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Fractured MOL composite restoration by Dr Simon McDonald

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Fractured MOL composite restoration by Dr Simon McDonald

  1. 1. Clinical Case<br />Fractured MOL <br />By Dr Simon McDonald<br />
  2. 2. 1<br />Pre-op with fractured MOL composite.<br />
  3. 3. 2<br />A purple (large) Wave-Wedge was placed interproximally to depress the rubber dam and gingival tissues. The wedge was lubricated to allow it to slide in.<br />
  4. 4. 3<br />Completed preparation. Note that original restoration extended lingually and this created a wide embrasure.<br />
  5. 5. 4<br />A 5.5mm V3 Tab-Matrix was placed without removing the Wave-Wedge, which acts as a guide for the matrix and also avoids entrapment of gingival tissue between the matrix and the tooth.<br />
  6. 6. 5<br />Narrow V3 Ring was placed. Note how the ring did not collapse into the cavity on the lingual side.<br />
  7. 7. 6<br />Cured composite resin prior to matrix removal. The composite in this case was Gradia Direct P-NT from GC.<br />
  8. 8. 7<br />Occlusal view of the restoration immediately after matrix removal. Note the lack of flash.<br />
  9. 9. 8<br />Buccal view of the restoration immediately after matrix removal.<br />
  10. 10. 9<br />Occlusal view of the completed restoration.<br />
  11. 11. 10<br />Lingual view of the completed restoration.<br />
  12. 12. 11<br />Final image after the rubber dam was removed.<br />
  13. 13. 12<br />Post-op radiograph.<br />

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