A simplified isolation technique for preparation and placement of resin composite strip crowns

Resin composite strip crowns (SCs) have been utilized for over 2 decodes to restore carious primary teeth. While SCs are the most esthetic anterior crowns, they also are the most technique sensitive. Restoration of a severely decoyed primary anterior tooth with a SC restoration is often complicated by hemorrhage in the operative site. Inflamed, bleeding gingiva may interfere with proper curing of the restorations, resulting in discolored crowns due to excessive bleeding during the curing process. Proper isolation and hemostasis is crucial for successfully completing the SC restoration. Traditionally, the routine use of ligature ties to deflect gingival tissue and retain the rubber dam in place has been recommended to address this problem. The purpose of this report was to describe a simple, relatively inexpensive, alternative technique for placing SCs by utilizing orthodontic elastomers.