In adhesive and restorative dentistry, advancements introduced by mankind has evolved management of carious lesions. In this case report, one will find a brief overview of management of deep occlusal carious lesion in a permanent mandibular molar using a direct Class I composite restoration. A 25-year-old patient reported with pain in the lower left posterior mandibular region. On clinical examination, a deep occlusal carious lesion was found on tooth #37. No pupal involvement was present. On radiographic examination, it was confirmed that the lesion is only extended to dentin and has not involved pulp. No periapical pathology was confirmed. For moisture control, rubber dam was placed, followed by excavation of caries with spoon excavator. This was done to preserve remaining tooth structure. For direct restoration, composite resin was used. This was done with incremental layering and light curing. Post-operative period indicated that patient has complete symptom resolution at follow up of one week and one month. This case highlights the importance of early diagnosis, evaluation on clinical and radiographic basis, and use of restorative techniques for preservation of tooth to a great extent. Composite restoration is a successful and minimally invasive technique for managing deep occlusal carious lesions.1 This has revolutionized the field of restorative dentistry in a good way.
Ather Hashir (Sat,) studied this question.