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Amalgam Replacement

01/10/2023

Every day, patients present to the dental office in need of posterior restorations. Each clinical case requires a decision whether a direct or indirect approach is best suited. Support for making the right decision is offered by StyleItaliano™.

According to the group, minimally invasive direct techniques are preferred whenever possible. In this case, follow a step by step guide which details an efficient procedure using a new bulk fill restorative to create a favourable aesthetic result.

Day in, day out, patients present in dental offices with the need for restorative treatment in the posterior region.

Every time, we have to decide whether a direct or indirect treatment approach is best suited for the specific case. Support for making the right decision is offered by StyleItaliano.

According to the group, minimally invasive direct techniques should be preferred whenever possible. Thus, there is no indication for inlays, while overlays should be chosen instead of crowns in cases with severely decayed tooth structure (e. g. following endodontic treatment).

Direct composite restorations are not only preferred due to maximum preservation of healthy tooth structure, they also show a high clinical success over time, provided that the basic rules including proper isolation of the working field and correct use of adhesive techniques, are respected during treatment. In addition, innovative restorative materials like bulk fill composites enable the dental practitioner to adopt an efficient procedure.


Efficient procedure, aesthetic results

With the most recent innovation, 3M™ Filtek™ One Bulk Fill Restorative, even the aesthetic impairment caused by a higher material translucency is a thing of the past. A true sample of this enhancement is shown in the following clinical case. The maxillary right first molar of this patient was restored with an insufficient amalgam restoration that had to be replaced, while the adjacent premolar showed a primary carious lesion needing treatment.


Conclusion
This case shows that, if a dental practitioner follows some simple rules and protocols and selects highquality materials it is easy to obtain brilliant treatment results in terms of aesthetics and function. This is what StyleItaliano refers to as feasible, teachable and repeatable dentistry.

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Dr Giuseppe Marchetti teaches the degree course in Dentistry and Masters Degree in endodontics and Restorative Dentistry, at the University of Siena. He also teaches at the Faculty of Medicine, Master of Science in Dentistry at the “Université the Méditerranée” in Marseille (France). He is an active member of StyleItaliano Group, IAED (Italian Academy Of Aesthetic Dentistry) and IAC (Italian Academy Of Conservative) and is a specialist of restorative and prosthetic, with a special interest in aesthetic dentistry.






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