Name of the Procedure:

Common Name: Resin-Based Composite Filling
Technical Term: Resin-Based Composite - Three Surfaces (D2393)

Summary

A resin-based composite filling (D2393) is a dental procedure used to repair a tooth that has been damaged by decay, fracture, or wear. This specific filling involves treating three surfaces of the tooth with a material that matches the natural tooth color.

Purpose

This procedure addresses dental cavities, especially when a tooth has been affected on three surfaces. The main goal is to restore the tooth's function, structure, and appearance while preventing further tooth decay and damage.

Indications

• Tooth decay affecting three surfaces
• Fractured or chipped teeth involving multiple surfaces
• Wear and tear resulting in the need for restoration on three tooth surfaces
• Previous fillings that need replacement

Preparation

• No special preparation like fasting is generally required.
• Patients should brush their teeth before the appointment.
• The dentist may take X-rays to assess the extent of the decay or damage and plan the procedure.

Procedure Description

1. Anesthesia: Local anesthesia is applied to numb the tooth and surrounding area.
2. Decay Removal: The dentist removes the decayed or damaged portions of the tooth using a dental drill or laser.
3. Cleaning: The cavity is cleaned to remove any debris or bacteria.
4. Etching: A special etching gel is applied to the tooth surfaces to create a rough surface for better adhesion of the composite material.
5. Bonding Agent: A bonding agent is applied to the etched surfaces and cured with a special light.
6. Composite Filling: The resin-based composite material is applied in layers, molded, and shaped to match the tooth’s natural contours.
7. Curing: Each layer of composite is hardened with a curing light.
8. Polishing: Once the filling is complete, the dentist polishes the tooth to ensure a smooth finish and proper bite alignment.

Duration

The procedure typically takes about 30 to 60 minutes, depending on the complexity and the extent of the decay or damage.

Setting

The procedure is usually performed in a dental office or clinic.

Personnel

• Dentist: Performs the procedure.
• Dental Assistants/Hygienists: Assist the dentist and prepare materials.

Risks and Complications

• Sensitivity to hot or cold temperatures
• Allergic reaction to the composite material
• Infection if the cavity isn’t adequately cleaned
• Possible need for further treatment if the filling fails

Benefits

• Restoration of tooth function and appearance
• Prevention of further decay and damage
• Immediate improvement in tooth structure and integrity

Recovery

• Minimal recovery time; patients can usually resume normal activities immediately.
• Mild sensitivity may be experienced for a few days.
• Maintain good oral hygiene and avoid chewing hard foods on the filled tooth initially.
• Follow-up visits may be scheduled to monitor the filling.

Alternatives

• Amalgam Fillings: More durable but less aesthetically pleasing.
• Gold Fillings: Highly durable but more expensive and visible.
• Porcelain Inlays/Onlays: Durable and tooth-colored but more costly.
• Glass Ionomer Fillings: Releases fluoride but less aesthetically pleasing for visible teeth.

Patient Experience

During the procedure, the patient may feel some pressure but should not experience pain due to anesthesia. After the procedure, mild sensitivity is common but usually temporary. Pain management includes over-the-counter pain relievers and avoiding very hot or cold foods initially.