Learn from the biggest names in dentistry!

Garrison works with the biggest names in dentistry.  Here’s your chance to refine your techniques by reviewing some of theirs.  Got a case you want to share?  Email it to us at contact@garrisondental.com.

 

Class II Case Studies

Anatomisch geformte Kontaktpunkte

Dr. Martin von Sontagh, Österreich

Achieving Fast, Easy and Tight Class II Contacts with Reel Matrix™

Dory Stutman, DDS
Posterior direct composite restorations continue to be among the treatments that clinicians provide on a frequent and regular basis. Challenging enough given the limited visibility and access that are characteristic of the posterior area, these restorations typically require technique sensitive adhesive protocol, including incremental layering and curing of the composite. Even when meticulous placement techniques are implemented, posterior direct composite restorations can be prone to polymerization shrinkage and microleakage that lead to secondary caries and post-operative sensitivity.

Achieving Tight Contact in Large Posterior Composite Restorations Using a Sectional Matrix System with Pre-contoured Matrix Bands: Composi-Tight®

Dory Stutman, DDS
For conservative Class II restorations, restorations distal of canines and/or short or malpositioned teeth, and slightly wide and/or deep restorations, the use of a flexible sectional matrix combined with a separation ring (e.g., Composi-Tight®, Garrison Dental) makes the direct posterior composite placement technique efficient and predictable. The separate contoured ring and matrix bands create an ideal environment in which to place an anatomically correct and properly contoured restoration, while the size options provide enough customization for a correct fit for every unique clinical situation. As the demand for amalgam restorations decreases and clinicians are faced with demands for functional, long-lasting, and esthetic posterior restorations, the efficiency, simplicity, and predictability of the Composi-Tight® system make it an ideal addition to the direct posterior composite armamentarium.

Contemporary Product Solutions Review of Reel Matrix - Photos provided by Dr. Dory Stutman - Shannon Pace Brinker, CDA, CDD

Shannon Pace Brinker, CDA, CDD

The Reel Matrix was reviewed by 25 evaluation team members and used on 218 patients.  Case photos provided by Dr. Dory Stutman.

The Efficient Clinician Article - Improving Class II Predictability and Clinical Outcome with a Sectional Matrix System

John Garrison, DDS

Achieving a high level of predictability with Class II composite fillings can be a tremendous benefit to the bottom line in any practice. When this procedure can be reliably completed in an efficient manner, it becomes an outstanding revenue generator and a great service to the patient.  Case photos provided by David Hornbrook, DDS, FAACD, FACE.

Direct Composite Restorations using Composi-Tight Gold - Robert A. Lowe, DDS, FAGD, FICD, FADI, FACD

Robert A. Lowe, DDS, FAGD, FICD, FADI, FACD

The challenge with Class II restorations has always been to recreate contact to the adjacent tooth and at the same time, restore proper interproximal anatomic form given the limitations of conventional matrix systems. The thickness of the matrix band and the ability to compress the periodontal ligaments of the tooth being restored and the one adjacent to it can sometimes make the restoration of proximal tooth contact laborious at best.

Class II Restoration using Slick Bands and 3D Ring - Jeffrey C. Hoos, DMD, FAGD

Jeffrey C. Hoos, DMD, FAGD

Dr. Hoos lectures extensively on practice management as well as implant and cosmetic dentistry.

Restoration of a Class II Lesion - Robert G. Ritter, DMD

Robert G. Ritter, DMD

A 50-year-old patient presented with a Class II lesion on the distal surface of tooth #21. Restoration with Ivoclar Vivadent’s Tetric and Garrison Dental Solutions direct restorative materials was treatment planned.

Clinical Solutions to Common Problems Faced When Placing Class II Direct Composites with Composi-Tight 3D and WedgeWands - Robert A. Lowe, DDS, FAGD, FICD, FADI, FACD

Robert A. Lowe, DDS, FAGD, FICD, FADI, FACD

In this article we will look at three specific areas: 1) Management of the soft tissue in the interproximal region 2) Creation of proximal contour and contact and 3) Finishing and polishing of the restoration.

