If we ask dental patients what they expect from direct restoration treatment, they will most probably mention a quick procedure—as nobody wants to sit in a dental chair for a long time—and highly aesthetic outcomes. Reducing the treatment time is also something dental practitioners should strive for, as their own time is the most precious asset they have. Fortunately, saving time becomes easy when appropriate high-quality materials and techniques are selected, as demonstrated using the following patient case (Figs. 1–6).
The patient presented with several small carious lesions in the mandibular anterior region. In order to save time without compromising the quality of the outcomes, it was decided to opt for a simultaneous direct treatment approach involving the use of a universal adhesive (CLEARFIL Universal Bond Quick, Kuraray Noritake Dental) and a universal restorative material (CLEARFIL MAJESTY ES-2 Universal, Kuraray Noritake Dental) with a streamlined shade offering. The restorative material consists of two shades for the anterior region, which are typically applied in a single-shade approach and have optimised properties that allow for a smooth optical integration.
Fig. 1: Initial situation. Several carious lesions were evident in the mandibular anterior teeth.
Fig. 2: Situation after placement of a dental dam for moisture control.
Fig. 3: Appearance of the teeth after caries removal.
Fig. 4: Application of CLEARFIL Universal Bond Quick.
Fig. 5: Final restorations produced with CLEARFIL MAJESTY ES-2 Universal (Universal Dark shade) before finishing and polishing.
Fig. 6: Final situation after dental dam removal.
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Mr. Stratos Chatzichristos CDT
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:sharpen(level=0):output(format=webp)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Titel.jpg "Simplified direct restoration procedure in the mandibular anterior region with CLEARFIL MAJESTY ES-2 Universal")
:sharpen(level=0):output(format=webp)/up/dt/2022/06/Dr.-Adham-Elsayed-300x300.jpg "Dr Adham Elsayed")
:sharpen(level=0):output(format=webp)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.1.jpg "Fig. 1: Initial situation. Several carious lesions were evident in the mandibular anterior teeth.")
:sharpen(level=0):output(format=webp)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.2.jpg "Fig. 2: Situation after placement of a dental dam for moisture control.")
:sharpen(level=0):output(format=webp)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.3.jpg "Fig. 3: Appearance of the teeth after caries removal.")
:sharpen(level=0):output(format=webp)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.4.jpg "Fig. 4: Application of CLEARFIL Universal Bond Quick.")
:sharpen(level=0):output(format=webp)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.5.jpg "Fig. 5: Final restorations produced with CLEARFIL MAJESTY ES-2 Universal (Universal Dark shade) before finishing and polishing.")
:sharpen(level=0):output(format=webp)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.6.jpg "Fig. 6: Final situation after dental dam removal.")
:sharpen(level=0):output(format=jpeg)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.1.jpg "Fig. 1: Initial situation. Several carious lesions were evident in the mandibular anterior teeth.")
:sharpen(level=0):output(format=jpeg)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.2.jpg "Fig. 2: Situation after placement of a dental dam for moisture control.")
:sharpen(level=0):output(format=jpeg)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.3.jpg "Fig. 3: Appearance of the teeth after caries removal.")
:sharpen(level=0):output(format=jpeg)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.4.jpg "Fig. 4: Application of CLEARFIL Universal Bond Quick.")
:sharpen(level=0):output(format=jpeg)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.5.jpg "Fig. 5: Final restorations produced with CLEARFIL MAJESTY ES-2 Universal (Universal Dark shade) before finishing and polishing.")
:sharpen(level=0):output(format=jpeg)/up/dt/2022/06/Simplified-direct-restoration-procedure-in-the-mandibular-anterior-region-with-CLEARFIL-MAJESTY-ES-2-Universal_Fig.6.jpg "Fig. 6: Final situation after dental dam removal.")
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