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Click on photos to enlarge.

This is a third molar removed from a 33-year-old patient.  Note how nature over time creates a broad oval contact.  Your restoration should duplicate nature’s wear.  A tight contact with width as well as depth is stable and prevents food impaction.

Set up for a Class II composite on an extracted tooth.

Composite completed in the same manner as done routinely in the mouth. with one exception.  The contact area etched for a full minute with 37% phosphoric acid.

Contact bond broken with metal spatula.


 

Band slides out smoothly.

Straight on
view of composite contact
Occlusal view
of composite contact

Contact area still has a gloss in spite of the purposely over etched opposing tooth enamel.  This is why the bond is easily broken with a spatula.

There was no harm done to the opposing tooth enamel.  The etched area will re-mineralize.  The contact is not vulnerable to caries because Class II caries occur below the tooth to tooth contact for an obvious reason.  This is where the plaque accumulates. 

Competed restoration

  • Contact as width and depth.

  • It is tight and smooth.

  • Contact will prevent food impaction.

 
 

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© 2008 Greater Curve tofflemire band.  All rights reserved.
The Greater Curve band is patent pending.