Restor Dent Endod.  2013 May;38(2):85-89. 10.5395/rde.2013.38.2.85.

Use of temporary filling material for index fabrication in Class IV resin composite restoration

• Kim KY
• Kim SY
• Kim DS
• Choi KK

• KMID: 1995464
• DOI: http://doi.org/10.5395/rde.2013.38.2.85

Abstract

When a patient with a fractured anterior tooth visits the clinic, clinician has to restore the tooth esthetically and quickly. For esthetic resin restoration, clinician can use 'Natural Layering technique' and an index for palatal wall may be needed. In this case report, we introduce pre-restoration index technique on a Class IV defect, in which a temporary filling material is used for easy restoration. Chair-side index fabrication for Class IV restoration is convenient and makes a single-visit treatment possible.

Keyword

Class IV restoration; Index fabrication; Temporary filling material

MeSH Terms

Humans
Tooth

Figure

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  Figure 1 Initial visit. (a) Intraoral photograph; (b) Periapical radiograph.

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  Figure 2 Root canal treatment.

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  Figure 3 Putty index fabrication. (a) Shade matching; (b) Build-up with temporary filling material, labial view; (c) Build-up with temporary filling material, palatal view; (d) Putty impression for palatal wall; (e) Checking index after removal of temporary filling material.

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  Figure 4 Composite resin build-up using 'Natural layering technique'. (a) Tooth isolation; (b) Enamel resin was applied to establish palatal and proximal walls; (c) Access cavity was filled; (d) and (e) Artificial dentin was applied; (f) Final enamel resin was applied on the labial surface to complete the restoration.

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  Figure 5 Intra-oral photograph after finishing & polishing.

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  Figure 6 Follow-up photograph after 1 month.

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  Figure 7 (a) Initial visit, intraoral photographs; (b) Build-up with temporary filling material; (c) Putty impression for palatal wall.

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  Figure 8 Composite resin build-up using Natural layering technique. (a) After tooth isolation, enamel resin was applied to establish palatal and proximal walls; (b) and (c) Artificial dentin was applied; (d) Final enamel resin was applied; (e) After finishing & polishing.

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  Figure 9 Root canal treatment, fiber post & composite core restoration.

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  Figure 10 Temporary filling materials.

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  Figure 11 Application, shaping and removal of temporary filling material.

Reference

1. Choi KK. Adhesion and esthetic restoration. Seoul: Myung Mun publishing Co. Ltd;2009. Chapter 5. p. 160–189.

2. Hugo B. Esthetics with resin composite. Basics and techniques. London: Quintenssence publishing Co. Ltd;2009. Chapters 2 - 3. p. 19–74.

3. Baratieri LN, Araujo EM Jr, Monteiro S Jr. Composite restorations in anterior teeth: fundamentals and possibilities. São Paulo: Quintessence Editora Ltd.;2005. Chapter 2. p. 105–216.