Tools of the trade: Filtek Supreme

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composite resin

by Dr Simonn Mansley, Ottaway Dental, Launceston, TAS

Filtek Supreme is a versatile composite resin that offers a wide range of shades. The end result has a natural finish and good strength for a long-lasting restoration.

What’s good about it

It’s easy to use, has great handle-ability and doesn’t stick to my instruments. I like that I am able to mix and match the shades to achieve the desired colour match for the patient. After placement, it polishes up to a nice finish. It can be used in all areas of the mouth, but I tend to use it more with anterior restorations for aesthetic reasons. When polished correctly, it looks natural. 

Wastage is minimised by purchasing the material in a syringe, so you can dispense the required amount. The product is available in dentine, body, enamel and translucent shades. There’s also a pink opaque shade that can be useful for masking severe discolouration, particularly for root treated teeth. 

I apply the pink opaque as a base layer and it effectively masks discolouration. You can then layer up the desired colour over the opaque shade to match the natural dentition.

It’s also easy to mix shades to achieve the desired colour match. If someone is in between colours, it’s nice to be able to closely match their natural shade. There are plenty of colour options for most situations, and I often find it useful to use a body shade, say A3B, with a different enamel shade, say A2E, and a translucent shade for a natural aesthetic result. 

What’s not so good

You need to devote a reasonable amount of time to polishing the material, otherwise it can develop a yellowish discolouration or pick up staining. This is certainly one of the limitations of composite resin as a general rule. It’s important to understand the material you’re working with and respect its limitations and how to handle it. 

Where did you get it

Henry Schein and Dentavision

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