A not so common Class II- By Dr. John Kanca III

Introduction: 

Extensive decay, but asymptomatic. No PA pathology

Dr. John Kanca III
Gross decay obvious
Dr. John Kanca III
Lesion partially unroofed
Dr. John Kanca III
Caries stain employed. I did leave some caries-affected tissue to avoid exposure.
Dr. John Kanca III
Garrison sectional matrix, V3 ring, wooden wedge
Dr. John Kanca III
Clean and Boost applied, rinsed and dried
Dr. John Kanca III
Surpass 1 applied for 15 seconds, dried. Then Bond Saver D was applied and left moist. This is a very important step. Bond Saver D contains fluoride,a collagen stiffener, a desensitizer and something to prevent bond degradation
Dr. John Kanca III
Surpass 2 and 3 were applied
Dr. John Kanca III
Titan flowable inserted and it all was light-cured for 2 cycles with a VALO light on Xtra power
Dr. John Kanca III
The proximal wall was built up and light-cured with two 3 second cycles at the same power. Exquisite Restoration is the resin composite
Dr. John Kanca III
The occlusal was placed in two increments
Dr. John Kanca III
Ring, matrix and wedge removed
Dr. John Kanca III
Marginal ridge developed
Dr. John Kanca III
Occlusion adjusted
Dr. John Kanca III
Pre-polish
Dr. John Kanca III
Restoration polished. If you're looking for extensive anatomy and decay to be added, you've got the wrong guy.
Dr. John Kanca III
Facial view of completed restoration
Dr. John Kanca III
Pre-op
Dr. John Kanca III
Post-op

Conclusion: 

I do not know whether this will succeed long term as a vital case. Patient and Mom were fully informed of the possibilities. One week out it is entirely free of symptoms.

Case by: 

Dr. John Kanca III

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