Indirect composite restoration of a 3rd lower molar

The patient came complaining about tenderness when biting and percussion at her 3rd lower left molar. The tooth had a very deep restoration but there were no clear symptoms of irreversible pulpitis. The decision was made to go for restorative instead of endodontic treatment, warning the patient that it might become necessary to switch from restorative to endodontic during the treatment.

With the aid of the microscope it was possible to remove caries and the previous filling and complete the restorative procedure without entering the endodontic space. The sound pulpal horn was visible under a thin layer of sound dentin that was used to build up a resin core before preparing the abutment for the impression.

After the lab procedures, the composite overlay was checked before, during, and after the cementation made under microscopic view.

The final check two weeks after cementation showed very good integration of the restoration with an acceptable color match and no bleeding on probing around the gingival margins of the tooth. The patient reported no more symptoms since the cementation of the new restoration.
The video shows all steps of the clinical workflow made with the aid of ZEISS EXTARO 300.