Back to Back Composite Restorations with Sectional Matrix Selection by- Thomas W. Mitchell, DDS, FAGD

Introduction: 

I interchangeably use Triodent and Garrison parts. My go-to is Triodent blue extra curved matrix with Triodent rings, but will use Garrison metal rings if I want to curve the wedge against the gingival margin or the Garrison orange or green ring if I want a different proximal contour.

Thomas W. Mitchell, DDS, FAGD
Here are a couple of examples - #3 MOL and #4DO
Thomas W. Mitchell, DDS, FAGD
Basic preps. Nothing fancy.
Thomas W. Mitchell, DDS, FAGD
Getz "Dixieland Band" on a Toffelmeyer retainer with a Garrison small "stick " wedge (comes on a stick)
Thomas W. Mitchell, DDS, FAGD
Clean and Boost for 20-30 secs., rinse and dry, Bondsaver D applied and left visibly wet, Surpass 2 applied and air dried thoroughly, Surpass 3 applied and thinned and then Titan flowable. All co-cured for 3 secs. with the Valo light on Xtra Power, or "plasma mode" (3200mW/cm2).
Thomas W. Mitchell, DDS, FAGD
Exquisite Restoration filling the mesial only, light activated for 3 secs. with the Valo light on Xtra Power
Thomas W. Mitchell, DDS, FAGD
Then bulk filled the occlusal, light activated for 3 secs. with the Valo light on Xtra Power and polished.
Thomas W. Mitchell, DDS, FAGD
Triodent extra curved sectional matrix with medium size Wave Wedge and Garrison orange ring. This is after Clean and Boost for 20-30 secs., rinsed and dried. Note the frosty enamel.
Thomas W. Mitchell, DDS, FAGD
Bondsaver D applied and left visibly wet, Surpass 2 applied and air dried thoroughly, Surpass 3 applied and thinned and then Titan flowable. All co-cured for 3 secs. with the Valo light on Xtra Power, or "plasma mode" (3200mW/cm2).
Thomas W. Mitchell, DDS, FAGD
Bulk filled the whole prep and light activated for 3 secs. with the Valo light on Xtra Power.
Thomas W. Mitchell, DDS, FAGD
And finished.

Conclusion: 

Looks good and simple, it wasn't. Back to back's are difficult and, for me, time consuming. Keep trying and you'll get better. It is always better to do these one at a time to develop a good contact.

Case by: 

Thomas W. Mitchell, DDS, FAGD

Email: 

[email protected]