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Maciek Czerwinski

General Dentist

Finally I find a solution for restoring extremely deep caries with lack of more than two walls. There are many problems in cases like this... desription below the photos. During one of my courses sb asked me whether it is worth to buy supercurved matrix... I answeared that I had used it maybe once for 2 years... but in that specific case this matrix was crucial..... so YES it is worth to has it in your matrix assortment. :) Best regards. Hope that it will be as useful for you as it will be for me.

Finally I find a solution for restoring extremely deep caries with lack of more than two walls. There are many problems in cases like this... desription below the photos. During one of my courses sb asked me whether it is worth to buy supercurved matrix... I answeared that I had used it maybe once for 2 years... but in that specific case this matrix was crucial..... so YES it is worth to has it in your matrix assortment. :) Best regards. Hope that it will be as useful for you as it will be for me.

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In cases like this there are many poblems... this is why I informed patient about low chances for restoring that tooth... but lets try...
....caries on the bone level...it will be really difficult...
...first look... lack of 3 walls (means very big problems with standard matrix adaptation), deep caries to the bone level on mesial wall, too much gum to cut with GingiBurs... first thought " Pasquale would use cooper band in such case" and here is the problem ...I dont have cooper band and even if I had only Pasquale can do this :)
...clamp try on... (not bad but how will I apply rubber dam and matrix... ?
...lets do some gingivectomy to have a space for rubberdam...
...lets fit the super curved matrix on the tooth...
...ok, it looks great but I will not place it on clamp and it will be imposible to do that when the rubberdam will be on place... If I could only place the rubber dam on the matrix....
...and here is the trick... first place the super curved matrix and then set the rubber dam... it is not so easy but is possible... 1)matrix 2)rubber dam (matrix will work as a clamp) 3)clamp on 48.
...unfortunately I made one mistake ... and you can see the gum on the buccal wall... this is why I had to use teflon...
...teflon on place...perfect seal....lets do a direct endocrown :D
...ready....
Avatar
Maciek Czerwinski

General Dentist

Finally I find a solution for restoring extremely deep caries with lack of more than two walls. There are many problems in cases like this... desription below the photos. During one of my courses sb asked me whether it is worth to buy supercurved matrix... I answeared that I had used it maybe once for 2 years... but in that specific case this matrix was crucial..... so YES it is worth to has it in your matrix assortment. :) Best regards. Hope that it will be as useful for you as it will be for me.

Finally I find a solution for restoring extremely deep caries with lack of more than two walls. There are many problems in cases like this... desription below the photos. During one of my courses sb asked me whether it is worth to buy supercurved matrix... I answeared that I had used it maybe once for 2 years... but in that specific case this matrix was crucial..... so YES it is worth to has it in your matrix assortment. :) Best regards. Hope that it will be as useful for you as it will be for me.

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