Date of publication: 20-11-2018 Date of update: 19-03-2021
Author of the article: Shamray Olesya Vladimirovna Dentist
Patients make a serious mistake when choosing tooth extraction or replacement with a denture instead of treatment. Since the load and responsibilities of each tooth are clearly adjusted and distributed by nature, dentists always recommend treatment. The most common treatment method in dental practice is the installation of a filling to restore the aesthetics and, most importantly, the chewing functions of the teeth.
The function of chewing food, as well as the main load, is borne by the chewing teeth: molars and premolars.
The greatest load during chewing food falls on the large and small chewing teeth. They have more substantial roots and a wide surface, which is called occlusal or occlusal. The safety of the chewing part of the tooth determines the complete consumption of food, its correct grinding before entering the stomach, as well as the distribution of the load on the remaining teeth. Therefore, when restoring them, it is important that the filling is anatomically correct: it has irregularities, tubercles and higher edges. Only such a filling can fully participate in the chewing process and perform the functions of a healthy tooth. The material must also meet the general requirements:
- Fit tightly. This will help protect the tooth from infection and prevent secondary caries from developing. Further tooth decay will also be stopped.
- Have high strength and indestructibility by saliva. The filling must withstand constant mechanical stress during chewing, be subject to little wear and not be destroyed by acids in saliva. Of course, any fillings will require replacement over time, but the right ones will last for several years.
- Have a neutral composition. Often the nerve is not removed before filling so that the tooth remains alive longer. The filling should not release any compounds that affect nerve endings.
It is better to leave the choice of material to the dentist; it will be based not only on your financial capabilities, but also on the feasibility of using the material, its service life and the individual characteristics of the dentition.
After filling the chewing teeth, it is worth protecting them from strong mechanical stress.
Tetric N-Ceram filling
Tetra N-Ceram is a professional composite restorative material. The reflective filling has a wide range of natural shades. Tetrik Kerom is used for filling grades 1-5, in pediatric dentistry, in the manufacture of direct veneers, and restoration of veneers. The material is used in a dry working area. The material is flexible and easy to use. Used to work on front and side teeth. Has a “chameleon” effect.
Stages of dental filling
- anesthesia for tissue pain relief,
- the area affected by caries is completely drilled out,
- When treating pulpitis or periodontitis, endodontic treatment of the tooth canals is additionally carried out - the dental nerve is completely removed, or if it is slightly damaged, a drug is placed inside the tooth under a temporary filling. Treatment of periodontitis is always carried out in several stages - the product is placed at the base of the dental canals to relieve inflammation of the tissues around the tooth,
- the cavity inside the tooth is treated with antibacterial drugs, disinfected and thoroughly dried. If necessary, a therapeutic pad is placed,
- the filling material is selected according to color, which is especially important when restoring teeth in the frontal area of the smile,
- The filling material is gradually applied to the tooth, carefully compacted inside (so that there are no air bubbles),
- The installed filling is ground and polished, and given the desired shape.
Expert opinion
Elina Ruslanovna Dzagurova Dentist-therapist Work experience 9+
“At the final stage, we invite the patient to take an active part in the treatment process. It is imperative to inform your doctor about the discomfort caused by the filling - this is the only way to fit it perfectly and avoid inconvenience in the future.”
After installing a dental filling
After filling teeth, the patient must follow the following recommendations: refrain from eating for 1.5-2 hours (which is especially important when installing a filling made of a chemical composite, since the material takes time to completely harden). During the day after treatment, it is advisable not to consume foods that can lead to staining of the material.
The durability of the filling depends on the quality of its installation, the tightness of its fit to the tooth and how responsibly the patient monitors oral hygiene: it is necessary to brush the teeth daily and consult a dentist at least 1-2 times a year for a preventive examination and professional hygiene .
Application details
Methodology of direct restoration
— the carious area is treated;
— if necessary, a therapeutic or insulating pad is placed at the bottom of the cavity;
— when planning the restoration of dental interaction, the doctor will install a matrix;
— etches enamel and dentin;
— applies adhesive and polymerizes;
- using a syringe, we squeeze out the required volume of the seal and place it on a specialized surface - a notepad, plug the syringe nose with a cap, and the notepad itself must be covered to protect it from light radiation;
— the composite is introduced into the finished cavity in layers and in a tiled manner;
— the individual layer is subject to illumination with a halogen or LED lamp with a light range of 400-500 nm;
— giving a contour to the filling using finishing stones, burs or carborundum stones;
— the closure is checked with articulation paper and adjusted to the optimal position;
— final grinding and polishing of the filling.
