Name of the Procedure:

Resin-Based Composite - Two Surfaces (D2392) Common name(s): Dental Filling, Composite Filling
Technical term: Resin-Based Composite Restoration

Summary

A resin-based composite two-surface filling is a dental procedure where a tooth-colored resin material is used to fill and repair a tooth that has been damaged by decay, wear, or minor fractures. The procedure restores the tooth's function and appearance.

Purpose

This procedure addresses tooth decay, wear, or small fractures affecting two surfaces of a tooth.

• Goals: To restore the tooth's function, integrity, and aesthetics.
• Expected outcomes: Reduced pain or sensitivity, restored tooth structure, and an improved appearance.

Indications

• Presence of cavities affecting two surfaces of a tooth.
• Mild to moderate tooth fractures.
• Worn or abraded teeth needing restoration.
• Patients seeking tooth-colored fillings for aesthetic reasons.

Preparation

• No specific fasting required.
• Review of medical history and any relevant allergies.
• An initial examination and possibly an X-ray to assess the extent of decay or damage.
• Discussing anesthesia options with the dentist.

Procedure Description

1. Anesthesia: Application of local anesthesia to numb the area.
2. Decay Removal: Using a dental drill or laser, the dentist removes the decayed or damaged part of the tooth.
3. Preparation: The cavity is cleaned, and the tooth is prepared for bonding.
4. Etching and Bonding: Application of an acidic gel to etch the tooth surface, followed by a bonding agent.
5. Resin Application: Layering the composite resin into the cavity, shaping it to match the natural contours of the tooth.
6. Curing: Using a special curing light to harden each layer of resin.
7. Finishing: Shaping, smoothing, and polishing the composite to match the natural tooth surface.

Tools: Dental drill/laser, acidic etching gel, composite resin, curing light. Anesthesia: Local anesthesia, usually lidocaine.

Duration

Typically 30 to 60 minutes, depending on the extent of the damage and the complexity of the work required.

Setting

Performed in a dental office or clinic.

Personnel

• Dentist
• Dental assistant

Risks and Complications

• Common risks: Temporary sensitivity to hot or cold, color mismatch, marginal leakage.
• Rare risks: Allergic reaction to the materials, infection, or damage to surrounding teeth.

Benefits

• Restored tooth function and integrity.
• Improved aesthetics with tooth-colored material.
• Immediate results and functional use after the procedure.

Recovery

• Avoid eating or drinking until the anesthesia wears off.
• Temporary sensitivity is normal; avoid very hot or cold foods for a few days.
• Maintain good oral hygiene; regular brushing and flossing.
• Follow-up visit may be scheduled to check for any issues with the filling.

Alternatives

• Amalgam fillings: Durable but not tooth-colored.
• Gold or porcelain inlays/onlays: More durable but more expensive and require multiple visits.
• Preventive measures: Fluoride treatments, regular dental cleanings to avoid cavities.

Patient Experience

• During: Minimal discomfort due to local anesthesia; feeling of pressure or vibration from tools.
• After: Some numbness until anesthesia wears off; possible mild sensitivity; normal eating and drinking within a few hours.
• Pain management: Over-the-counter pain relievers if needed; usually unnecessary for minor discomfort.