The occlusal matrix technique appears as an alternative to the conventional restorative technique. The aim of this study is to present treatment options for the decayed occlusal surface of posterior teeth by means of an occlusal matrix made with different materials, for an accurate reproduction of the tooth surface. This paper presents five clinical cases using five different materials, such as Bite-Perf, flowable composite, self-curing acrylic resin, silicone and thermoforming foil. Before light-curing, the last layer of composite resin, the matrix, is repositioned and firmly pressed so the replication of the original occlusal anatomy can be achieved. When using an occlusal matrix, minimal or no finishing and polishing procedures are needed and the offered aesthetics are clearly an advantage. Moreover, this technique makes up for the additional chairside work time. The occlusal matrix technique is demonstrated to be effective for direct composite resin restorations in posterior teeth, allowing a reliable and predictable reproduction of the occlusal anatomy and clinical adjustment. For this purpose, a clear material is preferable since it allows light transmission.
Discusses advantages and disadvantages of different materials to make the occlusal matrix.
Emphasises the importance of a smooth surface when restoring teeth.
Compares the conventional restoration technique with the occlusal matrix technique.
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Chadwick R G, Geddes A, Craig J. Preoperative occlusal matrix aids the development of occlusal contour of posterior occlusal resin composite restorations - Clinical rationale and technique. Br Dent J 2009; 206: 315-317.
Castillo-Oyagüe R, Milward P J, Martín-Cerrato A et al. Effect of Preoperative Occlusal Matrices on the Vickers Microhardness of Composite Disks Polymerized with QTH and LED Lamps. J Esthet Restor Dent 2015; 27: 203-212.
Duque C, Da Silva R C, Dos Santos-Pinto L. Treatment options for the occlusal surface of first permanent molars. J Clin Pediatr Dent 2004; 29: 5-9.
Lynch C D, Opdam N J, Hickel R et al. Guidance on posterior resin composites: Academy of Operative Dentistry - European Section. J Dent 2014; 42: 377-383.
Francisconi-dos-Rios L F, Tavares J A O, Oliveira L et al. Functional and aesthetic rehabilitation in posterior tooth with bulk-fill resin composite and occlusal matrix. Restor Dent Endod 2020; DOI: 10.5395/rde.2020.45.e9.
de Carvalho Dekon S F, Pereira L V, Zavanelli A C et al. An effective technique to posterior resin composite restorations. J Contemp Dent Pract 2011; 12: 506-510.
Hamilton J C, Krestik K E, Dennison J B. Evaluation of custom occlusal matrix technique for posterior light-cured composites. Oper Dent 1998; 23: 303-307.
Ramirez C E C, Carvalho R P M, Paula A et al. Restaurações seriadas em dentes posteriores com recurso às matrizes oclusais. Rev Port Estomatol Med Dent Cir Maxilofac 2007; 48: 155-160.
Martos J, Silveira L F M, Ferrer-Luque CM, Gonzalez-López S. Restoration of posterior teeth using occlusal matrix technique. Indian J Dent Res 2010; 21: 596-599.
Baratieri L N, Monteiro Júnior S, Correa M, Ritter A V. Posterior resin composite restorations: a new technique. Quintessence Int 1996; 27: 733-738.
Liebenberg W H. Occlusal index-assisted restitution of esthetic and functional anatomy in direct tooth-coloured restorations. Quintessence Int 1996; 27: 81-88.
Castro J J, Keogh T P, Llamas Cadaval R, Jiménez Planas A. A New System for the Transferral of the Occlusal Morphology in Posterior Direct Composite Resin Restorations. J Esthet Dent 1997; 9: 311-316.
Araujo Jr E M, De Goes M F, Chan D C N. Utilization of occlusal index and layering technique in class I silorane-based composite restorations. Oper Dent 2009; 34: 491-496.
The authors do not have any financial interest in the companies whose materials are included in this article.
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Carneiro, E., Paula, A., Saraiva, J. et al. Aesthetic restoration of posterior teeth using different occlusal matrix techniques. Br Dent J 231, 88–92 (2021). https://doi.org/10.1038/s41415-021-3225-3