
01 Oct Replacement of an old restoration with myTines GO – Dr. Gianmarco Terry
Replacement of an old restoration
Dr. Gianmarco Terry

Dr. Gianmarco Terry
Gianmarco Terry graduated with honors as a Doctor of Dental Surgery (DDS) in 1998 and earned a postgraduate degree in Orthodontics in 2002 from the Universidad Nacional Autónoma de México (UNAM). He is an active member of the Asociación Dental Mexicana (ADM) and the Colegio de Odontólogos del Valle de México (COVAM).
As a guest professor, he has contributed to the postgraduate programs in dentistry at the Faculty of Dentistry at the Universidad Central de Venezuela (UCV) and the Instituto Mexicano de Especialidades Dentales in the State of Mexico.
Since 1998, he has been running a private clinic in Mexico City, specializing in aesthetic dentistry, restorative and adhesive rehabilitation, and orthodontic treatments.
An international lecturer, Gianmarco Terry has conducted numerous hands-on courses focusing on restorative and adhesive dentistry, particularly direct composite restorations. He has been a featured speaker at many local and international conferences throughout Latin America.
clinical case
The patient came for a consultation complaining of discomfort at tooth 35 and 36. Both teeth presented old composite restorations to be replaced.
Because of the absence of the adjacent molar, we decided to use a Quickmat All-round circumferential matrix to restore Molar 36 first and than proceed to an OD restoration on Premolar 35 to replace the filling with a new aesthetic restoration.
In this clinical case, we focus on the procedure for the step-by-step restoration of tooth 35 using the Polydentia QuickmatFlex sectional matrices in combination with the myQuickmat Forte sectional matrix ring accessorized with the extremities myTines GO.
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1: Pre-operative situation of the 3rd quadrant evidencing the two large restorations on 1st molar and 2nd premolar.
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2: The quadrant under isolation.
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3: Quickmat All-round was first placed and molar 36 restored.
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4: The restored molar 36.
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5: The old restoration on premolar 35 was than removed, the cavity cleaned and disinfected.
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6: Estimation of the cusp thickness and height by using LM-Arte™ Cusp Misura (LM-Dental) for evaluating the needs for cusp preparation and choosing the restorative technique to be used.
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7: The cavity equipped with the myRing Forte, myWedge and QuickmatFlex sectional matrix. To provide a stable position of the myRing Forte, myTines GO have been used.
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8: The design of the extremities myTines GO grip the matrix to the tooth surfaces away from the contact point optimizing stability and allowing for a more natural, unconstrained concavity.
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9: The distal wall of premolar 35 was restored first. LM-Arte™ Condensa (LM-Dental) was used to pack and shape the composite material.
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10: LM-Arte™ Posterior Misura (LM-Dental) was used to model the correct height of the interproximal wall.
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11: Once the distal surface of premolar 35 has been restored, the myRing Forte and sectional matrix were removed.
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12: Measure the space for the last one layer of composite with LM-Arte™ Posterior Misura (LM-Dental).
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13: Occlusal surface modeling with LM-Arte™ Fissura (LM-Dental). Occlusal view of the clinical situation before finishing and polishing, evidencing the natural interproximal anatomy afforded by the matrix system./p>
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14: Post-op view of the restoration after dam removal and an occlusal check.
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15: Occlusal view of the final restoration result.
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16: Final result on tooth 35 after the finishing and the polishing.
conclusion
The myTines GO extremities by Polydentia are specifically designed to optimize efficiency and precision in Class II restorations, especially in cases where the spaces are wide and extensive. These extremities provide exceptional stability to the matrix, preventing deformations due to being secured at a greater distance from the proximal box. This not only facilitates the handling of the matrix but also accelerates the process of dental wall reconstruction, ensuring quick and effective results. The ability to keep the matrix stable and correctly positioned allows for obtaining precise margins and reducing the risk of subsequent adjustments.
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https://polydentia.ch/download-center/file/casi-clinici/en/mktg-0122-cc-en-terry-mytinesgo.pdfproducts used
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