Chief complaint: The patient requested treatment for dental caries.
A cavity was observed, likely due to inlay dislodgement, and caries was also detected on the mesial surface. As an emergency measure, the cavity was temporarily sealed with carboxylate cement, with definitive restorative treatment scheduled for a later date.
Fig. 1: Preoperative clinical presentation demonstrating multiple defective posterior restorations with fractured tooth structure and restoration failure prior to definitive adhesive rehabilitation.
Fig. 2a: Isolation with rubber dam followed by removal of the existing defective restoration and carious tooth structure.
Fig. 2b: Cavity preparation completed with complete caries excavation and assessment of the remaining tooth structure.
Fig. 2c: Adhesive procedure performed and the cavity restored using a direct resin composite technique.
Fig. 2d: Initial finishing of the composite restoration to establish the primary occlusal anatomy
Fig. 2e: Gross contouring and occlusal refinement performed after removal of excess restorative material.
Fig. 2f: Further anatomical characterization of the occlusal surface using finishing burs.
Fig. 2g: Fine adjustment of pits, fissures, and occlusal grooves to enhance anatomical morphology.
Fig. 2h: Occlusal anatomy completed with improved cusp definition and natural surface texture.
Fig. 2i: Sequential polishing initiated to smooth the restoration and blend the margins with the surrounding enamel.
Fig. 2j: Final polishing completed to achieve optimal surface gloss and anatomical integration.
Fig. 2k: Final postoperative view demonstrating a well-contoured, highly polished direct composite restoration with harmonious occlusal anatomy and seamless marginal adaptation.
Fig. 3a: Immediate postoperative occlusal view demonstrating the completed direct composite restorations with restored anatomical form and occlusal morphology.
Fig. 3b: Postoperative view from the buccal aspect showing harmonious integration of the restorations with the adjacent dentition.
Fig. 3c: Oblique postoperative view highlighting the natural occlusal anatomy and seamless marginal adaptation of the restorations.
Fig. 3d: Final clinical view confirming functional occlusion, anatomical contour, and excellent aesthetic integration following treatment.
Fig. 3e: Fluorescence evaluation under ultraviolet illumination demonstrating the optical properties and aesthetic blending of the composite restorations with the natural tooth structure.
Fig. 3f: Final postoperative view under rubber dam isolation prior to removal, confirming complete restoration of form, contour, and occlusal anatomy.
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