Diş Hekimliğinde Kullanılan Güncel Matriks Sistemleri

Year 2022, Volume: 8 Issue: 2, 50 - 58, 21.11.2022

Gamze Nazlı Yanar , Haluk Bodur

Abstract

Diş hekimliğinde sık görülen arayüz çürüklerinin restorasyonları destek doku eksikliği
nedeni ile ek malzemelere ihtiyaç duyulan bölgelerdir. Arayüz restorasyonlarının
anatomik forma uygun olması, diş eti sağlığının korunması ve sekonder çürük
oluşumunun engellenmesi açısından önemlidir. Bölgede gıda retansiyonunun
engellenebilmesi için komşu diş ile temaslar yüzey şeklinde oluşturulabilmeli, dolgu
materyalinin servikal diş eti hizasında taşkınlıkları olmamalıdır. Arayüzlerin dolgu
materyalleri ile şekillendirilmesi sırasında yapay bir duvar oluşturarak materyalin
kondansasyonu sırasında taşkınlıkları engelleyen, doğal konturları oluşturmaya
yardımcı, komşu diş ile uygun temas yüzeyleri oluşturulmasına izin veren matriks
bantları kullanılmaktadır. Kuvvetli bir şekilde kondanse edilebilen amalgam dolguların
yerini kondansasyonu daha zor olan kompozit rezinlerin alması ile beraber,matriks
bantları da materyallere uygun şekilde geliştirilmiştir. Bu derlemede özellikle son
yıllarda daha sık kullanılan, hasta başında dişlere özgü olarak şekillendirilip adapte
edilen matriks bantları, tutucusu ile birlikte kullanılan çevresel matriks sistemleri, kesit
matriks bantları, seperasyon halkaları ve kamalar ile bir bütün olan bölümlü matriks
sistemleri ile ilgili güncel bilgiler sunulmuştur.

Keywords

matriks, restoratif, arayüz, kontakt yüzeyi

Current Matrix Systems Used in Dentistry

Abstract

Interproximal caries lesions, which are frequently seen in dentistry, are areas where
additional materials are needed during restorations due to the lack of supporting tissue.
It is important that the interproximal restorations are suitable for the anatomical form,
to protect the gingival health and to prevent the formation of secondary caries. In order
to prevent food retention, contacts with the adjacent tooth should be created in the
form of a surface, and the filling material should not overhang at the level of the cervical
gingiva. During the shaping of the interproximal lesions with filling materials, matrix
bands are used, which prevents marginal overhangs during the condensation of the
material by forming an artificial wall, helps to create natural contours, and allows the
creation of suitable contact surfaces with the adjacent tooth. With the replacement of
strongly condensable amalgam fillings with composite resins, which are more difficult
to condense, matrix bands have also been developed in accordance with the materials.
In this review, matrix bands that are shaped and adapted at the chairside,
circumferential matrix systems with retainers, sectional matrix bands, separation rings
and wedges, which are used more frequently especially in recent years, are presented.

Keywords

matrix, restorative, interproximal, proximal contact

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