Posterior inter-proximal restorations are frequently complicated but much more satisfactory when achieved properly. And the way to a good proximal restoration starts from caries removal and cavity design, proper matrix selection and finally composite build-up.
Initial situation. The patient was suffering from sensitivity on sweets and difficulty in flossing between the teeth.
Rubber dam isolation
Bioclear dual-color disclosing solution
Biofilm
Biofilm
Sandblasting with sodium bicarbonate to remove bofilm
Biofilm Removed
Initial caries removal
Opening Contact
Exposing hidden proximal caries
Caries detector die from ultradent
All stained areas showing caries
Deep proximal caries
all caries removed followed by cavity design
Slit cavitation
Immediate dentin sealing followed by a resin coat with bulk fill flowable composite
Refinement of enamel margins and cavity optimization
Restoring the cavity on tooth #47 with sectional transparent matrix from TOR-VM and using injection molding technique.
Composite spot weild
Finishing and polishing of the proximal wall
Saddle matrix from TOR-VM to restore proximal wall on tooth #46
Sealed margin
Matrix-Ring-Wedge assembly
after proximal walls build-up now we have simple class I cavities
after finishing the proximal wall
Dentin replacement using everX posterior composite
composite build-up Then the restorations and the teeth structure were blasted with sodium bicarbonate to remove oxygen inhibited layer and bond remnants to enhance the final polishing.
occlusal adjustments
after final polishing
Post-operative
Before and After
Before and After
Workflow
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