This occlusal preoperative view shows a maxillary molar that has radiographic decay on the mesio-proximal surface.
An occlusal view during cavity preparation.
Note how the Garrison FenderWedge protects the adjacent proximal surface while the proximal box is refined with a 330 carbide bur.
After the cavity preparation is completed, bleeding is seen in the proximal area.
Expa-syl (Kerr Corporation) is placed into the proximal area with the delivery syringe then tapped to place using a dry cotton pellet.
After rinsing away the majority of the Expa-syl, (note that a small amount of Expa-syl remains sub marginal for additional hemorrhage control) the proximal tissue is deflected away and bleeding is absent allowing for easy placement of the sectional matrix band.
A sectional matrix band gripped by Composi-Tight Matrix Forceps, an instrument that enables precise placement of sectional matrix bands without deformation.
The WedgeWand during clinical application with the wedge bent at a 90º angle to the handle.
WedgeWands provide an excellent seal.
The Soft Face 3D-Ring in place. Note the precision of the cavosurface and marginal seal by the sectional matrix.
The composite restoration in completed prior to removal of the matrix band. Placement of the matrix precisely reconstructs the proximal tooth form.
The restoration immediately after matrix removal. The Composi-Tight™ 3D-Ring reduces flash to a minimum.
The pointed Q-Finisher carbide finishing bur is used to make minor occlusal adjustments and refine the restorative margins.
The ultra fine pointed composite finishing bur is used to further refine and finish the restoration’s adjusted areas.
A fine pointed diamond composite polisher smoothes adjusted areas during polishing.
An occlusal view of the direct MO composite restoration after application of Seal-n-Shine sealant.