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Conservative Dentistry

Wedging Techniques

Various wedging methods are employed to achieve optimal results, especially in cases involving gingival recession or wide proximal boxes. Below are descriptions of different wedging techniques, including "piggy back" wedging, double wedging, and wedge wedging.

1. Piggy Back Wedging

A. Description

  • Technique: In piggy back wedging, a second smaller wedge is placed on top of the first wedge.
  • Indication: This technique is particularly useful in patients with gingival recession, where there is a risk of overhanging restoration margins that could irritate the gingiva.

B. Purpose

  • Prevention of Gingival Overhang: The additional wedge helps to ensure that the restoration does not extend beyond the tooth surface into the gingival area, thereby preventing potential irritation and maintaining periodontal health.

2. Double Wedging

A. Description

  • Technique: In double wedging, wedges are placed from both the lingual and facial surfaces of the tooth.
  • Indication: This method is beneficial in cases where the proximal box is wide, providing better adaptation of the matrix band and ensuring a tighter seal.

B. Purpose

  • Enhanced Stability: By using wedges from both sides, the matrix band is held securely in place, reducing the risk of material leakage and improving the overall quality of the restoration.

3. Wedge Wedging

A. Description

  • Technique: In wedge wedging, a second wedge is inserted between the first wedge and the matrix band, particularly in specific anatomical situations.
  • Indication: This technique is commonly used in the maxillary first premolar, where a mesial concavity may complicate the placement of the matrix band.

B. Purpose

  • Improved Adaptation: The additional wedge helps to fill the space created by the mesial concavity, ensuring that the matrix band conforms closely to the tooth surface and providing a better seal for the restorative material.

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