Dental wedges and matrix bands for use in direct composite restoration techniques
A wedge for use in a dental restoration procedure for a tooth. The wedge includes a handle portion, a body portion coupled to and extending outward from the handle portion, the body portion adapted to be at least partially disposed in an approximal space between the tooth and a second tooth adjacent the tooth, a first arm extending from the body, away from the handle portion, a second arm extending from the body portion, away from the handle portion, a gap formed between the first arm and the second arm, and a third arm coupled to the first arm and extending toward the handle portion.
1 . A wedge system for use in a dental restoration procedure for a tooth, comprising:
a first wedge adapted to be disposed in an approximal space between the tooth and a second tooth adjacent the tooth, the first wedge including a handle portion, a body portion coupled to and extending outward from the handle portion, a first arm extending from the body portion, away from the handle portion, a second arm extending from the body portion, away from the handle portion, a gap formed between the first arm and the second arm, and a third arm directly coupled to the first arm and extending toward the handle portion; and
a second wedge including a body portion, wherein at least a portion of the body portion of the second wedge is arranged to be disposed in the gap of the first wedge to removably secure the second wedge to the first wedge.
2 . The wedge system of claim 1 , wherein the first arm extends from the body portion along a first axis and the second arm extends from the body portion along a second axis that is angled relative to the first axis.
3 . The wedge system of claim 1 , wherein the first wedge further comprises a fourth arm directly coupled to the second arm and extending toward the handle portion.
4 . The wedge system of claim 1 , wherein the first wedge does not include a matrix band.
5 . The wedge system of claim 1 , further comprising a wing connecting the first arm and the second arm, wherein the gap is formed below the wing, and wherein the first and second arms extend outward from the wing.
6 . The wedge system of claim 5 , wherein the first and second arms diverge from one another as the first and second arms extend outward, away from the wing.
7 . The wedge system of claim 1 , further comprising a matrix band coupled to the first wedge, wherein the first and third arms are adapted to drive the matrix band into contact with the tooth when the first wedge is disposed in the approximal space.
8 . The wedge system of claim 1 , wherein the first arm terminates at a free end, and wherein the third arm is entirely disposed between the handle portion and the free end of the first arm along a length axis of the first wedge.
9 . The wedge system of claim 1 , wherein the first arm terminates at a free end, and wherein the third arm extends from the first arm in a direction away from the free end of the first arm.
10 . The wedge system of claim 1 , further comprising a fourth arm coupled to the second arm and extending toward the handle portion.
11 . The wedge system of claim 10 , wherein the third and fourth arms are directly coupled to the first and second arms, respectively.
12 . The wedge system of claim 10 , further comprising a matrix band coupled to both the first arm and the third arm, wherein the first and third arms are adapted to drive the matrix band into contact with the tooth when the body portion is at least partially disposed in the approximal space.
13 . The wedge system of claim 10 , wherein the wedge does not include a matrix band.
14 . The wedge system of claim 10 , further comprising a wing connecting the first arm and the second arm, wherein the gap is formed below the wing, and wherein the first and second arms extend outward from the wing.
15 . The wedge system of claim 14 , wherein the first and second arms diverge from one another as the first and second arms extend outward, away from the wing.
16 . The wedge system of claim 10 , wherein the first arm terminates at a free end, and wherein the third arm is entirely disposed between the handle portion and the free end of the first arm along a length axis of the wedge.
17 . The wedge system of claim 10 , wherein the first arm terminates at a free end, and wherein the third arm extends from the first arm in a direction away from the free end of the first arm.
18 . The wedge system of claim 1 , wherein the handle portion extends along a first longitudinal axis and the body portion extends along a second longitudinal axis that is substantially coaxial with the first longitudinal axis.
19 . The wedge system of claim 1 ,
the first wedge further comprising a fourth arm coupled to and extending from the second arm,
wherein each of the first and second arms extends in a first direction substantially along a length axis of the wedge from a first end immediately adjacent the body portion and terminates at a free, second end, wherein the third arm extends from the first arm in a second direction different from the first direction and away from the free end of the first arm, and wherein the fourth arm extends from the second arm in a direction away from the free end of the second arm.
20 . The wedge system of claim 19 , wherein the third arm is directly coupled to the first arm, and wherein the fourth arm is directly coupled to the second arm.
21 . The wedge system of claim 19 , wherein the fourth arm extends from the second arm, toward the handle portion.
22 . The wedge system of claim 19 , further comprising a matrix band coupled to both the first arm and the third arm, wherein the first and third arms are adapted to drive the matrix band into contact with the tooth when the body portion is at least partially disposed in the approximal space.
23 . The wedge system of claim 19 , wherein the wedge does not include a matrix band.
24 . The wedge system of claim 19 , further comprising a wing connecting the first arm and the second arm, wherein the gap is formed below the wing, and wherein the first and second arms extend outward from the wing.
25 . The wedge system of claim 24 , wherein the first and second arms diverge from one another as the first and second arms extend outward, away from the wing.
26 . The wedge system of claim 19 , wherein each of the first and second arms terminates at a free end, wherein the third arm extends from the first arm in a direction away from the free end of the first arm, and wherein the fourth arm extends from the second arm in a direction away from the free end of the second arm.
27 . The wedge system of claim 19 , wherein the second direction is opposite the first direction and substantially along the length axis.
28 . A method of preparing a tooth for a dental restoration procedure using the wedge system of claim 1 , the method comprising:
providing the first wedge and
inserting the first wedge into the approximal space between the tooth and the second tooth adjacent to the tooth, such that the first and third arms face the tooth and the second arm faces the second tooth adjacent to the tooth.
29 . The method of claim 28 , further comprising:
providing the second wedge; and
after the first wedge is inserted into the approximal space, inserting the second wedge into the approximal space such that at least the portion of the body portion of the second wedge is disposed in the gap of the first wedge, thereby removably securing the second wedge to the first wedge,
wherein disposing at least the portion of the body portion of the second wedge in the gap of the first wedge comprises driving the first arm of the first wedge toward the tooth and driving the second arm of the first wedge away from the first arm and toward the second tooth adjacent the tooth.
30 . The method of claim 28 , further comprising coupling a matrix band to the first wedge, wherein when the first wedge is inserted into the approximal space, the first and third arms drive the matrix band into contact with the tooth.