Pain Free, Seamless Restoration.

Patient: Healthy female
Complaint: Osmotic or thermal stimuli pain in 1st lower molar

Case Planning 

A female patient reported occasional pain caused by osmotic or thermal stimuli in a first lower molar, which had been restored with amalgam. During clinical examination, the tooth responded normally to a vitality test and a percussion test did not show any abnormalities. Probing of the accessible areas of the mesio-proximal box floor with a pointed probe showed a small marginal gap. The patient agreed to the replacement of her amalgam filling. Having been informed about various treatment options, the patient wished to receive a direct composite restoration, placed with the new SureFil® SDR® flow material.


An old amalgam filling in a first lower molar. The amalgam was carefully removed, without unnecessarily damaging the remaining tooth structure.

Caries was excavated, and the cavity was fully prepared and then finished using a fine-grit diamond.

SureFil® SDR® flow material dispensed in the preparation. Thanks to its flowable consistency, the composite increment self-levels within a few seconds.

The final result, restoring the original tooth shape of this first lower molar with an anatomical and functional occlusal surface and a physiological proximal contact.

The mesial view shows the seamless transition between composite material and tooth structure and the details of the occlusal anatomy.

Prof. Dr. Juergen Manhart

SureFilSDRflow image
Prof. Manhart graduated from the Dental School of the Ludwig-Maximilians-University (LMU), Munich, in 1994. He is a nationally and internationally renowned lecturer in the field of esthetic and restorative dentistry (composites, ceramics, esthetic post systems, treatment planning). In 1994 Prof. Manhart started working as a clinical dentist and scientist in the Department of Restorative Dentistry, LMU. In 1997 conferment of the title Dr. med. dent. (PhD; summa cum laude). From 1997 to 1998, he completed a postdoc program for dental biomaterials, esthetic dentistry and interdisciplinary treatment planning as an Adjunct Assistant Professor in the Dental School of the University of Texas, Houston. Prof. Manhart currently holds the position as a Professor in the Department of Restorative Dentistry at the LMU Dental School. Main focus of his extensive clinical work is related to esthetic dentistry (composite, ceramics, veneers) and the management of large, complex prosthodontic full-mouth rehabilitations. Since 1994, Prof. Manhart studies and teaches adhesive and esthetic dentistry. He authored 1 book, several book chapters, and has published more than 150 articles in most of the leading dental journals. He is principal investigator in many clinical and in vitro studies and researches the clinical longevity of dental restorations. Prof. Manhart is lecturing extensively, he delivered more than 350 continuing education presentations and hands-on courses all over the world.