Top 5 Questions: #1 | Back-to-back Class IIs
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- čas přidán 1. 08. 2024
- © 2018 Garrison Dental Solutions, LLC, All Rights Reserved
Learn how to restore a back-to-back Class II with a sectional matrix system in a few simple steps to get the best restoration possible.
Garrison Sectional Matrix Rings: www.garrisondental.com/en/mat...
Chapters:
0:00-0:36 Introduction
0:37-1:10 Review Case Photo
1:11-1:29 First Technique Intro
1:30-2:05 Matrix Band Selection
2:06-2:42 Placing the Matrix Bands
2:43-2:58 Placing the Interproximal Wedges
2:59-3:29 Modifying Matrix Band Placement
3:30-4:04 Placing the Matrix Ring
4:05-4:48 Tips for Composite Filling
4:49-5:10 First Technique Review
5:11-5:26 Removing Materials from Typodont
5:27-8:28 Review Case Photos
8:29-8:45 Second Technique Intro
8:46-10:10 Placing the Distal Matrix Bands and Wedges
10:11-10:31 Burnishing the Matrix Bands
10:32-10:45 Removing Materials from Typodont
10:46-11:31 Placing the Mesial Bands and Wedges
11:32-12:17 Placing the Matrix Rings
12:18-13:28 Troubleshooting Matrix Ring Placement Issues
13:29-14:11 Final Thoughts
pro tip: if you restore the fillings with both bands touching each other, fill one, slide out that band, burnish and restore the other filling. That way you can leave the ring on and not have to double your time like they are doing here. I've been doing this and have been getting great success with contacts/contour
I agree with this. Exactly how I do back to back class II's.
How do you remove the first band if there is a ring? Don't you have to remove the ring first in order to remove the band because the ring keeps the band in place
Any bleeding when you do this?
Great extremely helpful video. Thank you for providing this resource!
Perfect for use
great content thanks
In my experience it's best to place all the matrices at the same time, so you don't invade the space in the proximal box of the neighboring tooth when filling one tooth. I then fill all boxes facing in one direction without any ring first, remove the matrices on the already filled teeth and finish the remaining restorations one by one with one ring in place at a time. This gives the most predictable results and doesn't crowd up the operative field that much.
Hagen - Yes, that is an excellent option. Over-extending the first restoration is easy to do and can make placing the second band very difficult. Thanks for posting your technique.
@@GarrisonDental Do you have any alternative suggestions for not over-extending the first restoration? I've heard of folks putting a cotton ball or teflon tape in the opposite restoration but interested to hear if ya'll know other ways
came here to make this comment, works good for me!
Great video! Is there a written write-up or presentation of the case? Would be great to see some details of the onlays too, i.e. material used and technique.
Great videos
Thanks Kim!
Great content, thank u Doctor 🙏🏼
great
Great job doctor, what kind of composite does Dr. Malone use ?
Hello great teaching method. Could you by chance tell me where I could find a dental model like the one you have? I need to practice how to place the matrix bands on the mod, and do surfaces. Thank you for your time.
Thanks for the question! I believe the manufacturer is Nissin (out of Japan) but we buy them through Kilgore if I'm not mistaken. I do not know the exact model for the types of preps we have, but they have so many different options for you to customize your typodont. You can even prep your own with your handpiece (we've done it a few times ourself).
Thank you for great case! The tool 3 in 1 on 4:24 also is Garrison?
Thanks for the question! The 5-in-1 Multi-Function Composite Instrument (TN009) is from Garrison Dental. You can check it out here: www.garrisondental.com/en/instruments/composite-instruments
Do you etch and put the adhesive 2 times on a same tooth (since we're doing it in 2 phases)?
For sure.
When you burnish a band against other tooth wouldn't it make contact completely flat? And wouldn't it peel off Teflon coating from a band?
"Burnish" might be too strong a word. You are correct. You don't want to flatten the contact area, but you do need to make sure that the band is fully in contact with the adjacent tooth. If the coating is coming off when you push the band over, your instrument may have some sort of snag or sharp edge on it or your are burnishing too aggressively . A smooth instrument of sufficient size should not be able to scratch the coating off.
What about bleeding issue when you remove the wedge after the first proximal filling?
Removing and re-wedging gives rise to gingival bleeding
Yes, it will tend to aggravate the gingiva. However, if the second matrix band is properly sealed against the tooth with the wedge and ring, you will not get crevicular fluid contamination. If you are getting ANY contamination in the prep after everything is seated, it is not seated properly.
Can you show some technoque wherein a molar tooth or premolar is slightly linguo verted?
Thanks for letting us know what you would like to see! We'll try to find a prepped typodont tooth and incorporate that in some video to show that technique. Also, if we find a live patient case with this issue, we'll show that as well.
@@GarrisonDental thank you sir. I ask this favor because some of my patients have linguo verted or Fabio verted posterior teeth and I always pray to the high heavens that I can install my garrison as fast and as proper as I could.lol.🤣🤣🤣🤣
why do you use rings in mesial contacts only not in distals too ??
You could do it the other way around too. Whichever side you do first, you can potential skip the ring. You will get more buccal/lingual flash, but it can be very difficult to place the ring when two bands are in place.
the problem I found using garrison is when placing the clamp, the bow of the clamp is blocked by non-even occlusal table when there're some teeth higher than the one that your're filling. how do I solve this problem.
We recommend using the orange ring instead of the blue because it sits up taller than the blue ring (it has taller tips).
@@GarrisonDental thank you very much
Short Answer: You can do back to back classII restorations, but doing a single tooth/surface at a time will usually provide a more predictable result .
If you came straight to the comment section, you've earned roughly 13 minutes 😁
I use this matrix system daily in my practice
Seems like a long video that could have been condensed into restoring one tooth at a time. What is the advantage to doing all mesials or all distals at once. None that I can think of other than you have a hammer and this matrix system is nails.
Thanks for the comment! There's always multiple ways to get the job done, and we do advocate for being conservative with your restorations whenever possible, meaning one prep completed at a time even when multiple are present. However, this is the #1 question we get from our customers on how to best use our matrix system for back-to-back restorations. This video is to show the benefits and limitations of such a procedure.
what am I doing here... I am an actor
Lol you are clearly lost my man!! 😂