Indirect recovery methodology
— choice of shade;
— preparation of the tooth for the selected type of structure;
— receiving an impression and sending it to the laboratory;
— making gypsum blanks;
— making a processed tooth blank, applying a layer of separator for comfortable removal of the completed structure;
— individual application of each layer of composite to the tooth, adjustment of its anatomical properties, contact points and polymerization;
— polishing the structure and testing on the model;
— the doctor in the office checks the prosthesis in the client’s oral cavity. If the outcome is positive, fixation is carried out; if there are defects in color, configuration or size, the design is sent for revision;
— the inside surface is made with roughness;
— cleaning the prosthesis using ultrasound and soap;
- rinsing under running water and drying;
— at the end, the restoration element is fixed with composite cement.
special instructions
Store syringes at room temperature with a well-closed cap. The storage period is three years. Place in a dark place to preserve the properties of the material, to exclude the proximity of products with eugenol.
Allergic reactions of the body to polymer resins are possible. To minimize the risk of allergies, the use of the composite is carried out with protective gloves, to completely eliminate any interaction.
Filtek (Filtek) Supreme XT Flow OA3 - restoration fluid material (1 x 2 g)
The universal restoration material Filtek Supreme is a photopolymerizable restoration composite developed for the restoration of anterior and posterior groups of teeth.
All shades, except for the incisal edge shades, are radiopaque.
The fillers used for radiopaque shades are a combination of aggregated zirconium-silicon clusters with an average particle size per cluster of 0.6 to 1.4 microns and a primary particle size of 5-20 nm, as well as non-agglomerated/non-aggregated silicon filler with a particle size of 20 nm.
The shades of the incisal edge are not radiopaque.
The filler for non-radiopaque shades is a combination of aggregated silica cluster filler with an average cluster particle size of 0.6 to 1.4 microns and a primary particle size of 75 nm, and a non-agglomerated/non-aggregated silica filler with a particle size of 75 nm. Inorganic filler content is approximately 72.5% by weight (57.7% by volume) for clear shades and 78.5% by weight (59.5% by volume) for all other shades. Filtek Supreme universal material contains bis-GMA, UDMA, TEGDMA and bis-EMA resins. To ensure permanent adhesion of restorations to the tooth structure, dental adhesive produced by 3M ESPE is used.
Filtek Supreme is available in a wide range of dentin, tooth body, enamel and transparent shades. The material is available in traditional syringes and single-dose capsules.
Filtek™ Supreme XT flowable restorative material offers the dentist a number of new advantages:
- Easy to use: this composite has the property of controlled fluidity, that is, its viscosity decreases under pressure, and it easily penetrates into hard-to-reach cavities, but when the pressure is removed, it perfectly retains its shape until photopolymerization
- Excellent aesthetic properties: polishability and gloss retention comparable to the universal Filtek™ Supreme XT and meeting high patient requirements
- Best wear resistance among flowable composites
- 12 shades matching the Body shades of Filtek™ Supreme XT Universal Composite.
- Additional opaque shade OA3 allows it to be used as a Masking Agent
- Improved radiopacity thanks to zirconium nanoparticles. Filtek™ Supreme XT flowable nanocomposite has the highest fullness in its class of composite materials
Filtek™ SupremeXT flowable restorative material is recommended for use in the following cases:
- Class I, III and V restorations
- Minimally invasive cavity preparation (including pits and fissures)
- Spacer for direct restorations
- Correction of minor aesthetic defects in indirect restorations
- Sealing pits and fissures
- Undercut zones
- Repair of temporary organic matrix and acrylic materials
Class V restoration using flowable Filtek™ Supreme XT (A3, 5) as the base material and universal composite Filtek™ Supreme XT (A3E) for maximum aesthetics. Doctor Lomakova M. V.
