The Perfect Blend of Light Intensity, Smart Technology, and Ergonomics

Using Patterson Brand dental materials and equipment helps me provide top-quality dentistry to patients while increasing my practice’s bottom line. This restorative case demonstrates how two Patterson private label products—the Patterson Flowable Composite in Low Viscosity and the Patterson LED Curing Light—were used together on a Class V restoration to meet a patient’s high esthetic demands and reduce tooth sensitivity.

A 44-year-old man presented to the office with complaint of sensitivity to the upper right premolars, teeth Nos. 4 and 5. A comprehensive intraoral examination and digital radiographs revealed the patient had abfractive lesions consistent with toothbrush abrasion (Figure 1). Radiographs revealed no caries evident with mild non-lingering cold sensitivity. The teeth appeared periodontally and periapically within normal limits. The patient had been using anti-sensitivity over-the counter treatments, including Sensodyne toothpaste and Listerine Sensitivity, but with limited relief. He also had evidence of bruxism, with craze lines in multiple anterior teeth and wear facets on the cusps of multiple posterior teeth.

It was recommended that the patient have Class V composite restorations to cover the abfractive lesions and exposed dentin to reduce the continued sensitivity he was experiencing. A nightguard was also recommended to reduce the risk of tooth fracture and excessive wear.

Treatment and Outcome

After obtaining consent from the patient, the treatment was completed as follows. No anesthesia was administered, as the treatment was minimally invasive. The area to be treated (teeth Nos. 4 and 5) was roughened with an inverted cone bur, and 35% phosphoric acid etch was placed for 20 seconds and then rinsed with water. A selfetch bonding agent was applied and cured with the Patterson LED Curing Light, and then Patterson Flowable Composite was applied to the teeth in shade A2 to cover the exposed dentin (Figure 2).

The flowable composite was cured for 20 seconds from the buccal side of the tooth, using the Patterson LED Curing Light. The light was comfortable and easy to use with good coverage from the orange shield, which could be rotated with ease. The angle of the head seems to allow easy access to all areas of the mouth and surfaces of the teeth.

The composite restorations were smoothed with a pointed cone disposable diamond bur with a very fine grit (NeoDiamond, Microcopy) and polished with Sof-Lex polishing discs. The patient was pleased with the esthetic outcome of the case (Figure 3), and upon follow up, has described a significant decrease in sensitivity. He also was pleased with the contouring of the composite, as he had previously complained of a food trap in the abfractive areas.