This is one of my 86 yo ladies not doing too great health-wise with an old onlay on #18 that did not include the mesial 1/3 of the tooth. Of course that area had been repaired with amalgam years ago and the repair eventually broke away. What to do? Thank God for my world class assistants who isolated 18 with a dam, and away we go.
Geriatric dentistry is certainly different from the fine restorative dentistry we usually do. Here our goal is to keep her comfortable without stressing her out. She slept thru the procedure (we started her case at 8 AM which was very early for her). Building up the gingival before placing the matrix and then using Injectafil made this go easily and quickly.