Comparison of Proximal Contact and Contours of Premolars restored with Composite Restoration using Circumferential Matrix Band with and without Separation Ring: A Randomized Clinical Trial

Abstract

ABSTRACT Aim To compare the proximal contacts and contours in class II composite restorations in premolars achieved with Automatrix band with separation ring vs Automatrix band alone. Materials and methods A total of 188 premolar teeth with proximal cavity were assigned on alternate basis in two groups. Intervention group teeth received Automatrix band with separation ring using clamp forceps, while the control group received Automatrix band alone. All preparations were restored with P-60 composite (3M-ESPE Dental, USA). The outcome (proximal tightness) was determined by a blinded assessor. Chi-square test was applied to compare the contact tightness between the two groups. Spearman's rank correlation coefficient was applied to determine any correlation between the contact tightness with proximal contours. p-value of 0.05 was taken as significant. Results The intervention group exhibited better proximal contacts than the control group (p-value 0.040). There was no correlation between the contact tightness and the proximal contours. Conclusion The use of separation ring along with Automatrix matrix band in class II composite restorations resulted in significantly better proximal contacts than Automatrix band alone. However, the separation ring does not contribute in producing an additional improvement in the proximal contours. The proximal contour has no relationship with the proximal contact tightness. Clinical significance Several techniques have been advocated to get tight contacts in composites including interdental separation ring. Our study focuses on using separation ring with circumferential matrix band instead of a sectional band. Moreover, we have attempted to study proximal tightness and proximal contours of composite restoration as separate variables. How to cite this article Khan FR, Umer F, Rahman M. Comparison of Proximal Contact and Contours of Premolars restored with Composite Restoration using Circumferential Matrix Band with and without Separation Ring: A Randomized Clinical Trial. Int J Prosthodont Restor Dent 2013;3(1):7-13.