Clinical Case: Posterior Composite Injection Over-Molding Following Root Canal Treatment

About the Case

This 30-year-old male presented with irreversible pulpitis on tooth #18. Significant recurrent decay was present underneath a poorly done Class V composite. He was a new patient emergency referred by a staff member. With the Coronavirus Pandemic looming, I was compelled to provide a long-term endo-restorative outcome that did not involve the multiple appointments required for an indirect restoration. In addition, these “pumpkin shell” type caries may be poorly served with a traditional full crown because the “outside shell” of the tooth is nearly all that remains. The ability to adapt flowable deep in the tooth is more predictable than trying to pack or inject traditional paste composites. The problem, until now, was that bulk fill flowable composites have been particularly prone to bubbles. In my hands the new “low bubble” delivery system from 3M (3M™ Filtek™ Bulk Fill Flowable Restorative) provides a consistently bubble free bulk fill flowable composite.