Impression matrix technique for cusp replacement using direct composite resin.

Unlabelled: Placement of Class II composite resin restorations often presents unique challenges in achieving proper contour and contact. Although the use of sectional bands has provided solutions to these problems, their use typically is limited to more ideal cavity preparations. With more extensive loss of tooth structure, recreating the natural tooth contours and contacts with direct resin composite can be difficult. Typically an indirect restoration is the treatment of choice when a cusp is lost. However, situations may arise that require the use of direct resins for cusp replacement. This article describes the use of an impression matrix to facilitate the replacement of missing tooth structure and allow the dentist to use sectional bands in certain cusp loss situations.

Clinical Significance: When applicable, the impression matrix provides a significant saving in time and effort in cusp replacement with direct composite resins.