Class II Resin Composite

Restorations

Dr. Hamdi Hosni

BDS, MDS (Oper Dent & Endod ), PhD (HK), FDS RCPS (Glasgow), FICD , FPFA

Clinical Associate Professor in Operative Dentistry (Mans U& NMU)

Member of Dental Education Board &International Dental Advisor for Royal College (Glasg,UK)
Secretory of IADR-Egyptian Section
Fellow of International College of Dentists (ICD)
 Matrix Application

• A matrix is necessary to:

1. Con ne the restorative material excess

2. Assist in the development of the appropriate

axial tooth contour
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 • Early wedging and retightening

of the wedge during tooth

preparation aid in achieving

suf cient separation of teeth to

compensate for the thickness

of the matrix material.

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• Generally, the matrix is
applied before adhesive
placement.

• An ultra-thin metal matrix

band generally is preferred
for the restoration of a Class
II composite because it is
thinner than a typical metal
band and can be contoured
better than a clear polyester
matrix.
 Sectional Vs Tofflemire
• Although a Tof emire-type matrix
band can be used for restoring a
two-surface tooth preparation,

• Pre-contoured sectional metallic

matrices are preferable, because
only one thickness of metal
matrix material is encountered
instead of two, making contact
generation easier.
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• These systems may use a bitine ring to

1. Aid in stabilizing the sectional matrix

2. Provide additional tooth separation while the

composite is inserted.
 Wide FL diameter cavities

• Use of these systems for restoring wide

faciolingual proximal preparations requires
careful application;

• otherwise the bitine ring prongs may cause

deformation of the matrix band, resulting in
poor restoration contour.
 The matrix material

• Should extend at least 1

mm beyond the gingival
margin (gingivally)

• and the area corresponding

to the marginal ridge of the
restoration (occlusally).
 Benefits of Wedges

1. Hold the matrix in position,

2. Provide slight separation of the teeth,

3. Prevent a gingival overhang of the composite

material.
 Wedges
• Several types of commercial
wedges are available in
assorted sizes.

• An anatomical (triangle-shaped)
wedge of compatible size is
indicated for most preparations.
 Application of Matrix

• https://youtu.be/WMNmt-eKz1s

•
Placement of the Adhesive
 Placement of the Adhesive

• Care should be exercised

to avoid adhesive pooling
along the matrix and
preparation margins
gingivally, facially, and
lingually
Insertion and Light Curing of
the Composite
 Built up Proximal contact
• The matrix can be held in physical contact with
the adjacent proximal surface while the contact-
related increment of composite is light cured.

• A hand instrument with a large surface area (e.g.,

a small football-shaped or round burnisher) is well
suited for that purpose.

• Once this increment is cured, theproximal contact

is established, and remaining increments can be
inserted and light cured.
 Advantages of Incremental
Technique
• The incremental technique

1. Orientation of the polymerization light beam reduce shrinkage

2. Intrinsic restoration characterization with darker

or pigmented composites;

3. Sculpture of the restoration occlusal stratum

with a more translucent material simulating the
natural enamel.
 Finishing and Polishing of
the Composite
• The occlusal surface is shaped with a round or
oval, 12-bladed

• carbide nishing bur or nishing diamond.

• Excess composite is removed at the proximal

margins and embrasures with a lame- shaped,
12-bladed carbide nishing bur or inishing
diamond and abrasive discs
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• Any overhangs at the
gingival area are removed
with a No. 12 surgical blade
mounted in a Bard-
Parkerhandle with light
shaving strokes to remove
the excess
Thank You