Objectively: 4.6 filling on the occlusal-vestibular surface. 4.7 – old filling on the occlusal surface, its marginal adherence is broken, secondary caries.
The patient experienced discomfort when probing over the surface of filling 4.6. Percussion and thermal test are normal.
Since the unpleasant sensations have been accompanying the patient since the moment the filling was placed on tooth 4.6 without diminishing with time, it was decided to remove the placed filling, identify the cause, eliminate it and, provided the situation under the old filling is favorable (no need for root canal treatment), to make an artistic restoration of tooth 4.6.
4.7-Treatment of caries and artistic restoration.
Mandibular anesthesia was performed and a rhabberdam was placed. Under a microscope, both fillings were carefully removed, caries was removed, preserving healthy tooth tissue. In the process of removal of filling 4.6, an air bubble was detected in the place of contact between the filling material and the tooth tissue. This was probably the cause of the patient’s discomfort. After all preparatory manipulations, an artistic restoration was made on teeth 4.6 and 4.7. Bite correction is minimal. Polishing.
After treatment, the patient’s complaints disappeared.
