07 Jul Class II cavity direct restoration on young permanent molar with myQuickmat Forte – Dr Marina Papachroni
Class II cavity direct restoration on young permanent molar with myQuickmat Forte sectional matrix system
by Dr Marina Papachroni
Dr Marina Papachroni
Marina Papachroni graduated in 1995 from dental school at the University of Athens. She completed a three-year post-graduate program where she received her pediatric dentistry specialization certificate in 1999 and a two-year master’s degree in dental materials in 2001 from the same university. Thereafter, she has attended numerous congresses, courses and continuing education programs. She is the Treasurer of the Board of the Hellenic Academy of Clinical Dentistry and a member of the Hellenic Society of Pediatric Dentistry, European Academy of Pediatric Dentistry and International Association of Pediatric Dentistry. Lately, she is lecturing on Bioactive Materials, Restorative Pediatric Dentistry and Pulp Therapy of Primary teeth. The current focus of clinical research is Bioactive Restorative Materials. Dr Papachroni runs her private practice in Patras, Greece, with emphasis on aesthetic and microscopic pediatric dentistry.
clinical case clinico
Class II (interproximal) decay involves the proximal surface of a posterior tooth and it is a common occurrence in many dental patients. One challenge for the clinician is to accurately recreate a physical contact to the adjacent tooth and, at the same time, to restore proper interproximal anatomic form. This case involves a teenager 16 years old with an interproximal lesion in his left lower molar (#36).
1: Pre-operative situation showing interproximal lesion on the lower molar #36.
2: A preoperative occlusal view after isolation.
3: The cavity after cleaning and disinfection.
4: Selecting a black matrix (Polydentia lumicontrast) it is possible to have better control of adaptation of the matrix on the margin thanks to its high contrast. To allow the matrix to embrace the tooth, we used myRing forte with specific extremities for young permanent molars, myTines small. If the embrace between the matrix and the ring is precise, we spend less time for corrections at the end of the restoration.
5: Selective etching of the enamel, 30 seconds. We proceed with bonding.
6: Construction of the mesial crest and light-curing.
7: Next step is to open the matrix and check if the margins we created are correct. Notice the ideal contouring of tooth perimeter.
8: We transform the class II restoration into a class and then proceed with finishing and polishing steps.
9: Occlusal view of the final direct restoration.
10: Contact point made with myRing Forte coupled with myTines small. In situations where the teeth have low crown heights, the use of a sectional matrix system with small ring extremities allows for better matrix adaptation leading to ideal contacts and contours.
conclusion
The possibility to customize our sectional matrix systems with the most suitable extremities gives us the advantage of recreating a good lasting contact point and ideal anatomy that allows easy care and cleaning by the patient.
products used
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This product has multiple variants. The options may be chosen on the product page
LumiContrast Sectional Matrices
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This product has multiple variants. The options may be chosen on the product page
myTines Small & Medium
other clinical cases
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Class II cavity direct composite restoration on a young permanent premolar – myClip 2.0 – Dr Marina Papachroni
For young patients rebuilding the anatomy in class II cavity restorations is a major issue but not making too many occlusal adjustments after finishing the layering procedures is one of the same importance aspects. The following images show the step-by-step treatment we performed for treating decay on the upper first premolar of a 15-year-old teenager. ...
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Class II cavity direct restoration on young permanent molar with myQuickmat Forte – Dr Marina Papachroni
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