Clone of Kit de cuña cuádruple: 200 (QK4-M)

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 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 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.

A 40-year-old woman visited our office with sensitivity to cold and food getting stuck in her lower right quadrant. Unfortunately, her fear of dentistry had caused her to delay seeking treatment for months.

A 42-year-old female patient presented with carious lesions on the distal surface of the maxillary left first premolar and the mesial surface of the maxillary left second premolar, confirmed through visual examination and radiographic analysis.

A 35-year-old male presented with a carious lesion on the mesial and occlusal surfaces of the maxillary left first molar, as observed visually and radiographically.

A 50-year-old male presented with several deficient Class II composite restorations in the maxillary first quadrant. Active and recurrent decay was observed both visually and radiographically, and the patient reported issues with food impaction and gingival inflammation.