It's just a filling...This is a common phrase used to describe posterior Class II direct composites. Rather than devalue this ubiquitous service, our profession should elevate it as a foundational practice. When delivered with care, these restorations have the potential for longevity in function and beauty, delaying the need for more reductive restorative solutions. Hybridizing a Biomimetic Restorative core for dentin replacement along with an injection overmolded enamel replacement combines the best of two restorative disciplines for superior outcomes.

Learning Objectives:

• Introduction to Biomimetic Restorative Principles for stronger dentin adhesion.
• Introduction to Structural Analysis and basics for crack dissection.
• Matrix options and assembly for quadrant strategy.
• Learning the steps for Injection Overmolding.
• Learn the simple steps for predictable high gloss polish.

Product List:

Isolation: 6X6 square

• DermaDam Non-Latex Dental Dam Synthetic 0.20mm (Untradent)
• Nic Tone Latex Dam Thin or Medium Lt. Blue (Nic Tone)

Prep:

• Discing Queen Bur Block (Komet) *Note: The speaker has no financial interest in the bur block.
• Diamond Strip Fine WS37F (Komet)
• CeraTip Gingivectomy Bur (Komet)

Finishing/Polishing:

• SofLex Large Coarse Disc (3M)
• Contours Coarse Anatomy Trimmers-Shape 01 (Clinician's Choice/CRD) or Enhance Cup (Dentsply Sirona)
• One Step Composite Polisher (Komet) *Note: Item in the Discing Queen Bur Block or OptraGloss 1-Step Composite Polisher-Spiral Wheel (Ivoclar Vivadent)

Matrices/Wedges:

• Hawe Adapt Mylar Sectional Matrices (Kerr Dental)
• Sectional Metal Matrices - Medium or Large 0.35 micron Hard (Tor VM - Tashmed.com)
• Saddle Contoured Metal Matrices w/ Spring Clip (Tor VM - Tashmed.com)
• Hawe Sycamore Interdental Wedges (Kerr Dental)
• Dual-Force Active Wedges (Clinician's Choice/CRD)

Separators:

• Dual-Force Bicuspid Ring (Clinician's Choice/CRD)
• Palodent Sectional Matrix BiTine Ring - Round (Dentsply Sirona)

Caries Indicator Dye:

• Caries Detector (Kuraray Noritake Dental)

Adhesives:

• Universal/Single Bottle: Adhese Universal Pen (Ivoclar Vivadent) or Clearfil Universal Bond Quick (Kuraray Noritake Dental). *Note: Speaker always etch enamel with universal systems.
• Gold Standard/Two Bottle: Selective etch or total etch.
  Clearfil SE Protect: Selective Etch system (Kuraray Noritake Dental)
  Optibond FL: Total Etch system (Kerr Dental)

Dentin Replacement:

• Clearfil Majesty Flow (Kuraray Noritake Dental)
• Clearfil AP-X PLT (Kuraray Noritake Dental)
• EverX Posterior (GC)
• EverX Flow (GC)
• Fiber Reinforcement Ribbon (Ribbond)

Enamel Replacement:

• Everyone has their favorite. The speaker simply has a preference for nanofil composites for the esthetics and polish for enamel replacement.