Restorative Workflow: Maxillary Anterior Interproximal Restorations (Teeth
#11M and
#10DF)
Today’s case involved restoring mesial interproximal caries on tooth
#11 and distofacial recurrent caries under an existing restoration on tooth
#10. Both lesions required precision, esthetic sensitivity, and careful isolation due to their anterior location.
Step-by-Step Workflow:
1. Shade Selection: Performed before isolation to ensure accurate esthetic matching.
2. Isolation: Achieved with a rubber dam to maintain a clean, dry field and protect soft tissue.
3. Old Restoration Removal (Tooth
#10): The defective distofacial composite was carefully removed, revealing carious dentin underneath.
4. Caries Removal (Tooth
#11M and
#10DF): Gentle excavation with magnification to preserve enamel and ensure complete removal of infected dentin.
5. Etching and Adhesive Protocol: Selective enamel etching with phosphoric acid, followed by application of a universal adhesive system.
6. Matrix and Cont...