Monolithic restoration

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Fig. 1: Preoperative situation: tooth in need of treatment due to deep caries reaching into the pulp chamber

Fig. 2: Access to the cavity after removal of the temporary filling

Fig. 3: Direct intraoral application of Adhese Universal with the VivaPen

Fig. 4: Agitation of Adhese Universal into the surface for 20 seconds

Fig. 5: Quick and reliable light-curing of Adhese Universal with a high performance light (10 seconds, Bluephase Style)

Fig. 6: Application of flowable composite (Tetric EvoFlow) to smooth out small irregularities in the pulp chamber

Fig. 7: Contouring of a 4-mm increment of Tetric EvoCeram Bulk Fill

Fig. 8: Adaptation of Tetric EvoCeram Bulk Fill to the cavity walls

Fig. 9: Hybrid dentin composite core after placement of a retraction cord, ready for the next step

Fig. 10: Due to the composite’s hardness level, the smooth surface (without irregularities and scratches) feels more similar to the natural dentin than the surface of a flowable material with less stability.

Fig. 11: Post-operative situation after the completion of the restoration (IPS Empress CAD crown)

Fig. 12: Natural-looking appearance of the monolithic restoration after polishing

Fig. 13: Final X-ray demonstrating the high radiopacity of Tetric EvoFlow and Tetric EvoCeram Bulk Fill

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