Class II composite restorations and proximal concavities: clinical implications and management

Clinical experience supports the notion that the restoration of MOD cavities may pose a challenge to the practitioner. Proper placement of precontoured matrices and commercial wedges help the clinician to establish an optimal emergence profile and sufficient contours. However, the presence of proximal concavities in premolars or molars can turn the reproduction of previous cervical architecture into an even more demanding task. Wedges with customized form or adequate design can precisely conform the matrix to the cavosurface area and prevent any gap formation. This article presents two different options that allow for successful and predictable reestablishing of anatomically correct contours and optimal proximal contacts in posterior teeth with proximal concavities.