The document describes the step-by-step process of removing a failing amalgam restoration from tooth No. 14, excavating caries, etching the enamel and cavity for 15 seconds each, applying and curing Adhese Universal adhesive for 20 seconds, and placing and contouring Tetric EvoCeram Bulk Fill composite material to complete the restoration.

1. Figure 1: The patient presented with a failing amalgam restoration on
tooth No. 14

2. Figure 2: Image of the patient’s tooth after restoration removal and caries excavation.

3. Figure 3: The enamel was etched for 15 seconds

4. Figure 4: The entire cavity preparation was etched for an additional 15 seconds.

5. Figure 5: Image of the preparation after rinsing and air drying.

6. Figure 6: Adhese Universal adhesive was scrubbed into tooth structure for 20 seconds.

7. Figure 7: The adhesive was dispersed with air until a glossy immobile film layer resulted.

8. Figure 8: The adhesive was lightly cured with an LED curing light for 10 seconds.

9. Figure 9: Tetric EvoCeram Bulk Fill in shade IVB was placed.

10. A contouring instrument ‘OptraSculpt Pad’ was used to contour the composite material.