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.
The patient came to our observation reporting a domestic trauma (Ellis class II) that led to the fracture of element 2.1. A study model with associated diagnostic wax-up is made beforehand for the purpose of making a silicone key.