Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Apr;35(3):442-448.
doi: 10.1111/jerd.12963. Epub 2022 Sep 26.

The stamp technique for direct restoration in a ICDAS 4 carious lesion: A 4-year follow-up

Mariele Vertuan  1 , Victor Mosquim  2 , Genine Moreira de Freitas Guimarães  2 , Alyssa Teixeira Obeid  2 , Juliana Fraga Soares Bombonatti  2 , Sergio Kiyoshi Ishikiriama  2 , Adilson Yoshio Furuse  2
Affiliations
Case Reports

The stamp technique for direct restoration in a ICDAS 4 carious lesion: A 4-year follow-up

Mariele Vertuan et al. J Esthet Restor Dent. 2023 Apr.

Abstract

Objective: This case report described the use of a stamping technique associated with a bulk fill composite to restore an ICDAS 4 carious lesion on a posterior tooth. The 4-year follow-up is also presented.

Clinical considerations: A 32-year-old patient presented a carious lesion on tooth 36 with an underlying dark shadow at the dentin seen from the noncavitated enamel occlusal surface, which was compatible with an ICDAS 4 carious lesion. The lesion was radiographically detected and the caries disease was treated with dietary and hygiene habits orientations. Before accessing the lesion and selectively removing the carious tissue, an occlusal stamp was made by applying a flowable resin composite to copy the anatomy of the noncavitated enamel surface. The cavity was restored using a bulk fill resin composite (Opus Bulk Fill, FGM) with 4-mm-thick increments. Before curing the last increment, a Teflon band was adapted at the uncured bulk fill composite surface and the occlusal stamp made with the flowable composite was pressed against it to reproduce the natural characteristics and initial occlusal anatomy. The top surface was light-activated for 40 s. After 4 years, small wear could be seen in the restoration, but still within clinically acceptable levels.

Conclusion: The occlusal stamp technique allows reproduction of the natural anatomy of teeth affected by ICDAS 4 carious lesions with good clinical longevity over 4 years.

Clinical significance: This case report presents the use of the stamp technique to restore a tooth affected by an ICDAS 4 lesion, in which a carious process reached the dentin and the enamel anatomy was still preserved. The bulk fill resin composite associated with the occlusal stamp was chosen to quickly restore the cavity with clinical predictability. Bulk fill composites allow the insertion of up to 4-mm-thick increments and offer lower shrinkage stress, good clinical longevity and a less time-consuming procedure in cases of posterior teeth, especially if associated with the stamp technique.

Keywords: conservative dentistry; dental caries; direct composite restoration; operative dentistry; resin composite.

PubMed Disclaimer

References

REFERENCES

    1. Braga MM, Oliveira LB, Bonini GA, Bönecker M, Mendes FM. Feasibility of the international caries detection and assessment system (ICDAS-II) in epidemiological surveys and comparability with standard World Health Organization criteria. Caries Res. 2009;43(4):245-249.
    1. Ismail AI, Sohn W, Tellez M, et al. The international caries detection and assessment system (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007;35(3):170-178.
    1. Pitts NB, Ismail IA, Martignon S, et al. ICCMS™ guide for practitioners and educators. ICDAS Foundation, London, 2014. 45. https://www.iccms-web.com/uploads/asset/59284654c0a6f822230100.pdf
    1. Schwendicke F, Frencken JE, Bjørndal L, et al. Managing carious lesions: consensus recommendations on carious tissue removal. Adv Dent Res. 2016;28(2):58-67.
    1. Ástvaldsdóttir Á, Dagerhamn J, van Dijken JW, et al. Longevity of posterior resin composite restorations in adults - a systematic review. J Dent. 2015;43(8):934-954.

Publication types

Substances

LinkOut - more resources