Direct restoration of 4.6 and 4.7: a clinical case

FIg 1 initial radiography.

Fig 2 preoperative initial photograph.

Fig 3 Clinical aspect after isolation with latex free rubber dam. Note the loss of some islands of enamel. These are probably the cause of discomfort and symptoms.

Fig 4 Completed and finished cavity. The presence of fracture lines is excluded and thus the presence of cracked tooth syndrome, which would have had a completely different treatment plan, is excluded.

Fig 5 Application of self-etch adhesive after pre-etching of the enamel (I bond self etch).

Fig 6 Insertion of the sectional matrix that adapts optimally to the cervical step and positioning of the wedge and ring.

Fig 7 Lateral view of the newly created interproximal wall.

Fig 8 Occlusal view of the interproximal wall and the presence of a correct contact point.

Fig 9 Deposition of a thin layer of flowable composite (Venus diamond flow A1).

Fig 10 First apposition with Venus Diamond one.

Fig 11 Second apposition with Venus Diamond one and modeling of the complete occlusal table in a single stroke.

Fig 12 Use of intensive flowable composite (brown) to characterize the occlusale surface.

Fig 13 Occlusal aspect of the completed restorations.

Fig 14 occlusal check.

Fig 15 Final radiography