Dental issues like sensitivity and food lodgement are common complaints in patients with previously treated teeth. If an old filling fails, it not only causes discomfort but can also compromise tooth strength. In such cases, advanced restorative options like E.max onlays offer long-term durability and aesthetics. Here’s a recent case we successfully managed at our clinic.

Patient’s Complaint

The patient reported with:

  • Mild sensitivity in the upper left back tooth region.
  • Food lodgement between teeth while chewing.

Clinical Examination

On examination:

  • Tooth 26 (upper left first molar) had an old Class II filling that was dislodged.
  • This led to food accumulation and discomfort.
  • The tooth structure required not just a new filling but also additional reinforcement for strength.

Diagnosis

  • Failed Class II restoration in tooth 26
  • Associated sensitivity and food lodgement

Treatment Plan

The treatment objective was to restore function, eliminate sensitivity, and protect the tooth from further breakdown. The advised plan included:

  1. Re-Class II Composite Filling to rebuild the missing portion.
  2. E.max Onlay Crown for long-term strength and aesthetics.

Treatment Performed

Step 1: Composite Filling in 26

  • The cavity was cleaned and prepared.
  • A Class II composite filling was placed to restore the tooth contour and contact area.
  • This eliminated food lodgement and relieved sensitivity.

Step 2: Preparation for E.max Onlay

  • The tooth was conservatively prepared to receive an E.max onlay.
  • An impression was taken, and a temporary restoration was placed.

Step 3: Final Cementation

  • Once the custom made E.max onlay was ready, it was carefully fitted and adjusted.
  • The onlay was bonded with resin cement, ensuring excellent adaptation and strength.
  • The onlay was bonded with resin cement, ensuring excellent adaptation and strength.

Treatment was completed successfully with composite restoration and cementation of an E.max onlay crown in 26.

Results After Treatment

  • Sensitivity resolved after sealing the tooth with composite and onlay coverage.
  • Food lodgement eliminated by restoring proper contact.
  • Tooth 26 regained its strength, function, and natural aesthetics.
  • The patient was highly satisfied with both the comfort and the cosmetic outcome.

Why Choose E.max Onlay?

  • E.max onlays are an advanced restorative option offering:
  • Superior aesthetics - matches natural tooth color.
  • Strength and durability - highly resistant to wear and fracture.
  • Conservative approach - preserves more natural tooth compared to full crowns.
  • Biocompatibility - safe and long lasting.

Book your appointment with us today!

Call us on +91 93 777 77 303

Visit us at: www.summirow.com