Excellent aesthetic result that is easy to achieve
Easy selection of shades. Filtek™ Supreme XT shades are highly luminous and have a wide “dynamic spectrum” (greater differentiation between shades). The shades of the material closely match the Vita® scale, and the chameleon effect inherent in Filtek™ Supreme XT makes working with it as comfortable as possible.
The use of the universal restoration material Filtek™ Supreme XT allows you to achieve excellent results both with a single-layer restoration and with restorations in several shades. 4 opaques and 35 different shades make the restoration almost “invisible”.
The universal restorative material Filtek™ Supreme XT can be used in any clinical case. For simple and quick color selection, a round selector scale is provided. All you need to do is determine the shade of the tooth using the classic Vita® scale; the selector will offer options for single-layer, double-layer or multi-layer restoration.
But do not forget that this tool is a recommendation, and the final result will largely depend on the thickness of the layers, the structure of the tooth around the restoration and adjacent teeth.
Restoration of the aesthetic defect of teeth 4.1 and 3.1 using single-layer (A3B) and multi-layer (A3, 5B, A2B, A2E) techniques. Doctor Lomakova M. V.
Excellent gloss durability
Microphilic materials are characterized by gloss stability, but over time, universal composites lose much of their original shine. Filtek™ Supreme XT nanoclusters are easily agglomerated so that they can “give off” individual components during wear. With this technology, the loss of nano-sized particles will be almost unnoticeable. When working with a hybrid material, the loss of micron-sized particles leads to deterioration in surface quality.
Impeccable strength
- Filtek™ Supreme XT is indicated for all classes of direct restorations due to its high strength properties. This is where Filtek™ Supreme XT works more as a hybrid material.
- Thanks to its high particle loading and improved organic matrix, strength properties such as compressive strength, bending strength, diametric strength and chip resistance are comparable to the best products on the market.
- What does this mean for clinical practice?
- This means that Filtek™ Supreme XT is a truly versatile composite with the esthetics required for anterior restorations and the strength required for posterior restorations. Filtek™ Supreme XT has demonstrated effectiveness in a variety of clinical situations, including large defects in the posterior teeth.
Restoration of a class II cavity using Filtek™ Supreme XT shade B2B. Dr. P.Lambreht Belgium.
Combination of natural beauty and impeccable strength Universal restoration material Filtek™ Supreme XT
- 3M ESPE introduces Filtek™ Supreme XT, a universal restorative material that combines the excellent physical and handling properties of a true nanocomposite with a convenient shade scale to achieve optimal aesthetic results in single- and multi-shade restorations.
- It was possible to obtain an optimal shade scale through an in-depth analysis of the interaction of three color parameters - optical density, hue and color intensity and their influence on the visual perception of the aesthetics of a composite restoration. The result is more natural and less noticeable restorations.
- In addition to its unique properties, Filtek™ Supreme XT inherits all the best characteristics of its predecessor 3M™ ESPE,™ universal composite materials such as strength, wear resistance, and excellent polishability.
Main advantages
- Convenient color scale. Allows you to achieve beautiful aesthetic results using one, two or several shades 4 opaques, 35 shades
- Colorless transparent shade adds depth to light shades in multi-layer restorations
- Chameleon effect: shades are easy to combine and smoothly transition into one another
- “Getting into the color” of a tooth is not difficult
- Developed using unique 3M ESPE nanotechnology, which combines the shine stability of microfils with the strength of microhybrid materials
- Possibility of use on both the frontal and chewing teeth, which is confirmed by four years of clinical practice
- Excellent handling properties. Ease of creating the desired shape
- The material holds its shape until polymerization, does not stretch or stick to tools
- Can be used in sandwich applications or in combination with Filtek™ Supreme XT flowable composite material
You can buy Filtek Supreme XT Flow OA3 - a restoration fluid material (1 x 2 g) produced by 3M ESPE at ExDent.ru at a price of 1,290 rubles.
Price policy
The cost of the material directly depends on the choice of kit. In the case of maximum equipment, the price for the “Filtek Ultimate” set will be about twenty-two to twenty-five thousand rubles, the “Single Shade” and “Dual Shade” trial kit will be ten thousand rubles.
The increased aesthetics of the filling material promotes its use on all teeth. A wide range of colors makes it easy to choose the right shade.
Therefore, all restored teeth cannot be distinguished from your own. Excellent handling properties greatly facilitate operation and reduce recovery time.
