Direct Resin Restorations for Caries Treatment and Maintaining Dentition in a Patient With Dementia

Sealing all enamel on the tooth during direct resin restoration with a fifth-generation adhesive helps prevent future caries due to demineralization, which is especially important in patients with poor oral hygiene.

Incisal wear presenting as "cupping" can be restored with a flowable resin with good wear and fracture resistance that possesses low polymerization shrinkage, minimizing postoperative sensitivity and marginal leakage.

DiaFil nanohybrid composite adapts well to the tooth without slumping, allowing anatomy to be shaped before light-curing without the material sticking to instruments for a strong, natural-looking esthetic restoration.

Gregori M. Kurtzman, DDS
Master, Academy of General Dentistry; Diplomate, International Congress
of Oral Implantologists;
Private Practice, Silver Spring, Maryland