Clinical Cases

The success of minimally invasive restoration techniques heavily depends on high-performance dental materials, which give dental practitioners more control over the process. See how universal adhesives become an excellent choice for minimally invasive restorative and repair procedures, with a case example.

by Dr Walter Devoto, Italy.

A ten-year-old patient chipped his right central incisor while playing with the family cat. The case was treated during an emergency visit.
In a 10-minute procedure it was possible to aesthetically integrate the 3M™ Filtek™ Supreme Flowable Restorative into the patient’s natural tooth structure making this an effective and efficient treatment option.

by Dr David J. Clark, USA.

The ability to adapt flowable deep in the tooth is more predictable than trying to pack or inject traditional paste composites.
The problem, until now, was that bulk fill flowable composites have been particularly prone to bubbles. In my hands the new “low bubble” delivery system from 3M (3M™ Filtek™ Bulk Fill Flowable Restorative) provides a consistently bubble free bulk fill flowable composite.

When there is a need for restoration in the upper anterior region of a patient with particularly high aesthetic demands, many dental practitioners prefer indirect over direct restorative techniques because of higher predictability and easy handling of the materials inside the mouth. See how to achieve beautiful results with little effort using direct composite materials.

See how to stabilise complex restorative cases with Single Shade Composites. See a clinical case to learn how using a single shade of composite in a restorative procedure allows the clinician to focus on the tooth's shape, which is critical to the final esthetic outcome.

by Dr. Marcos Vargas
Date of Original: May 2017 - Solutions for Dentistry

Given my primary research interest in the area of dental materials—bonding, composite resins and aesthetic dentistry—I’m always examining products with an eye toward simple techniques and patient pleasing aesthetic results”.

by Dr. Carlos Sabrosa
Date of Original: March 2017 - Espertise Magazine.

With the availability of various cements for the permanent placement of indirect restorations, it is essential for the dental practitioner to consciously select the ideal cement for each indication.

Dr Fred Calavassy B.D.S. F.I.C.D. (2015)

In this clinical case Dr Fred Calavassy, demonstrates the use of a direct Bulk Fill composite resin, proving handy hints for success.

Dr John Burgess, DDS, PhD - 12.04.15

“We’ve told everyone to build-up resin restorations in 2mm increments for years and now all of a sudden, we’re saying 4mm is OK...”. An interview with Dr John Burgess.

Bas Loomans, DDS, PhD - 12.04.15

The replacement of defective restorations is a dental treatment that is carried out quite frequently. However, in many cases requires a challenging extension of the preparation.

Reinhard Hickel, DDS, PhD - 12.04.15

For practicability of repair techniques in the dental practice detailed criteria are needed to distinguish between failed restorations which have to be replaced and those that can be repaired.

Prof. Dr. Mutlu Özcan, DDS, PhD - 12.04.15

Repair procedures employing adhesive technologies are more cost and time efficient and lead to a reduced iatrogenic damage; therefore, such actions should be undertaken wherever appropriate.

Dr. Nils van Calcar, DDS, PhD - 12.04.15

The following case report illustrates a simple approach to lifelike composite restorations using a putty index and the aesthetic layering principle.

Prof. Dr. Claus-Peter Ernst, DDS, PhD - 12.04.15

Chairside restorations of a complete quadrant are challenging especially in cases where a complex cusp build-up is required in several teeth. See Dr. Ernst approach.

Frank Tussing, DDS, PhD - 12.04.15

Producing a precisely fitting restoration - why high hydrophilicity of the material is of great importance together with its hardness.

by Dr. Paulo Monteiro
Previously published: January 2016 - Styleitaliano.org May 2016 - NSW Dentist (ADA)

Dr Monteiro describes a conservative direct composite resin approach to successfully restoring failing anterior composite resins in a young female patient. Application of the Styleitaliano technique offers predictability in aesthetic outcomes and a happy patient.

by Dr. Kazuhisa Matsumoto, Japan
Date of Original: April 2012 - Espertise Magazine

In this case, Dr Matsumoto highlights the effects of Dentinal Hypersensivity, he demonstrates preventive treatment options available for immediate relief & aesthetically pleasing results.

by Dr. Jacqueline Esch
Date of Original: September 2014 - Espertise Magazine

In this case, Dr Esch demonstrates how the clinical application of Clinpro Sealant on a high caries risk patient can be an effective method of caries prevention.

by Dr. Rakesh Jivan
Date of Original: April 2012 - Espertise Magazine

In this case, Dr Jivan depicts the simple & easy application of Clinpro™ White Varnish in dentinal hypersenitivity with immediate pain relief and aesthetic results.

by Dr. Dylan Yung
Date of Original: 2014 - 3M Australia

In this case, Dr. Young shows a simple step by step guide to successful posterior restorations using a simplified layering technique, utilising only two shades.

by 3M Oral Care
Published September 1st, 2015.

Explore aesthetic treatment for extraction cases, a study of bond failure rates, TAD assisted distalisation, and targeted mechanics with CAD/CAM.

by 3M Oral Care
Published May 1st, 2015.

Discover aesthetic treatment options, see the latest improvements in buccal tubes, and get more efficient treatment with the articles in this issue.

by 3M Oral Care
Published October 1st, 2016.

In this issue, authors from around the globe, sharing cases which show treatment with aesthetic Clarity™ ADVANCED Ceramic Brackets and Incognito™ Lingual Brackets, 3M™ Self-Ligating Brackets and Forsus™ Class II Correctors.

by Dr. Jacqueline Esch
Date of Original: February 2015 - Espertise Magazine

In this case, Dr Esch demonstrates the application of the simple & easy to use RMGIC Clinpro™ XT Varnish around orthodontic brackets where white spots can oocur.

by Dr. Jacqueline Esch
Date of Original: September 2014 - Espertise Magazine

In this case, Dr Esch highlights the importance of implementing preventive programs in practice for children and how preventive treatments can be very effective in the prevention of caries.

by Dr. Giuseppe Marchetti
Date of Original: March 2017 - Espertise Magazine.

