Selective removal of carious dentin in hidden caries: a case report using an occlusal matrix-guided restorative approach

This study aims to describe the treatment of a hidden carious lesion using the occlusal replica technique combined with selective removal of carious dentin (SRCD). A combination of radiographic and visual examinations was utilized for diagnosis. The restorative procedure was performed using the occlusal matrix technique, which facilitated precise molding of the tooth. The matrix was fabricated with low-viscosity flowable resin. After isolating the teeth, the matrix was positioned over the occlusal surface using polytetrafluoroethylene tape. A microbrush and an exploratory probe were employed to capture the anatomical features of the occlusal surface, creating an accurate occlusal stamp. After six months, the patient reported no pain, and the restoration was deemed satisfactory. Furthermore, periodontal and periapical tissues appeared healthy. The occlusal replication technique for hidden carious lesions proved to be an effective approach for reconstructing occlusal morphology, eliminating the need for clinical adjustments. This method is cost-effective, easy to perform, and, when combined with SRCD, has been shown to preserve pulp vitality and enhance the restoration process.