Restoring a Class V lesion and protecting thin friable gingiva from damage

Posted on August 13 2019

Introduction:

Traditional method of placing retraction cord damages thin friable gingiva. Not good.

 

#22 Prepped

Class V prep tooth #22. Very little attached gingiva.

Greater Curve U-Band

The U-Band has a very large flare. When the band is set up from the lingual or palatal the contra angle retainer works better since the screw end of the retainer naturally lifts up above the occlusal plane of the teeth.

U-Band in place

U-Band is slipped past the prep margin. Protects the gingiva, isolates the prep and provides visibility.

Ready for shaping


Band has been removed.  Appearance of the Activa Restorative (Pulpdent) before any shaping has begun.

Burr selection

I shape with a 7901 finishing flamed shaped carbide. When I get close to the gingival margin I cut dry with a very light touch.

My goal: Do not let the bur tip  touch the margin. Just get very close.

Final

Class V tooth #22. I was able to minimize damage to the thin attachment. 

 


Additional tip


The U-Band works well for isolating lingual Class V lesions on molars. If you choose amalgam, the matrix provides a solid surface so the amalgam can be condensed vertically into the prep.

4 comments

  • TNCRasShewzGBQm: November 19, 2019

    UIGKBERCjusLgM

  • sTYvVdgMFlBt: November 19, 2019

    bAGVUvadf

  • Camille Pellegrino: August 15, 2019

    I like using U-bands to close diastimas/embrasures in anterior teeth: Cut a window for visibility and burning the cervical portion of the band where you want anatomy!

  • Vance Wascom: August 15, 2019

    I have done many of these, I will try with the u band, thanks for sharing. Vance Wascom

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