Dr.Urvashi Tanvar is the winner of the Golden award for applauded cases in the DR Pronto Esthetic Challenge 2, 2021-2022
Introduction
In this fast paced world of dentistry, the dental fraternity is always in the pursuit of newer materials that offer advantages to the tooth and are dentist friendly as well.
Composite resin is one of the most ‘go to’ restorative material due to their highly acceptable aesthetics, mechanical properties, and command setting. However, composite resins are technique sensitive materials and associated with polymerization shrinkage (Yeolekar et al. 2015). This, in turn, carries the risk of microleakage and secondary caries development in situations where moisture control is of concern, such as cases of
- uncooperative children
- multiple sub-gingival caries
- high caries risk individuals.
The recent trend shows restorative resin composites that are user- friendly while either maintaining sufficient mechanical properties or with claimed bioactivity.
New bioactive materials are emerging adding beneficial properties over the existing restorative materials. According to its manufacture, Activa™ BioActive- Restorative is a bioactive-restorative material that can react to the oral changes by means of ion exchange leading to long-term clinical benefits. It combines between the strength and esthetics of composite resins and the benefits of glass ionomers such as moisture tolerance, chemical bond to the tooth, and release and recharge of ions (Pulpdent® 2016–2017).
Following is one such case report where a simple Class III carious lesion in the anterior region was managed with the help of Activa™ Pronto restorative material.
Case Report
A 54 year old lady reported to the clinic complaining of food lodgement in the upper front tooth region of the jaw since 3 months.
On intra oral examination, we noted a carious lesion with 12, 21, 22 and a deep carious lesion with 13 and 14, with tenderness on percussion in 14.
After IOPA evaluation, it was decided to
- restore 12, 21 and 22 with composites
- attempt to save 13 with vital pulp therapy
- perform RCT ON 14 followed by prosthetic rehabilitation.
Prophylactic scaling was done.
Treatment of 22
Caries was excavated completely in 22.
This was followed by etching with 37% phosphoric acid for 15 seconds and bonding agent (Tetric N Bond, Ivoclar) was applied. To restore the lateral, a sectional matrix was used to build up the proximal wall and then a conventional build up was done with Activa™ Pronto restorative material.
Proximal polishing strips were used to give a proximal finish and finishing and polishing of the palatal surface was done (Rainbow Snap, Shofu).
Treatment of 13:
The carious lesion on 13 was very close to pulp and hence a Lime-Lite™ Enhanced Cavity liner (Pulpdent®, USA) was placed before the Activa™ Pronto restoration was done.
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