Lingual root Class V caries on #18

Posted on August 08 2018

Lingual root caries on molars can be hard to access and keep isolated.

Before

Step 1

Class V subgingival caries on the mesial lingual root of #18

Prepped

Step 2

Root caries prepped and then Greater Curve U-Band placed. The U-Band enhances visibility due to its additional flare

Band cut back

Step 3

Band cut back to provide additional access.

Activa bonded into prep

Step 4

Not worried about shaping while in the fluid stage. Maintaining isolation and working quickly during placement was the larger concern. Activa lends itself to working quickly and precisely

Final

Step 5

Final lingual Class V restoration #18

Bonus

Saliva ejector holder controlled unwanted saliva and kept tongue away

Conclusion:

Using the saliva ejector holder and the U-Band made this case very manageable

2 comments

  • Dennis Brown: August 09, 2018

    I try to avoid it. In this case I had the isolation I needed so I proceeded immediately. Trapping gingiva not ideal. Fortunately gingiva heals quickly. I will sacrifice a small amount gingival entrapment if I know I have the prep isolated.

  • David Price DDS: August 09, 2018

    Your photo shows some gingival tissue trapped by the band. When this happens it can result in heavy bleeding. How do you handle this situation.

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