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INTRODUCTION
CONTACTS and CONTOURS
TOOTH SEPARATION- WEDGES
Lewis.J.Clamann
Two types of contacts
Contact Point
Contact Area
Visual inspection Viewing the contact from the occlusal and incisal
areas allows an evaluation of the contact and adjacent tooth
contour. Viewing the contact from the buccal or lingual aspect with
the aid of a mirror to reflect light into the area is extremely helpful.
INTRAORA
L EXTRAORAL
PROCEDUR PROCEDURES
ES
TOOTH CAST
MATRICIN WAX
MOVEME ADJUSTME
G PATTERN
NT NT
FUNCTIONS OF WEDGES :
3. They define the gingival extent of the contact area as well as the
facial and lingual embrasures, thereby assuring the health of the
proximal tissue.
4. They create some separation to compensate for the thickness of
matrix band and minor drifting of the teeth.
BASED ON SHAPE
ROUND TRIANGULAR
BASED ON MODIFICATION
MODIFIED UNMODIFIED
CUSTOM MADE WEDGES
These are made by trimming wood
or plastic material in triangular
shape to match that of embrasure.
Triangular shape
Round shape
TRIANGULAR WEDGES ROUND WEDGES
• Indicated in cavities should be match with mesial
with deep gingival margin. and distal embrasure
• The apex lies below the • Used to depress the
contact area rubber dam
• The side of the triangle • They are preferred in
ideal class II cavities
preparation as wedging
action close to the
• Preferred with class II gingival margin
Indication
Class II composite restoration : These light
transmitting wedges help to assist in directing light
into the inter proximal areas during initial stages of
class II composite curing .
RATIONALE FOR TOOTH SEPARATION BY WEDGE
PLACEMENT
• Based on tooth movement which utilizes the elasticity of the
periodontal ligament when separated by an interdental wedge.
•
• This will also compensate for the width (thickness) of the matrix
band, so that after removal of the wedge and matrix, the separated
teeth returns to its original position creating a perfect contact
relation.
a. Band
b. Retainer
Matrix band
➢Ease of application
➢Removability
➢Rigidity
➢Versatility
➢Height
➢Proximal contours
➢Positive proximal pressure
➢Should not react / adhere to the restorative material.
FUNCTIONS OF MATRIX BAND
Depending
on the cavity preparation for which it
is used.
1. Class 1 cavity with buccal or lingual extension
1. Double- banded Tofflemire matrix.
2. Pre-contoured sectional matrix.
3. Automatrix
2. Class 11 cavity
1. Single-banded Tofflemire matrix.
2. Ivory No.1 and Ivory No.8 matrices.
3. Compound-supported matrix.
4. Copper band matrix.
5. T-band matrix.
3. Class 111 cavity with buccal or lingual
extension.
1. S shaped matrix
2. Cellophane strips
3. Mylar strips
4. Class 1V cavity
1. Cellophane strips
2. Transparent Celluloid Crown forms
3. Dead Soft metal matrix strips
5. Class V cavity
4. Window matrix
5. Tin foil matrix
6. Preformed transparent cervical matrix
IVORY No.1 matrix
This matrix consists of a stainless steel
band which encircles one proximal
surface of a posterior tooth.
This is attached to the retainer via a
wedge shaped projection on the
retainer.
An adjusting screw at the end of the
retainer adapts the band to the
proximal surface.
Indications
For restoring a unilateral class 11
cavity especially when the contact on
the unprepared side is very tight.
IVORY No.8 matrix
This matrix consists of a band that
encircles the entire crown of the tooth.
The circumference of the band can be
adjusted by the adjusting screw
present in the retainer.
Indications
For restoring class 11 cavities on one
or both proximal surfaces of a posterior
tooth.
Toffelemire retainer
HEAD
This part accommodates the matrix band. It is U shaped with two
slots. The open side of the head should be held facing upward when
the band is inserted and while positioning the band around the tooth
the slots in the head should be directed gingivally. The head maybe
straight or angulated with respect to rest of retainer.
Accordingly there are two types of tofflemire retainers :
Advantages
Provides excellent contour
Disadvantages
Time consuming
T –BAND MATRIX
When the ring is expanded and its tines are placed between the
contacting teeth, its spring action applies equal and opposite
forces against the teeth thus providing optimum separation.
ADVANTAGES
• Easy to use
• Bands ensure good anatomic contour
• Good gingival adaptation
DISADVANTAGES
• Expensive
• Matrix bands become dented easily as tight contacts may prevent insertion of
band.
Palodent sectional MATRIX system
ADVANTAGE :
Is its nickel-titanium (Ni-Ti) rings. These deliver a flatter force curve
delivers for optimum force across a wider range of posterior
embrasures.
Wedge Guard combination wedge and shield that protects
approximating surfaces.
AUTOMATRIX
Shielded nippers
Used to cut auto lock loop, so that band can be
separated & removed from the tooth.
Indications
Complex amalgam restoration especially when one or more
cusp are to be replaced.
Advantages
Convenient to be use .
Improved visibility due to lack of interference from a retainer.
Rapid application.
Disadvantages
Band are flat ,so difficult to burnish
Cannot develop proper proximal contact & contour.
Expensive
Matrices for tooth coloured
Restorations
Matrix AppLIcation for class 111 composite
restoration
MYLAR STRIP MATRIX
Disadvantages
Expensive
Bioclear Matrix System
This system offers covers all the possible composite dentistry
including Diastema Closure and Black Triangle Closure.
It includes the Bioclear Matrices for anterior and posterior
composites.
The kit also contains three wedging options,
Stutman