Class II Restorations: Tackling the Challenging Cases

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IAE #3 Opaldam Matrix 1

Restoring with Amalgam. 72yom. The patient had avoided the dentist due to dental anxiety. Tooth #3(16) SIP and #2(17) responded normally to all clinical tests. I recommended attempting to save both molars but he hesitantly agreed to start with tooth #3. Image Guided Treatment using CBCT aided in confirming the presence and location of MB2. The Opaldam matrix, first described by Dr. Michael Trudeau, is useful when using amalgam to restore teeth with deep interproximal caries especially when one or more corners are lost. In the end, the patient elected to extract the second and third molars and the amalgam restoration was incorporated into a Deep Margin Elevation for crown placement.

Dale Jung

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