Contacts AND Contours: Anam Bds - Iv Year Roll No-11

CONTACTS
AND
CONTOURS
ANAM
BDS – IV YEAR
ROLL NO-11
INTRODUCTION
METHODS
FUNCTIONS
TYPES
WEDGE TECHNIQUES
MATRICING
CONTENT
MATRIX
CLASSIFICATION
UNIVERSAL MATRIX
ADVANTAGES
MATRIX BAND
CLINICAL TECHNIQUES
RECENT ADVANCES
CONCLUSION
CONTACTS- It is the term used
used to denote the proximal
heights of contour of the
mesial or distal surface of the
tooth that touches it adjacent
tooth in the same arch
INTRODUCTION CONTOURS- convexities on

the facial and lingual surfaces
of tooth that affords
protection and stimulation of
the supporting tissues during
mastication
METHODS
1. Wedge method- by insetion of

pointed wedge shape device
between the teeth
The more the wedge move facially
or lingually, greater is the
seperation
FUNCTIONS
• Hold the matrix band in position

• Slight seperation of the tooth
• Provides space for placing matrix band
• Prevent gingival overhang
• Stablizes matrix and retainer
• Assure close adaptability of matrix band to the tooth
• Protect interproximal gingiva from unexpected trauma
TYPES:
• Wooden
• Plastic
• Transparent
• Medicated wedges
SHAPE:
Triangular
Round
trapezoidal
WEDGE TECHNIQUES
Single wedge technique- after the matrix contour and
extension are evaluated,a wedge is placed in the gingival
embrassure
Step1.break off approximately 0.5in (1.2cm)of a round
toothpick
Step2. Grasp the broken end of the wedge with the
No.110 plier
Step 3. insert the pointed tip from the lingual or facial
embrassure slighthly gingival to the gingival margin
Step 4. wedge the band tightly against the tooth and
margin
Piggy –back
wedging
technique
• If the wedge is significantly
apical to the gingiva margin a
second wedge may be placed
on top of the wedge adequately
the matrix against the margin
Double
wedging technique-
refers using two wedges one from
the lingual embrassure and one
from the facial embrassure
Wedge wedging
technique
• Occasionally a concavity
may be present on the
proximal surface that is
adjacent to the gingival
margin . This may occur
on the surface with a
fluted root , such as
mesial surface of maxillary
first premolar
MATRICING
• Procedure where a temporary wall is created opposite
to the axial walls surrounding areas of tooth structure
that were lost during preperation
The matrix should:-
• Displace the gingiva and rubber dam away from
the cavity margins
• Assure dryness and non-contamination of the
cavity
USES • Provide shape for the restoration during setting of
the restorative material
• Maintain its shape during hardening of the
material
• Confine the restorative material within the cavity
• Matrix is a device that is applied to prepared tooth
before the insertion of the restorative material to
assist in the development of the appropiate axial
MATRIX tooth contour and inorder to confine the
restorative material excess
• Primary function of a matrix is to restore the
anatomic contours and contact area
Parts of a matrix system involves:
• Band
• Retainer
•MATRIX BAND
• Supplies as strips of various dimension
• Thickness of 0.001 or 0.002
RETAINER
• Device by which a band can be maintained in its designated position
and shape
• Can be a mechanical device, dental floss, a metal ring or and
impression compound
classification 1.Based on mode of retention Class II cavity
a. single banded tofflemire
• With retainer (tofflemire
matrix) b. ivory matrix no.1
• Without retainer(automatrix) c. ivory matrix no.8
2.based on type of band Class III cavity
• Metallic non-transparent a. mylar strip
b. s-shaped
• Nonmetallic transparent
Class IV cavity
3.based on type of cavity for a. mylar strip
which it is used
b. modified s-shaped
Class 1 cavity
Class V cavity
• Double banded tofflemire a. window matrix
(barton matrix)
b.cervical matrix
UNIVERSAL
MATRIX
• Desinged by BR.Tofflemire
• Ideally indicated for 3surface posterior
teeth
• Commonly used for class 2 restoration
• 2types – straight
Contra-angled
Can be placed Retainer and
facially/linguall band are stable
y when in place
ADVANTAG
ES Retainer is
Retainer helps
to hold the
seperated
cotton roll(for
easily from the
isolation)in
band
place
• 1.Uncountered bands
Available in 2 thickness
• Burnishing the thinner band to contour is
more difficult and less likely to retain
MATRIX contours
BAND 2. Precontoured bands
• Needs little or no adjustment
• Expensive
• Difference in cost justified by less chair time
• Shaping the matrix
• Matrix band-shaped to achieve proper contour and
contact
• Band is burnished before assembling matrix system
CLINICAL • No.26-28burnisher –recommended
TECHNIQUE • Band is placed on a resilient paper

• Small round burnisher used with firm pressure in
back-forth motion untill the band is deformed
occulusogingivally
• After the band is deformed, larger egg shaped end
is used to smoothen the burnished band
PREPARING THE RETAINER TO
RECEIVE THE BAND
1.Larger knurled nut is turned counterclockwise untill the
locking vise is 6mm from the end of retainer
2.Holding the larger nut, smaller nut is turned
counterclockwise untill the pointed spindle is free of the
slot in the locking vise
3. Matrix band is folded end to end forming a loop
4. Band is position in the retainer so that the slotted side
of the retainer is directed gingivally
5. Two ends of the band are placed in the locking vise,
smaller nut is turned clockwise to tighten the pointed
spindle against the band
PLACING THE 1.Matrix band is fitted around the tooth (1mm apical
BAND WITH to the gingival margin)
RETAINER ON 2.Larger knurled nut is rotated clockwise to tighten

the band slightly. After checking gingival margins and
PREPARED bands positioned correctly, band is securely tightened
3.All aspects are checked and wedges are placed
TOOTH
REMOVAL OF THE BAND WITH
RETAINER
1. Retainer is removed from the band. Matrix is removed only
after ensuring hardening of the amalgam
2. index finger is placed on occulusal surface to stabilize the band
as retainer is removed
3.No.110 pliers are used to tease the band free from one contact
point at a time
4. Wedge is left in place to provide seperation of teeth while
matrix band is removed. After that it is removed
RECENT ADVANCES
CONCLUSION
• Proper restoration of the anatomical landmarks is important for

enhancing the longevity of restoration as well as to maintain the
occulusal health and harmony
• Matricing is a vital steps during the placement of different restoration
• Selection of the matrix should be based on its ease of use and efficiency
to provide the optimum contacts and contours
• The dentist should select the right method according to the needs of
individual case

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CONTACTS

INTRODUCTION CONTOURS- convexities on

1. Wedge method- by insetion of

• Hold the matrix band in position

TECHNIQUE • Band is placed on a resilient paper

RETAINER ON 2.Larger knurled nut is rotated clockwise to tighten

• Proper restoration of the anatomical landmarks is important for

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