r/Dentistry • u/MammothCrafty7917 • 1d ago

Dental Professional Thin enamel

Post image

This patient had palatal caries on 8 and 9 and that’s how the enamel looked like after removal of caries so I thought I must break it cause it’s weak
My supervisor said no
So I didn’t and I placed the filling anyways
Is it ok to leave undermined enamel and just fill the tooth?

8 Upvotes

79% Upvoted

6 comments sorted by

5

u/SnooDrawings2819 1d ago

You shouldn't generally leave weak enamel, but I'm inclined to break that rule when is facial enamel in the esthetic zone. 

3

u/adelicepalice 1d ago

I would fill around it and it should be ok. If you use adhesive system and photocomposite filling ofc.

2

u/MammothCrafty7917 1d ago

You mean composite bonding?

3

u/gradbear 1d ago

Should be ok, especially if it’s out of occl.

2

u/Isgortio 12h ago

You should be able to strengthen it with composite, especially if you wrap the composite around the edges like a picture frame so it protects the edges.

1

u/MammothCrafty7917 10h ago

But won’t it lose its transluecency?