Page 14 - GP Spring 2024

References
1. Peumans, M. et al. Effective Protocol for
Daily High-quality Direct Posterior Composite
Restorations. The Interdental Anatomy of the
Class-2 Composite Restoration.
2. Bernardo, M. Survival and reasons for fail-
ure of amalgam versus composite posterior res-
torations placed in a randomized clinical trial.
JADA. 2007; 138 (6): 775-83.
3. Opdam, N.J.M. 12-year Survival of Compos-
ite vs. Amalgam Restorations. J Dent Res. 2010
89(10): 1063-1067.
Figure 4: At the start of the re-do, a wooden 4. Moraschini, V. et al. Amalgam and resin
wedge was used to create interdental sepa- Figure 7: Bioclear’s white twin-ring used composite longevity of posterior restorations: A
ration. A wooden wedge can provide sepa- due to its ability to grip the wedge in thick systemic review and meta-analysis. Journal of
1
ration force greater than a plastic wedge. tissue without popping off. Dentistry. 2015; 43 (9): 1043-1050.
5. Schwendicke, F. et al. Managing Carious Le-
The twin-ring creates additional tooth sep- sions: Consensus Recommendations on Carious
aration force that helps to compensate for Tissue Removal. Advances in Dental Research.
the thickness of the mylar matrix. 2016; 28 (2): 58-67.

Composite masses on buccal and lingual
are for the Bioclear’s “Spot Weld” tech- Daniel Abelson grad-
nique, which, in combination with Bio- uated from the Colum-
clear’s Push-Pull instrument, ensures tight, bia University College
broad, and anatomical contacts. of Dental Medicine. He
practices in Manhattan,
NY.

Figure 5: Bioclear regular length diamond
wedge was too short and appeared to exit Arthur Volker lectures
apical to the lingual papilla.
nationally and interna-
tionally on topics such
as cosmetic dentistry,
minimally invasive den-
tistry, and dental mate-
rials. He practices in
Sunnyside, NY.
Figure 8a. Post-op photo showing broad
buccal-lingual and occlusal-gingival contact.

Figure 6: Gingivectomy performed on
lingual papilla to aid in placement of the
wedge. A long Bioclear diamond orange
wedge was used, which was suitable for the
bucco-palatal width.
The diamond cut-out, which collapses
during placement and then opens again,
allows the wedge to fit into smaller spac-
es while still maintaining a tight seal at the Figure 8b. Post-op bitewing radiograph
gingival margin. showing broad buccal-lingual and occlu-

The Evolve Pink matrix, selected due to sal-gingival contact.
its wide bucco-palatal dimension and flat Conclusion
emergence profile, closely approximated This case demonstrates the challenge of re-
the mesial interproximal anatomy of the storing an upper second molar with a deep,
upper second molar. subgingival cavity. Selecting the most ap-
propriate matrix system is a significant fac-
Enameloplasty was performed on the distal tor in recreating ideal interdental anatomy.
surface of the adjacent first molar to pre- In this case, the Bioclear Evolve Matrix
vent the matrix from folding in on itself. improved clinical results compared to a
standard circumferential matrix.
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