Posterior restoration, 16 MO
[Restoration]
Reason for attendance: Treatment of clinically detected caries
Medical history: No change; reviewed with the patient.
No contra-indications to treatment.
Diagnosis (16MO): Caries into dentin - radiographic and clinical
Informed consent: Findings and diagnosis explained to the patient. Treatment options discussed: direct composite restoration, indirect restoration (inlay/onlay/crown) where indicated, and monitoring with remineralization for early lesions; or no treatment and its consequences. Benefits, risks and costs of each discussed. Material risks of the proposed treatment explained, including post-operative sensitivity, high bite requiring adjustment, recurrent decay, fracture, and pulpal inflammation that may require root canal treatment in future, particularly for deep lesions. Patient given the opportunity to ask questions; all questions answered. Patient understands and consents to proceed.
Treatment:
1 carpule 4% articaine with 1:200,000 epinephrine Buccal infiltration @ 16
Rubber Dam isolation
Matrix: Sectional matrix + wedge
Prepared tooth to: 16MO
Etch: Etching gel 38% phosphoric acid. Adhesive: Bondline Universal.
Restorative: Lumora Universal A2, light cured per manufacturer's instructions.
Occlusion checked with articulating paper and adjusted; contacts verified with floss; restoration finished and polished.
Post-operative instructions: Reminded the patient not to eat until freezing wears off in 2-3 hours. Patient understands.
Next visit: Recall and hygiene in 6 months