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Clinical Case Fractured MOL  By Dr Simon McDonald
1 Pre-op with fractured MOL composite.
2 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.
3 Completed preparation. Note that original restoration extended lingually and this created a wide embrasure.
4 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.
5 Narrow V3 Ring was placed. Note how the ring did not collapse into the cavity on the lingual side.
6 Cured composite resin prior to matrix removal. The composite in this case was Gradia Direct P-NT from GC.
7 Occlusal view of the restoration immediately after matrix removal. Note the lack of flash.
8 Buccal view of the restoration immediately after matrix removal.
9 Occlusal view of the completed restoration.
10 Lingual view of the completed restoration.
11 Final image after the rubber dam was removed.
12 Post-op radiograph.

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Fractured MOL composite restoration by Dr Simon McDonald

  • 1. Clinical Case Fractured MOL By Dr Simon McDonald
  • 2. 1 Pre-op with fractured MOL composite.
  • 3. 2 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.
  • 4. 3 Completed preparation. Note that original restoration extended lingually and this created a wide embrasure.
  • 5. 4 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.
  • 6. 5 Narrow V3 Ring was placed. Note how the ring did not collapse into the cavity on the lingual side.
  • 7. 6 Cured composite resin prior to matrix removal. The composite in this case was Gradia Direct P-NT from GC.
  • 8. 7 Occlusal view of the restoration immediately after matrix removal. Note the lack of flash.
  • 9. 8 Buccal view of the restoration immediately after matrix removal.
  • 10. 9 Occlusal view of the completed restoration.
  • 11. 10 Lingual view of the completed restoration.
  • 12. 11 Final image after the rubber dam was removed.