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Proximal ridge height as key for functional posterior composite restorations
A clinical case from our community member, Dr. Hassan Hikmat
This article and its content are published below the
responsibility of the Author as an expression of his personal ideas and
practices. Styleitaliano declines all duty for the visual and written content
of this work.
The restoration of posterior teeth represents approximately 80% of our daily practice and the general public of cavities are kind II. It is consequently approximately restoring a healthy and functional proximal anatomy, which means that creating the best measurements, profiles and, principally, the precise peak. The proximal ridges are in truth the guiding aircraft for occlusal actions
Premolar and molar with cavities italian styleitaliano style
FIG. 1
Initial state of affairs, the affected person complained of
a food impact between teeth 15 and sixteen.
Punching carious fabric italian styleitaliano style
Figure 2
Before cleansing the cavities, a pre-wedge become made to
split the enamel and avoid needless damage to the gum tissue.
Clean proximal cavities Italian fashion Italian style
Fig. 3
Complete isolation changed into carried out the usage of a
thick rubber dam sheet for better soft tissue retraction. Then the cavity
cleaning and design turned into finished.
Probe that measures the height of the teeth Italian style
Italian style
Figure 4
Use of a periodontal probe to degree the height of the teeth
to help us inside the choice of the height of thematrix.
Obvious matrix and Teflon for proximal restoration Italian
fashion Italian style
Figure 5
For the premolar, a transparent sectional matrix was used to
make certain better penetration of the mild to be polymerized, since the
occlusal entrance of the hollow space could be very tight, and a wedge was
inserted to have a better seal. Teflon is wrapped for a higher suit of the die.
Teflon used to match Italian style sectional die fashion
Figure 6
After the restoration of the premolar, a sectional matrix,
fixed with an lively wedge, become placed to separate the tooth. Then a ring
become carried out so that the matrix could hug the teeth and obtain more
separation. A small piece of Teflon changed into wrapped for a better version
of the matrix on the palatal aspect (black arrow).
Post Measurement to Proximal Accumulation Level in Italian
Style Class II Cavity Restoration
Figure 7
To level the peak of the proximal accumulation, the
Posterior Misura tool (LM Finland) changed into used. This step is important to
obtain a functional anatomy with a minimal excessive point, as the proximal
ridge will be the guide for the whole occlusal anatomy.
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