Dentistry

Matrix Systems for Restorative Dentistry
Chapter 49
Copyright 2009, 2006 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Chapter 49 Lesson 49.1
Learning Objectives

Pronounce, define, and spell the Key Terms. Describe the use of matrix systems in class II, III, and IV restorations. Describe the type of matrices used for posterior restorations. Describe the purpose and use of a wedge. Discuss alternative methods of matrix systems used in restorative dentistry. Assemble a universal retainer and matrix band.
(Contd)
Learning Objectives
(Contd)
Place and remove a matrix band and wedge for a class II restoration. Place and remove a matrix band and wedge for a class III restoration.
Introduction
A matrix system provides a temporary wall for the restoration process in class II, III and IV preparations.
Posterior Matrix System

Universal retainer Also referred to as Tofflemire retainer

Holds the matrix band in position Positioned most commonly from the buccal surface of the tooth being restored
Components of Universal Retainer
Matrix Bands

Thin, flexible stainless steel Common designs

Universal Extension Larger circumference: occlusal edge Smaller circumference: gingival edge
Guidelines for placement

Fig. 49-2 Most commonly used posterior matrix bands.
Wedges
Positioned into the lingual embrasure of a class II preparation after band placement
Positions the matrix band firmly against the gingival margin of the preparation Triangular/round Wood/plastic
Various sizes

Fig. 49-5 Assortment of precontoured wedges.
Anterior Matrix Systems
Plastic matrix

Also referred to as: Celluloid matrix Mylar strip Used in Class III and IV restorations
Fig. 49-7 A clear matrix system.

(Courtesy of Premier Dental Products.)
Using an Anterior Matrix
Placed interproximally before the etching and bonding of a tooth. After the placement of composite material, a matrix is pulled tightly around the tooth to help reconstruct its natural contour. A clear plastic matrix allows curing light to penetrate the material and complete the curing process.
Automatrix System
The automatrix system is an alternative to a universal retainer. No retainer is used to hold the band in place. Preformed bands available in assorted sizes in both metal and plastic. Each band has a coil-like auto-lock loop. A tightening wrench is inserted into the coil and turned clockwise to tighten the band. When the band is to be removed, a tightening wrench is inserted into the coil and turned counterclockwise to loosen the band. Removing pliers are used to cut the band.
Fig. 49-9 Automatrix system.

(Courtesy of Dentsply Caulk.)
Sectional Matrices
A thin, polished palodent-type band and
tension ring produce tight anatomic contact for composite resin materials
in class II restorations.
Fig. 49-10 Sectional matrices.

(Courtesy of Garrison Dental Solutions.)
Matrix Systems for Primary Teeth
T-band
When formed, the top portion of the T allows the straight portion to adjust and fit the circumference of the primary molar. Form-fitted band placed around a prepared tooth; removed and placed in a smaller form of a welder, fusing the metal together to make a custom band.
Spot-welded band
Fig. 49-11 Copper T-band used for primary molars.
Preparing the T-Band Matrix
The wings of the T-band are bent to form a Ushaped trough. The free end of the band is slipped loosely through the U formation. The wings are closed, and the free end is pulled to make a small circle of the band. Holding the free end toward the facial surface, place the band on the tooth to be prepared.
Fig. 49-12 Spot welder used for primary molars.

(Courtesy of Unitek, Monrovia, Calif.)
Preparing a Spot-Welded Matrix Band
Measure to 1 inch of stainless-steel matrix material. Fit the matrix band around the prepared tooth. Adapt the band, making sure that the ends of the matrix material are at the facial surface for the sake of visibility and control. Using Howe pliers, hold the ends tightly and remove the band in an occlusal direction. Place the band in the spot welder. Spot-weld the matrix at three positions.

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Matrix Systems for Restorative Dentistry

Chapter 49 Lesson 49.1

Posterior Matrix System

Universal retainer Also referred to as Tofflemire retainer

Components of Universal Retainer

Thin, flexible stainless steel Common designs

Guidelines for placement

Fig. 49-2 Most commonly used posterior matrix bands.

Fig. 49-5 Assortment of precontoured wedges.

Anterior Matrix Systems

Fig. 49-7 A clear matrix system.

Using an Anterior Matrix

Fig. 49-9 Automatrix system.

Fig. 49-10 Sectional matrices.

Matrix Systems for Primary Teeth

Fig. 49-11 Copper T-band used for primary molars.

Preparing the T-Band Matrix

Fig. 49-12 Spot welder used for primary molars.

Preparing a Spot-Welded Matrix Band

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