The stamp technique for direct Class II composite

restorations:
A case series

Saaid Ayesh Alshehadat, Mohamad Syahrizal Halim, Koh Carmen, Chew Shi Fung

Journal of Conservative Dentistry | Sep-Oct 2016 | Vol 19 | Issue 5

CONTENTS

 Introduction
 Case reports
 Discussion
 Supporting articles
 Conclusion
 References
INTRODUCTION

 Posterior composite resin restoration --> norm among

modern dentist, resulting in very few amalgam used in
current practice
 Time-consuming

 Need excellent operators’ dexterity and skill to achieve

harmonious occlusal and cusp-fossa relationship
with opposing teeth
 By putting the shade selection aside, the contour of the
final composite restoration together with the contour of
the contact point is the main point - posterior composite
restorations
 Time needed for finishing off the restoration is double
compared with the amalgam restoration
Alternative placement technique of composite restoration

New “stamp” technique

Fabricating an occlusal matrix

To impress the occlusal anatomy of posterior teeth before

cavity preparation takes place.

This matrix is then pressed against the final composite

increment before curing takes place.
 This technique is suitable in cases where the caries is evident
during the clinical examination or routine radiographic
examination of teeth with intact marginal ridges and
ideal occlusal anatomy.
Advantages of using an occlusal matrix

 Reproduction of the original occlusal anatomy and

occlusion
 Minimal requirement of finishing and polishing
 Minimal voids at the occlusal anatomy
 Reproduction of optimally polymerized occlusal surface
due to the exclusion of air during curing
CASE REPORTS
CASE I –mesial caries 15 in 56yr old male pt

Bitewing • Isolation
separation agent Flowable composite

composite stamps
Cavity preparation

Composite
Teflon tape & stamp

After removing after composite polymerization Final finishing

CASE 2- Distal caries 45 in female dental student
matrix band
Isolation

Bitewing

composite stamps Cavity preparation band in place

Composite Teflon tape and the occlusal stamp after removing

stamp

after composite polymerization final finishing

DISCUSSION

 Restoration of actual topography - patient’s compliance

 This case series simple technique

Good surface finish & actual anatomy of the

direct posterior composite with minimal time required

stamp technique with flowable composite.

  Class I cavities -  Class II
stamp technique restorations -
procedures - removal -
simple and marginal ridge of
achievable. the tooth to
provide a suitable
access to caries.
 Matrix band

If the stamp technique is applied, the stamp will be

used in the presence of the matrix band.
.
 Thus, the stamp technique should be modified.

 In this paper, two techniques are described to

manage proximal caries following the stamp
technique
 CASE I
CASE II
matrix band is placed
matrix band should
earlier - provides a
be removed before
mold where the stamp
curing the last
is prepared within
composite
incremental
moving the matrix
and stamp should be
band during
applied.
restoration is
not required.
The correct occlusal anatomy of a filling leads to
a functional restoration and avoids the primary
occlusal trauma.

Case I
Case II
Extra composite -
may lead to a slight sharp
interdental proximal
marginal edge which needs
Space -removed carefully
to be rounded
before polymerizing.
Journal of Scientific Dentistry, 6(2), 2016
 Class I superficial cavitated caries in left maxillary molar
with palatal extension

Pre – operative blocked -base plate wax Petroleum jelly Flowable composite

Microbrush Microbrush stamp – Occlusal stamp pumice prophylaxis

Curing unit

after pumice prophylaxis Caries excavation cavity preparation Selective enamel etching
 Etched enamel & moist Cling film
Bonding agent final layer of resin composite
dentin

Microbrush stamp pressed -

Curing Polishing
cling film

Final restoration
International Journal of Recent Scientific Research
Vol. 7, Issue, 7, pp. 12427-12430, July, 2016
Occlusal aspect of the mandibular left second molar lesion
confined to the occlusal surface and with relatively intact
enamel.

occlusal stamp Protection of dentin-pulp complex with

calcium hydroxide cement
Glass ionomer cement used was a
liner (sandwich technique)

Occlusal aspect of the mandibular

left second molar after the resin
composite restoration with the
stamp technique
International Journal of Dentistry Research
2017; 2(1): 3-7
CASE 1 CLASS I caries 28 .29 year female patient .Restore 28 using the stamp technique with putty

Intraoral view Stamp made from putty impression material

Cavity preparation Final restoration

CASE 2 – 45 In 20 years old male

Intraoral view Flowable composite Microbrush- before curing

Cavity preparation Composite placement After stamping

Final restoration Occlusion check
CASE 3

Intraoral view Stamp with microbrush and

cavity preparation
flowable composite

composite placement Final restoration Occlusion check

CONCLUSION

 The stamp technique - easy approach to restore Class II

fillings with accurate topography, less postfill adjustments,
and less time.

 Minimal time - finishing to obtain a good fossa‑cusp

relationship with the opposing dentition

 stamp methods are suitable in a busy practice dealing with

many patients
 REFERENCES

 Jose Guilherme Ferrer Pompeu et al., Occlusal Stamp Technique For Direct Resin
Composite Restoration:A Clinical Case Report; International Journal of Recent
Scientific Research Research
Vol. 7, Issue, 7, pp. 12427-12430, July, 2016

 Mary G, Jayadevan A ;Microbrush stamp technique to achieve occlusal topography for

composite resin restorations - A Technical Report; Journal of Scientific Dentistry, 6(2),
2016

 Murashkin A;Direct posterior composite restorations using stamp

technique-conventional and modified: A case series; International Journal of Dentistry
Research 2017; 2(1): 3-7