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Fig 11


Cavity restored in a single in- crement and slightly overfilled


Continued »


ı0 seconds. The occlusion was checked and the restora- tion polished (Fig 6).


Clinical case two This patient had a biodentine direct pulp cap placed on the upper left first molar ı2 months prior to treatment. The tooth responded positively to sensi- bility testing (ethyl chloride and electric pulp testing) and the pre-operative radio- graph showed no associated periapical radiolucency. Fill Up! bulk-fill composite was


Finished restoration Fig 12


chosen to provide the defini- tive restoration. • Step ı: The tooth was isolated using rubber dam. The Biodentine was removed to leave ımm at the base of the cavity (Fig 7).


• Step 2: The tooth was etched and bonded as per the manufacturer’s instructions (Figs 8 and 9).


• Step 3: The cavity was filled using Fill Up! bulk-fill composite in a single incre- ment (Figs ı0 and ıı). The tooth was overfilled before polishing (Fig ı2).


• Step 4: The final photo- Fig 13


The final restoration reviewed after nine days


graph shows the tooth nine days after placement with minimal darkening of the restoration (Fig ı3).


Conclusion Fill Up! provides an aestheti- cally pleasing, tooth coloured restoration that is quick and easy for clinicians to place. The material may be particularly useful when restoring cavi- ties in children and anxious patients where the length of treatment time is ideally kept short. Bulk-fill composite restorations are showing early promise within the literature,


This article was co-authored by Amy Gallacher, Adam Jowett, James Chesterman and Peter Nixon.


which is comparable to conventional materialsıı


. The use of bulk fill materials


appears to provide the advan- tages of an aesthetic material with less technique-sensitive placement, offering a real alter- native to amalgam in posterior restorations. However, more clinical research on the long- term outcomes of this material and other bulk-fills is required before its effectiveness can be assessed fully. Early indicators are that it appears to be a useful addition to the dentist’s arma- mentarium for a variety of clinical applications.


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