Product review


The Fill Up! dispensing tip was placed into deepest part of cavity Fig 4


Fig 5


The cavity was restored in a single increment


Fig 6


The light-cured surface was finished immediately


Fig 7


Prepared cavity with remaining Biodentin base


Continued »


tion is important and still required. The flowable nature of the material allows for good adaptability to the cavity walls and the single application of the material reduces the risk of voids and contamination. The material comes in an easy- to-use auto-mix syringe. Dual cure composite restorations have shown to have favour- able marginal adaptation when compared with conventional composite placement7


. Fill-Up! contains zinc oxide


which has proven antibacte- rial activity against dental pathogens8,9


the strength of the materialı0


without affecting .


This may aid reducing the risk of secondary caries at the margins of these restorations. Fill Up! is radiopaque, therefore restorations are easy to detect on dental radiographs. Fill-Up! composite is


available in one universal, tooth-coloured shade. Unlike some other bulk composites, an aesthetic surface layer is not necessarily required. Due to the composite being chemically cured, the material darkens within the first 24 hours after initial placement. Due to this and the limited shade options


Fig 8


Etchant Gel S applied for 15 seconds and rinsed thoroughly


available, this material should ideally not be used in the aesthetically important zone. However, Fill-Up! can still be used as dentine replacement with a capping layer of conven- tional composite to improve the aesthetics4


. The authors have found Fill-


Up! to be an excellent material option when providing a definitive coronal restoration post-endodontic treatment, which often suit a flowable material with deep cavities over 4mm. Fill-Up! is good to prep for indirect restorations if used as a core as it is hard like conventional composites, rather than very soft like many GIC’s. The material should be equally adept for routine defini- tive posterior restorations.


Clinical case one A patient attended for root treatment of the lower left first premolar. This tooth was subsequently restored using the direct bulk fill composite, Fill-up!, in combination with the Parabond adhesive system. This provided an aesthetically pleasing and conservative restoration. • Step ı: The cavity was prepared and a sectional matrix band placed (Fig ı).


Fig 9


ParaBond Adhesive applied to the dry cavity


REFERENCES


1. Lynch C D, Wilson N H F. Managing the phase-down of amalgam: part I. Educational and training issues. British Dental Journal. 215: 109-113.2013


2. Albers H F. Tooth-coloured Restoratives: Principles and Techniques, 9th Ed. BC Decker. 2002.


3. Le Prince J G, Palin W M, Vanacker J, Sabbagh J, Devaux J, Le Loup G. Physico-mechanical characteristics of commercially available bulk-fill composites. J Dent. 42(8):993-1000. 2014


4. Fill-Up. Coltene. Cited 2015 from: www.coltene.com/en/prod- ucts/11/details/2933/Fill-Up!.html


5. Pellisier B, Jacquot B, Palin W M & Shorthall A C. Three generations of LED lights and clinical implica- tions for optimising their use. 1: From past to present. Dent Update. 38:660-670. 2011.


6. Tarle Z, Attin T, Marovic D, Andermatt L, Ristic M, Taubock T T. Influence of irradiation time on subsurface dgree of conversion and microhardness of high-viscosity bulk-fill resin composites. Clin Oral


• Step 2: The cavity was etched for ı5 seconds. The etchant was rinsed and air dried according to the manufac- turer’s instructions (Fig 2).


• Step 3: The bonding agent Parabond was applied. It was massaged into tooth structure for 30 seconds and then blown with air for 30 seconds (Fig 3).


Fig 10


Fill Up! dispensing tip placed into the deepest part of cavity


Investig 19(4):831-40. 2014


7. Bortlotto T, Melian K & Krejci I. Effect of dual-cure composite resin as restorative material on marginal adaptation of class 2 restorations. Quintessence Int. 44(9):663-72. 2013.


8. Grenho L, Monteiro F J & Pia Ferraz M. In vitro analysis of the antibacterial effect of nanohy- droxyapatite-ZnO composites. J Biomed Mater Res A. 102(10):3726-33. 2014


9. Kasraei S, Sami L, Hendi S, Alikhani M Y, Rezaei-Soufi L & Khamverdi Z. Antibacterial properties of composite resins incorporating silver and zinc oxide nanoparticles on streptococcus mutans and lactobacillus. Resto Dent Endod. 39(2):109-14. 2014


10. Tavassoli Hojati S, Alaghemand H, Hamze F, Ahmadian Babaki F, Rajab-Nia R, Rezvani M B, Kaviani M, Atai M. Dent Mater. 29(5):495- 505. 2013


11. Van Dijken, J W & Pallesen, U. Randomized three-year clinical evaluation of class I and II poste- rior resin restorations placed with a Bulk-Fill resin composite and a one-step self etching adhesive. J Adhes Dent. 17(1):81-8. 2014


• Step 4: The tip of the composite dispensing nozzle was placed at the deepest point of the base of the cavity and the cavity filled with the bulk composite (Figs 4 and 5).


• Step 5: The composite material was light cured for


Continued » Ireland’s Dental magazine 37


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