Page 28 - Dental Practice South Asia 18-6

multidisciplinary section

MANAGING CLASS 3 RESTORATIONS

IN CROWDED LOWER ANTERIORS

ANAND NARVEKAR

CASE HISTORY
• 45 year old lady visited our dental office for the treatment of mul-
tiple defects in her oral cavity.
• Patient comes from poor social economic status with no medical
history.
• No complaint of continuous pain, only present while having hot
and cold items.

CLINICAL AND RADIOGRAPHICAL EXAMINATION
• Poor oral hygiene
• Over crowded teeth
• Multiple class 3 defects on all lower anteriors
• IOPA shows no signs of periapical infection
• No pain on percussion FIG 1: Pre-operative

TREATMENT PLAN flosser
• Oral prophylaxis with deep cleaning • Regular follow up every 15 days to monitor her oral hygiene
• Patient put on electric small head tooth brush along with water • Restoration phase split into 02 settings left/right quadrant

FIG 2A: After 4 months FIG 2B: Right lateral FIG 2C: Left lateral

FIG 3: Rubber dam punching marks as per FIG 4: Rubber dam Isolation 34-44 with Winged FIG 5: Caries end point removal achieving peripheral
alignment of the teeth Clamps seal zone

Article Citation
Narvekar, A. (2022) Managing Class 3 restorations in crowded lower anteriors.18(6), 28-32

28 Dental Practice // November-December 2022 // Vol 18 No 6