VOCO
Admira Fusion x-tra for A Highly Predictable Outcome
Single-shade omnichromatic restorative
The following Class II restorative case is a typical example of how using a single-shade, chameleon-like restorative such as Admira Fusion x-tra can easily achieve a highly predictable outcome.
The patient presented with a shadow on one of his bicuspids, so I used a transilluminator to see interproximally before opening up the tooth. The soft tissue on the palatal was high, so I needed to excavate subgingival decay. I used a laser to clean up the soft tissue and coagulate the blood to get clean access and a better viewing field.
Then, I placed a matrix system and selectively etched the enamel to get a better bond to the enamel surface. After applying VOCO’s Futurabond U adhesive and curing, I bulk-filled the prep with Admira Fusion x-tra, an extremely esthetic restorative material with one universal shade and a 4-mm depth of cure. I then contoured and polished the restoration.
By using Admira Fusion x-tra, I was able to bulk-fill using a simplified technique to create an esthetic restoration that is also very strong. I have peace of mind that this patient will have a restoration that will last for years to come.
Figure 1: Initial caries access reveals decay
Figure 2: Decay removed; bleeding due to high lingual
tissue and subgingival decay
Figure 3: Laser gingivectomy to clean up soft tissue
and get clean access
Figure 4: Selective etch of enamel to create a better
bond to enamel
Figure 5: Futurabond U (VOCO) is applied and cured
Figure 6: Filled to 4-mm depth with universal shade
Admira Fusion x-tra (VOCO)
Ron Kaminer, DDS
Dr. Ron Kaminer is a 1990 graduate of the State of New York (SUNY) Buffalo School of Dental Medicine. He has educated dentists worldwide on topics including lasers, technology, and minimally invasive dentistry. He sits on the board of Catapult Education, is a frequent contributor to Mentor magazine, and acts as a clinical consultant to numerous dental manufacturers. Dr. Kaminer practices full-time in his 2 practice locations in Hewlett and Oceanside, NY, focusing on minimally invasive and digital dentistry. He is a Fellow of the Academy of General Dentistry, and a member of both the ADA and the Academy of Laser Dentistry.
