Objectively: volumetric filling on the chewing and distal contact surface of tooth 1.4, its marginal adherence is broken, secondary caries. Carious cavity on the medial contact surface of the tooth.
After removal of the old filling a deep secondary carious process was found. Threat of pulp opening. Using a microscope, which allows to see in detail and excise only the affected tissues, we managed to keep the tooth vital.
The tooth was restored on both contact and chewing surfaces using composite material, taking into account the anatomical and morphological landmarks.