Lost filling premolar 1.4 repair

This gentleman from Amsterdam 64 years of age lost a filling from his premolar 1.4 while biting an almond nut. The premolar had been repaired here with GC Equia Forte Fill the 12th February 2014 and remarkably the attachment to the old amalgam piece with which it had fallen out was still in tact! As you can see in the picture. Excellent adhesion of GC. By the way on the palatine aspect of premolar 1.5 one can see a repair; here placed the 7th July 2011 with Voco Glass Ionomer which still holds. Except the colouring and the marges leave scope for improvement. As preparation for today’s repair HealOzone was applied for twice 20s with cup round 8mm long 20mm followed with a Garrison shield F100 held in place with Garrison Wide Prep FX600 Fusion wedge. The first GCP capsule A2 was applied distally, cured for 5 times 30s and left for 5 minutes for chemical setting. Another shield was now placed mesial with the procedure repeated. After enough chemical hardening the holder ring and shield were carefully removed. Excess was removed using mainly a slow torque Garrison FPZC010-X rotating coarse flat tip. Thanks to HealOzone this Glass Carbomer repair was set in full confidence without the need for drilling. The risk for reactions is estimated as zero. This GCP filling material has rather unique self healing properties through ion exchange and biofusion with dentine. Total work time: 90 minutes including photography.

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