By Dr. Eyal Simchi

The ten-year-old patient had multiple carious teeth, both anterior and posterior. He had a high level of caries risk due to poor home care and diet.

Decay is removed and tooth is prepared. There is an extended preparation to cover decalcified areas.

Tooth #7 had MLF decay including decalcification along the cervical third of the tooth. The patient was anesthetized with 1cc of Septocaine 4% (Articaine HCI w/Epi) 1:100,000 and the tooth was isolated with a rubber dam. The decay was excavated with a high speed diamond bur (Microdont 2136) and refined with low speed round carbides. The preparation was rinsed before application of a universal self-priming dental adhesive (Prime & Bond Elect, Dentsply). After bonding, the tooth was fitted with a Bioclear Matrix (I use small anterior #A-103 in most cases) to help contour the restoration. The preparation was bulk filled with ACTIVA BioACTIVE-RESTORATIVE and light cured from both sides (Valo light, Ultradent).

The preparation is bulk filled with ACTIVA BioACTIVE-RESTORATIVE (Pulpdent) and slightly overfilled.

The restoration was polished using fine diamonds and finished with a carbide bur. The final restoration blends well and polishes beautifully.

Shows initial finishing and polishing.

Final restoration with ACTIVA BioACTIVE-RESTORATIVE.

About Dr. Eyal Simchi
Dr. Simchi is a board certified pediatric dentist in private practice in Elmwood Park, NJ. As one of ten children and with five of his own, he is well suited for his chosen specialty.