth 37.<\/span><\/p>\n

INITIAL EVALUATION\u00a0<\/strong><\/p>\n

After the detailed anamnesis, clinical and radiographic exam, no pathologic alteration was found. During the clinical exam, the presence of an old restoration on tooth 37 made in amalgam was observed<\/span><\/p>\n

TREATMENT\u00a0<\/strong><\/p>\n

After anesthesia, absolute isolation and prophylaxis with pumice stone and water, the amalgam restoration on tooth 37 was removed. The cavosurface angle was carefully finished and etched with 37% phosphoric acid Condac 37<\/strong><\/a> for 30 seconds, washed abundantly and the whole tooth, enamel and dentin, was dried with air.\u00a0<\/span><\/p>\n

Next, a first layer of Ambar Universal APS<\/strong><\/a> adhesive was applied actively with Cavibrush<\/strong><\/a>. Being it a universal adhesive system, it was applied using the self-etching technique since there is no removal of smear or mineral layer and, consequently, there is no exposition of collagen fibers. Therefore, following the self-etching technique, the dentine may and should be dried with air. Fifteen seconds after the first application, air spray was applied to evaporate the solvent and a second layer was applied in the same way and photoactivated.\u00a0<\/span><\/p>\n

Following that, the universal chroma composite Vittra APS Unique<\/strong><\/a> was applied in layers (since it is not a bulk-fill type composite) rebuilding the anatomy. This composite is very interesting because, in the beginning, before polymerization, the composite looks opaque and whitish. However, after photoactivation, the composite takes the color of the side walls of the tooth, integrating itself chromatically with the dental structure in a perfect way, allowing for the mimicking and a fantastic esthetic result, in a simple way, with just one composite. This new universal chroma composite came to revolutionize and, above all, simplify and facilitate, with extreme esthetic quality, restorative technique and procedures.<\/span><\/p>\n

STEP-BY-STEP<\/strong><\/p>\n

\"Fig.
Fig. 1 \u2013 Initial image showing the restoration in amalgam.<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 2 \u2013 Absolute isolation and removal of the amalgam.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 3 \u2013 Acid etching of the cavosurface enamel with Condac 37% for 30 seconds<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 4a \u2013 Use of the Ambar Universal APS adhesive.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 4b \u2013 Application of Ambar Universal APS to dry dentin with the self-etching technique. Note the translucent aspect due to the APS technology.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 4c \u2013 Adhesive applied and photoactivated.<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 5 \u2013 Vittra APS Unique universal chroma composite.<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 6a \u2013 Application of the Vittra APS Unique composite in layers. Note the whitish opaque color of the composite before photoactivation.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 6b \u2013 Occlusal view of the composite increment and the opaque white color.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 6c \u2013 Detail of the composite rebuilding the cusp.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 6d \u2013 Photoactivation.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 6e \u2013 Note the chromatic integration of the composite after photoactivation. Vittra APS Unique absorbs the color of the side walls of the cavity, mimicking the color of the tooth.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 6f \u2013 Detail of the composite integration after photoactivation.<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 7a \u2013 Reconstruction of the mesiolingual cusp.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 7b \u2013 Photoactivation.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 7c \u2013 Chromatic result after photoactivation.<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 8a \u2013 Reconstruction of the mesiobuccal cusp.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 8b \u2013 Photoactivation.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 9a \u2013 Chromatic result and reconstruction of the distobuccal cusp. Note the chromatic difference of the composite before and after photoactivation.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 9b \u2013 Photoactivation.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 10 \u2013 Finished restoration. Note the incredible chromatic mimicking of the composite Vittra APS Unique.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 11 \u2013 Result after the polishing of the restoration.<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 12a \u2013 Final result after the removal of the isolation. Note how the composite has absorbed the optical characteristics of the dental structure, integrating completely with the tooth, producing a unicolored restoration, with a polychromatic effect.\u00a0<\/figcaption><\/figure>\n

 <\/p>\n

\"Fig.
Fig. 12b \u2013 Detail of the anatomy returned and the chromatic integration of the composite.<\/figcaption><\/figure>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Author: Dr. F\u00e1bio Sene 35-year-old female patient.\u00a0 CHIEF COMPLAINT: Dissatisfaction with the class I amalgam restoration in tooth 37. INITIAL EVALUATION\u00a0 After the detailed anamnesis, clinical and radiographic exam, no pathologic alteration was found. During the clinical exam, the presence of an old restoration on tooth 37 made in amalgam was observed TREATMENT\u00a0 After anesthesia, […]<\/p>\n","protected":false},"author":17,"featured_media":413567,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[1005],"produto-relacionado":[],"categoria-post":[1024],"linha-de-atuacao":[1478],"class_list":["post-413069","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","tag-aesthetics","categoria-post-clinical-case","linha-de-atuacao-esthetics-intl"],"_links":{"self":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts\/413069"}],"collection":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/comments?post=413069"}],"version-history":[{"count":0,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/posts\/413069\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/media\/413567"}],"wp:attachment":[{"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/media?parent=413069"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/categories?post=413069"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/tags?post=413069"},{"taxonomy":"produto-relacionado","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/produto-relacionado?post=413069"},{"taxonomy":"categoria-post","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/categoria-post?post=413069"},{"taxonomy":"linha-de-atuacao","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/intl\/wp-json\/wp\/v2\/linha-de-atuacao?post=413069"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}