Lernzentrum

Creating a correct contact area, both in terms of strength, extension, and location, is perhaps one of the fundamental needs, if not the most important one, in direct restorative dentistry.

A 51-year-old man in good health came to my office with large carious lesions between teeth #29 (DO) and #30 (MO).

Achieving predictable, esthetic, and functional Class II composite restorations remains a common clinical challenge, particularly in cases requiring back-to-back contacts.

A 28-year-old woman presented to our office with complaints of sensitivity to cold temperatures and food impaction in her lower right quadrant.

A 34-year-old female patient in good general health presented to my practice with interproximal carious lesions affecting teeth #12 on the distal-occlusal (DO) surface and #13 on the mesial-occlusal-distal (MOD) surface.

A 38-year-old female patient in good general health presented to my practice with interproximal carious lesions affecting tooth #2 (MO). From the BW image I could tell it had extended axially into the dentin.

A 56 year-old female patient presented to the practice with discomfort in tooth #4 and food retention in the interproximal area in #3MO and #4DO. Radiographic and clinical evaluation revealed secondary carious lesions that required treatment.

A 57-year-old male patient presented to the practice with discomfort in tooth #5DO. Radiographic and clinical evaluation revealed a secondary caries lesion beneath an old restoration.

This case highlights the diagnosis and management of early Class II lesions using a contemporary matrix system — the Quad Matrix by Garrison — combined with Shofu’s bioactive composite restorative material. 

A healthy 44 year old female presented to the practice exhibiting marginal failure on old composite restorations #30DO and 31MO along with a small erosive pit noted on the mesiobuccal cusp tip of tooth #30.