Restoring Beauty and Function: A Case Report of Aesthetic Posterior Tooth Restoration with Direct Composite Resin

Tooth caries is a common dental problem that can lead to discomfort and compromised dental health. In restoring carious teeth, composite resin is a popular choice due to its aesthetic and functional properties. This case report presents the treatment of class 1 carious lesion on the occlusal surface of the mandibular right second molar with a direct composite restoration.

A 23-year-old patient presented with a decayed lower right back tooth and reported pain when eating or drinking cold/ice. Intra-oral examination revealed a limited carious lesion on the pit and fissure region of the tooth. The first step of the procedure involved the excavation of caries and cleaning and drying the cavity surface and walls. Next, the appropriate tooth color was chosen using a shade guide. Afterward, proper isolation was applied then acid etching was performed for 15 seconds using 37% phosphoric acid, and then the cavity was washed with water. The cavity was then moistened and the bonding agent was applied in a scrubbing motion, air-dried, and then light-cured for 15 seconds. The cavity was restored using an incremental technique, followed by finishing and polishing. Finally, the occlusion was checked to ensure no premature contact.

The restoration successfully restored both the aesthetic and mastication function of the tooth. The patient was satisfied with the result.

Direct composite restoration is a good option for restoring carious lesions in posterior teeth. Proper technique and understanding of composite resin materials are essential to achieve a good aesthetic and durable result.

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