Every day patients present to the dental office in need of posterior restorations, in this case follow a step by step guide in an efficient procedure with aesthetic results using a new bulk fill restorative.

by Prof. Cathia Bergeron, DMD, MS.
Date of Original: March 2018 - ADA

Dr Bergeron, clearly describes a fast and easy solution for those Friday afternoon situations when patients have a dental emergency before a once in a lifetime celebration. In this clinical case the patient had his Graduation to attend! How to get a great result using Direct Composite resin and keep the patient smiling.

by Dr Filippo Dini
Date of Original: July 2017

A common posterior restoration challenge? What do you do when a patient reports pain when drinking cold beverages and the x-ray shows the extension of caries close to the pulp?

by Dr Giuseppe Chiodera
Date of Original: July 2017

“Looking for a fast and easy posterior restorative option that gives natural looking results?” Follow Dr Chiodera in a clinical case where he describes an effective and efficient technique resulting in a fast and easy clinical result and a very satisfied patient.

Riccardo Riatti, DDS, MS,
Specialist in Orthodontics

Use of 3M™ Clarity™ Ceramic Brackets with hi-tech 3M™ Unitek™ Lateral Development Archwires and overlay intrusion arch permitted perfect control of tooth movement. It was possible to expand arches in a controlled manner, reducing negative buccal corridors and to open the bite without mandibular posterior rotation.

Jeremiah Sturgill, DMD, MPH, DHEd

In many situations, a hybrid appliance therapy can marry the biomechanical needs of the orthodontist and the esthetic needs of the patient. This case shows how the 3M™ Incognito™ Appliance System, 3M™ Victory Series™ Brackets, and 3M™ Unitek™ Temporary Anchorage Device (TAD) System can be utilized to treat a challenging clinical case esthetically.

Kirk R. Davies, DDS, MS

APC Flash-Free Adhesive answers the question, “If I could improve one thing about the bonding procedure to make life easier, what would it be?”

Patrice Pellerin, DMD, Cert.
Ortho. FICD, FIADFE

Class II, deep overbite with retrusive mandible, upper peg left lateral

Omur Polat-Ozsoy, DDS, Ph.D.

Lingual orthodontics using customized appliances offers the most esthetic solution to treat all kinds of malocclusions in adults, with full 3D control of the dentition and complete invisibility. This case demonstrates the treatment of an adult Class III patient with a particular emphasis on smile esthetics.

Prof. D. Claus-Peter Ernst.

An internationally recognised consensus report on the topic of light polymerisation that summarises all the relevant aspects of the process.

Dr Giuseppe Chiodera, Italy.

Achieving a natural likeness can be challenging in restorative dentistry. The concept of ‘essential lines’ can help practitioners achieve this aesthetic result – even in cases where exact tooth anatomy is unavailable.

Christiane Stein, Germany.

Adhesive dentistry is a highly complex discipline. To enable practitioners to work in a simpler, safer way without compromising results, smart chemistry has simplified protocols and created more streamlined workflows.

Clinical dentistry and photography by: Dr Giuseppe Chiodera, Brescia, Italy

A 45-year old female patient came to the office in need of a final restoration of the first upper premolar after initial endodontic treatment. The aim was to achieve an aesthetic result and to protect the weakened cusps of the premolar, which were at high risk of fracturing.

The continuous evolution of restorative materials has inevitably created a need for an expanded range of different cements. This has also resulted in an increased level of confusion about what cement may be the best choice to use.
Whilst many dentists may have become loyal to one cement and use it for numerous procedures/indications, there is now, more than ever, a strong argument to be made for having multiple cements on hand.  In this clinical case, Dr Carlos Sabrosa uses two quite different cements, based on two very different substrates to achieve a highly acceptable clinical result.

by Dr Walter Devoto and Dr Daniele Rondoni, Italy.

Restorative procedures following endodontic treatment are complex and time consuming. An option is to streamline the process with techniques and innovative materials that reduce the number of potentially error-prone steps.

by Prof Paulo Monteiro, Portugal.

Simplifying indirect anterior restoration procedures without compromising longevity and aesthetics is challenging, but possible with the material combination of 3M Scotchbond Universal Adhesive and RelyX Ultimate Adhesive Resign Cement.

Aesthetic inlays and onlays are a viable restorative alternative for moderately broken-down posterior teeth. More recent advances in adhesive technology plus the increase in aesthetic material options enable clinicians to use conservative preparations to place restorations that are effectively reinforcing the remaining tooth structures. Although the directly placed resin restoration is the most conservative posterior restoration in contemporary dentistry, the aesthetic inlay and onlay restorative alternative, attempts to minimise the inherent polymerisation shrinkage properties of direct light cured-resins. In this case, a minimally invasive onlay procedure is applied successfully to create a very favourable aesthetic result.

by Dr Jordi Manauta, Italy.

The patient was unhappy with the results of previous orthodontic and restorative treatments and expressed a desire for a more aesthetic outcome. A diagnostic and aesthetic assessment were the first stages in the treatment of this complex case.

by Dr. Paulo Monteiro
Date of Original: March 2017 - Espertise Magazine.

Simple and beautiful results from a direct restorative dual layering technique. This case describes a simple and predictable technique that enables every dentist the possibility of repeatable results.