The Use of Separating Rings in the Placement of Class II Composite Resins - Len Boksman, DDS, BSC, FADI, FICD

Len Boksman, DDS, BSC, FADI, FICD

This case study is taken from an article previously published in Oral Health and presents a predictable method of obtaining tight, well contoured, interproximal restorations utilizing separation rings. Clinical predictability is assured when following this protocol.  Figure #5 is courtesy of Dr. David Clark.  Of the ring systems currently available, Composi-Tight 3D gives the author one of the most predictable results.

My New Favorite Sectional Matrix, Composi-Tight 3D Clear - Lee Ann Brady, DMD

Lee Ann Brady, DMD

Over the last month I have started to use the Composi-Tight 3D Clear sectional matrix bands from Garrison and cannot imagine going back to using anything else.

Multiple Tooth Restorations using Composi-Tight 3D Clear, Pinch Matrices and PerForm - Jack D. Griffin, Jr., DMD, MAGD

Jack D. Griffin, Jr., DMD, MAGD

With multiple restorations in a quadrant, many practitioners will restore a single tooth at a time or every other tooth. It is often more difficult to place the subsequent matrices and so it is often more efficient to do all teeth at one time if possible. The ring and sectional systems from Garrison allow for predictable, broad and deep contacts with high efficiency. We are way past Tofflemire matrix holders and bulky retainers.

Class II DO on Second Bicuspid using Composi-Tight 3D Clear - Enrico Cogo, DDS

Enrico Cogo, DDS

The 3D Clear system combines transparent and translucent materials to allow for trans-enamel polymerization. You can apply the curing light from both the buccal and lingual surfaces without interference from metal matrix bands and opaque separator rings. This easily allows for proper curing of deeper proximal boxes and is also beneficial for bulk-filling Class II restorations.

Class II Restoration – Mandibular First and Second Primary Molars - Carla Cohn, DMD, MAGD

Carla Cohn, DMD, MAGD

This procedure is a modified snowplow composite fill on primary molars.

Class II MOD #12 using Composi-Tight 3DXR - Robert Rosenfeld, DDS

Robert Rosenfeld, DDS

A DL restoration had been present on #11, but its contour was somewhat concave. It was decided that that filling would be modified first to create a more convex contour against which #12 could be built.

Composi-Tight® 3D XR Sectional Matrix System: Strength and Innovation

Clarence Tam, HBSc, DDS

Dentists struggle on a daily basis with Class II restorations, especially on short or malpositioned teeth. There is the struggle of needing a tight gingival seal to minimize overhangs, the need for post-restorative finishing, and the struggle of attaining perfect anatomical contours.  I had the opportunity to work with the Garrison Composi-Tight® 3D XR system over the last few months. Here are my observations.

Class V Case Studies

Utilizing Innovative Matrix Systems to Achieve Predictable Anterior Direct Composite Restorations

Dory Stutman, DDS
Direct anterior composite restorations inherently demand precise placement of appropriately shaded composites, attention to anatomical characteristics, and thorough refinement of the embrasures, incisal edges, emergence profile, gingival margins, and proximal contacts. Whether to repair wear, caries, chips or factures, or to enhance tooth shape, size and color for esthetic reasons, direct anterior composite restorations can present clinicians with various technique-related challenges based on the clinical situation at hand.

Class III or IV Case Studies

Index Technique using Blue View VariStrip™ - Dr. Riccardo Ammannato, DDS

Dr. Riccardo Ammannato, DDS

Photos of the Index Technique using Blue View VariStrip™.

Class III Restoration on Distal #6 using Composi-Tight 3D XR - Robert Rosenfeld, DDS

Robert Rosenfeld, DDS

It is likely that there had been a diastema prior to loss of old composite, but decided to close it with a new restoration.

Class IV Restoration using the VariStrip - David Hornbrook, DDS, FAACD, FACE

David Hornbrook, DDS, FAACD, FACE

Dr. Hornbrook is one of dentistry’s most famous faces and lectures internationally on all facets of aesthetic and restorative dentistry. This Class IV case study demonstrate how the VariStrip facilitates a more natural interproximal contour.

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