Case Study

Direct cusp covering of vital element with very deep cervical margin

Dr. Daniele Gensini

Clean cavity with deep cervical margin

Occlusal view. Vital element

Slick Band matrix placement with correct emergence profile

Precise adaptation of the matrix to the margin

Selective enamel etching

Universal adhesive

Highly filled flowable composite for reconstruction of the deep cervical margin

Margin sealed and dentin covered with flowable composite

Restorative margin in a favorable position and with correct profile

Silicone index to reconstruct the missing cusp

Reconstructed stamp cusp

Correct adaptation of 3D fusion matrix to the new restorative margin

Placement of composite resin for the proximal wall

Proximal wall just reconstructed

Completion of the modeling of the occlusal table

Characterized, finished and polished restoration

Lateral view of the correct emergence profile recreated

Just removed the rubber dam

Occlusal check