Pre-operative view of Tooth No. 30. Note the recurrent caries along the mesio-facial margin of the proximal box.
After administering one carpule of 4% Articadent® with 1:200,000 epinephrine, two Palodent® Plus WedgeGuards are placed and the preparation is completed. The WedgeGuards allow for more efficient preparation while preventing iatrogenic damage to adjacent teeth. In this case, a previous practitioner had already damaged the distal of Tooth No. 29, care was taken not to further flatten the distal contact.
Using a sling technique the working field is isolated using a rubber dam. 34% phosphoric acid is placed on the enamel margins for up to 30-seconds followed by water rinsing.
The preparation is isolated with the Palodent® Plus Sectional Matrix System. Note that even though both rings are oriented mesially, there is sufficient access to place restorative material into both mesial and distal areas of the preparation.
The final restoration on Tooth No. 30-MOD, occlusal view. The materials used were: Prime&Bond Elect® Universal Dental Adhesive, SureFil® SDR® flow Posterior Bulk Fill Flowable Base, TPH Spectra® Universal Composite Restorative HV A2, and the Enhance® Finishing System.
The final restoration on Tooth No. 30-MOD, view from the mesial. Note the excellent color matching, smoothness of material, and overall contour.