Reel love from dr_jaclyntoh!⁠ ⁠ 🦷⁠ ⁠ Today's difficult case.⁠ ⁠ What are the elements that make up a difficult case for me?⁠ ✅ Subgingival margins⁠ ✅ Extensive tooth structure that needs replacing⁠ ✅ Large interproximal space(s)⁠ ✅ More than 1 tooth in a quadrant needs extensive treatment ⁠ ⁠ This case has all of the above, so it is a marathon treatment for both patient and dentist. However, the benefits of doing treatment as a quadrant include:⁠ 👍Greater efficiency⁠ 👍Fewer injections⁠ ⁠ I used all of my tricks to solve this case:⁠ 🪄 Papillectomy to allow subgingival margin isolation⁠ 🪄 Split dam for initial prep: better control and visibility of the field, protection of the lips, cheek and tongue so that you can maintain focus⁠ 🪄 Brinkers B4 clamp to retract the dam over the deep margin⁠ 🪄 Teflon for further waterproofing of the dam⁠ 🪄 Matt textured medium dam (Nictone) for better grip even in the presence of bleeding⁠ 🪄 Freehand DME to allow matrix placement. The contour of ...