Deep Decay Restoration

Introduction:

Amalgam restoration to be placed into tooth #15. The tooth has deep distal decay at bone level or very close. Greater Curve Wide Band establishes an excellent seal. Note that the depth of the restoration will be between 7 to 8 mm deep when measured at the anticipated marginal ridge height.

Procedure

Pre-operative bitewing

Bitewing of tooth #15. Very deep distal decay at bone level or very close.

Initial clinical presentation

Photograph of #’s 15 & 16. Deep caries is not immediately apparent.

Alternative view

Different view of #’s 15 & 16. Deep caries still not immediately apparent.

Initial access

Initial opening into carious lesion.

Caries removal complete

All caries removed. Large embrasure space clearly evident. Amalgam restorative will need to traverse the space and simultaneously establish a tight contact. Caries below the gingival level.

Matrix placement

Greater Curve Wide band placed. Note that the depth of the restoration is between 7- 8mm deep when measured at the anticipated marginal ridge height.

Matrix seal

Excellent seal provided by the Greater Curve matrix.

Magnified view of seal

Magnified view of the excellent seal. The prep is very subgingival.

Initial amalgam placement

Amalgam placed into distal portion of the prep.

Amalgam fully placed

Amalgam completely placed. Ready for shaping.

Buccal view of finished restoration

Buccal view of completed amalgam restoration. Wide embrasure space traversed. Amalgam contact has depth.

Occlusal view of completed restoration

Completed DO amalgam tooth #15.

Post-operative bitewing

Bitewing of completed DO amalgam tooth #15.