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DME and Class II Restoration with Slickband and Garrison Ring System

Dr Javid Muraslov

Table of Contents

Case Details

Patient with deep carious lesion on tooth d35(OD). Endodontic treatment was performed prior to restoration. Slickband was used to do margin elevation on distal aspect of the tooth. Garrison Orange ring and wedges were used to do composite restoration and obtain excellent contact point. 

Figure 1
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Figure 1. The patient presented for a deep carious lesion on tooth d35. Tooth was endodontically treated. The decision was made to restore the tooth with deep margin elevation using Garrison Slickbands and posterior composite.Figure 2. A minimally invasive cavity design was used to reach and excavate the caries. Rubber dam isolation was applied to prevent contamination during the bonding process.
Figure 3
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Figure 3. The margin elevation band is in place, allowing for proper adaptation and seal.Figure 4. Margin elevation is performed with composite
Figure 5
Figure 5. A burnished Garrison sectional matrix and orange ring were applied to the second premolar to create a perfect contact point with adjacent first molar. 
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Figure 6.1
Figure 6. Class I cavity was created. The tooth was restored with an etch and rinse (fourth generation) adhesive, a flowable composite, and a microhybrid composite.
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Figure 7. The final post-operative result, following removal of rubber dam, occlusal check, and polishing. Excellent contact point and tooth anatomy were achieved.