Clinical Cases

Case 1: Predicta Bioactive Core

The pictures above highlight how clinical compromises are frequently encountered in the field of dentistry. In this particular scenario, we confront the challenge of a fractured abutment on an aging prosthetic. This situation forces us to make a critical decision between a comprehensive solution, like installing a new bridge in cases of abutment loss, or adopting a more limited approach to address the immediate emergency. For a detailed clinical report on this case by Dr. Alessandro Colella, click here.

Case 2: Predicta Bioactive Core

In this clinical case, Dr. Giuseppe Chiodera presents Predicta Core as a versatile dual-cure material suitable for both post cementation and core build-up. Its two viscosities—Flow and Stackable—offer excellent handling, minimizing bubbles and reducing procedural steps. The material’s adaptability streamlines restorative workflows, enhancing efficiency without compromising durability. Predicta Core proves to be an effective solution for comprehensive abutment reconstruction.

Case 1: Predicta Bioactive Bulk

A 45-year-old female patient requested safe amalgam removal from teeth 46 and 47. After rubber dam isolation, the amalgam and carious tissue were removed using burs and a laser. The cavities were then restored with Predicta Bulk Bioactive composite. Etching and bonding were followed by an initial 5-second light cure, 2-minute self-cure, and final 20-second light cure. The restoration was shaped, polished, and confirmed radiographically, showing a well-sealed, aesthetic result.

Case 2: Predicta Bioactive Bulk

This routine case involved a 28-year-old male with secondary caries on tooth #26. After caries removal and debridement, selective etching and bonding were performed, followed by restoration using Predicta Bioactive Bulk. Excess material ensured proper adaptation, and the rubber dam was removed prior to shaping the restoration. The final result showed excellent color blending and clear margins, delivering strong aesthetic and functional outcomes.

Case 3: Predicta Bioactive Bulk

In this case, a 55-year-old female patient presented with a stained composite on tooth #24 showing secondary caries. After isolating with a rubber dam and using a Fender Wedge for adjacent tooth protection, the old restoration was removed and the cavity cleaned with laser. The tooth was then etched, bonded, and restored using Predicta Bulk Bioactive composite, chosen for its excellent handling and aesthetic integration. The final result showed seamless blending with the natural tooth and left the patient very satisfied.

Case 4: Predicta Bioactive Bulk

A 54-year-old female presented with secondary caries on teeth #24 and #26. Tooth #26 had a large amalgam, and #24 showed mesial and distal fractures. Both were restored using Predicta Bulk composite after removing the old restorations conservatively. Pre-shaped matrices and wedges ensured proper contact and minimized excess, especially gingivally. The composite provided good anatomical form and esthetics without the need for custom shading.

Case 5: Predicta Bioactive Bulk

A 45-year-old male presented with a fractured tooth and an old mesial amalgam placed in childhood. Tooth #5 had a large cavity due to decay and a deteriorated composite restoration. The amalgam and decay were removed, and a matrix and wedge were used to restore proper anatomy and contact. The cavity was filled with composite, overfilled slightly to manage shrinkage, and polished for function and esthetics. Occlusal forces were directed centrally to reduce stress on marginal ridges, improving restoration longevity.

Case 6: Predicta Bioactive Bulk

A 20-year-old male required amalgam removal and treatment of secondary caries on teeth 46 and 47. A rubber dam was used for isolation, and a diode laser ensured thorough caries removal and sterilization. Cavities were restored with Predicta Bulk in a single increment, followed by light and chemical curing for optimal polymerization. Final polishing achieved excellent esthetics, with no post-op sensitivity.

Case 7: Predicta Bioactive Bulk

A 74-year-old female presented with sharp pain in the lower right molar region. Tooth #47 had a large amalgam and a fractured buccal cusp. The amalgam and fractured cusp were removed, and a temporary filling was placed. After two weeks without symptoms, a final restoration was done using Predicta Bulk composite, chosen for its bioactive properties that support fracture healing and longevity. The patient remains symptom-free, and long-term follow-up is planned.

Case 8: Predicta Bioactive Bulk

A 30-year-old male presented with deep caries on tooth #15. Though radiographs showed a mild lesion, clinical evaluation revealed extensive decay close to the pulp. To avoid endodontic treatment, caries was conservatively removed with hand excavators, and a liner was placed for pulp protection. The tooth was restored with a bioactive composite under rubber dam isolation. Laser etching and adhesive application preceded the filling. The restoration showed excellent form and seal, with the tooth remaining vital. The material’s ion release supports remineralization and long-term pulp health.

Case 9: Predicta Bioactive Bulk

A 75-year-old female presented with secondary caries on tooth #35. The old composite and decay were removed, and the cavity was restored with Predicta Bulk, placed slightly in excess. A matrix was used, but no wedge was needed due to the missing adjacent tooth. The restoration was polished for a smooth finish. The bioactive composite’s ability to release and recharge calcium phosphate ions supports long-term durability, promoting apatite formation and enhancing clinical outcomes.