Ibn Sina University of Medical and Pharmaceutical Sciences,Iraq
Background: Resin composite is considered the first choice for restoration of permanent teeth. Low cost, adhesion to tooth structure and being biologically acceptance makes it material of choice in most of the cases. However, sophisticated restoration procedure, moisture sensitivity and difficult manipulation limit its application as a direct restoration especially in cases of badly decayed/broken teeth.Case Report: In this report the author a case of indirect composite restoration for right maxillary molar. The tooth was badly carious and symptoms were classical for chronic pulpitis. Root canal treatment was done in one visit. Because the crown of the tooth has lost most of its structure, treatment plan was shifted from direct to indirect composite restoration. The cavity was filled with self-adhesive core build up dual-cure material and prepared with high speed handpiece to remove any undercut and make the cavity divergent occlusally. Impression was made, poured with stone and sectioned to obtain separated die. Teflon tape was used as a separating layer. Nano-filled resin composite was applied incrementally to build up the tooth in normal anatomy and contour followed by finishing and polishing. The restoration was cemented on the prepared tooth using dual-cure resin cement, high spots were checked and relieved, and the restoration was re-polished intra-orally. Periodic follow up visits up to eight months showed effective clinical performance with patient satisfaction.Conclusion: Indirect Composite Restoration provides luxury of application, manipulation and curing of composite outside the oral cavity. It offers better marginal assessment for the restoration and optimum contouring.