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Direct posterior composite restorations

Case 1

Failing amalgam restoration with secondary decay. Glass ionomer (Fuji IX) as liner. Use of rubber dam is crucial during placement of bonded restorations.

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Case 2

Another failing amalgam. Enamel is etched for 15 seconds then dentine for another 15. Primer is left for 3 times the dentine etching time (45 seconds).  Excess removed and bond applied (Optibond FL).Composite resin is placed in very small increments. Each layer is light cured for 20 seconds.

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Case 3

Amalgam restoration with secondary decay. Fuji IX as liner.

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Case 4

Class II amalgam restoration with secondary decay. Fuji IX as liner.

Sectional matrix and plastic wedge used to rebuild contact point.

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