Waterpik
®
ClearView
Sectional Matrix System
The Waterpik
®
ClearView Sectional Matrix System includes a nylon-reinforced
stainless steel retaining ring; interproximal wedges; and non-stick sectional matrices
for placement of restorations in the posterior area. Sectional Matrices are suitable
for use with all posterior restorative materials. Either one Ring may be used for the
restoration or two Rings may be stacked one over the other for performing M.O.D.’s
and multiple-tooth restorations. The advantages of the sectional matrices and ring
include natural contours for better replication of contact areas and embrasures, easy
placement, enhanced view of the operative field, and more comfort for the patient.
SYSTEM COMPONENTS:
Waterpik
®
ClearView Retainer Ring
The Waterpik
®
ClearView Retaining Ring is for use in the posterior region either as
a single ring or two rings stacked one over the other for performing M.O.D.’s and
multiple-tooth restorations.
Waterpik
®
ClearView Non-Stick Sectional Matrices
•
Sizes:
Bicuspids 4.6mm (light gray)
Bicuspids 3.8mm with extension (light blue)
Bicuspids and Small Molars 5.5mm (dark blue)
Molars 6.4mm with extension (purple)
Molars 6.4mm (green)
•
For use with all posterior restorative materials.
Waterpik
®
ClearView Wedges
•
Sizes:
Extra-small (white)
Small (light blue)
Medium (dark blue)
Large (purple)
Materials:
•
Sectional Matrices: polished stainless steel with non-stick coating
•
Retaining Ring: nylon-reinforced stainless steel
•
Wedges: polypropylene, nylon
•
Ring Placement Forceps: stainless steel
Indications:
The Waterpik
®
ClearView Sectional Matrix System is indicated for Class II
restorations to facilitate the direct placement of restorative materials.
Contraindications:
None known.
SAFETY:
Be aware of the following safety notes in other chapters of these directions for use.
Note:
Always refer to www.waterpik.com/matrix for the latest Instructions for Use.
Safety alert symbol
This is the safety alert symbol. It is used to alert you to potential personal injury
hazards. Obey all safety messages that follow this symbol to avoid possible injury.
Warnings:
The Waterpik
®
ClearView Sectional Matrix System consists of small parts. As with all
intra-oral devices, care must be exercised to ensure stable handling and placement.
•
Wear applicable protective eyewear and gloves.
•
Placement of a rubber dental dam is mandatory to prevent the potential for
inhalation or ingestion of such parts.
•
To avoid inadvertent swallowing or aspiration of the ring, should it unexpectedly
come loose from its seated position, tying the ring to a previously placed rubber
dam clamp with dental floss is recommended.
•
Aspiration:
If aspiration of matrix, wedge or retaining ring occurs seek
immediate medical attention.
•
Ingestion:
If accidental swallowing occurs, encourage patient to seek medical
assistance to locate swallowed part. If nausea or illness develops, seek medical
attention immediately.
•
Laceration:
Handling matrices with gloved hands and/or cotton dressing forceps
or similar instrument is recommended. In the unlikely event a clean matrix
causes a skin laceration, employ usual first aid measures. Discard and properly
dispose of matrix.
•
Used matrices and accessories are contaminated. Follow proper exposure control
plans. In the event of an accidental exposure, follow recommended
post-exposure procedures. Following use of the Waterpik
®
ClearView Sectional
Matrix System, proper handling and disposal techniques are required. Use
precautions when handling or disposing contaminated items.
•
Care should be taken to have good control of any instrument in order to protect
patients from injury.
Precautions:
•
This product is intended to be used only as specifically outlined in the
Instructions for Use. Any use of this product inconsistent with the Instructions for
Use is at the discretion and sole responsibility of the practitioner.
•
Care must be taken when placing the retaining ring. Ensure ring is fully seated
in forceps.
•
Excessive pressure on matrix, wedge, or retaining ring in an apical direction may
result in injury to periodontal tissues.
•
This product is provided in a Non-Sterile condition.
•
Devices marked “single use” on the label are intended for single use only.
Discard after use. Do not reuse in other patients in order to prevent
cross-contamination.
•
Do not use accessory tools other than those designed, supplied, and/or outlined
for use with the Waterpik
®
ClearView System. Injury may result.
Adverse reactions:
•
Product misuse may cause failure resulting in respiratory, digestive, eye, skin, or
mucosa injury. (See Contraindications, Warnings and Precautions)
•
Failure to properly employ accepted handling and disposal techniques may
present biohazard. (See Warnings and Precautions)
Pre-operative Sterilization:
Matrices and Wedges are supplied non-sterile and are for single use only. Prior to
clinical use, Matrices and Wedges should be cleaned with a mild detergent and then
steam autoclaved one time at 121°C for 15 minutes, followed by a 25 minute air
drying time.
Retaining Ring and Forceps are supplied non-sterile, and should be steam
autoclaved prior to first and each subsequent use.
STEP-BY-STEP INSTRUCTIONS:
Step 1: Isolation of the Area
Isolation of the area helps to prevent contamination from blood and saliva. As with
many dental procedures, aspiration of small parts is a valid concern. Placement of a
rubber dental dam is mandatory to prevent the potential for inhalation or ingestion of
such parts.
To avoid inadvertent swallowing or aspiration of the ring, should it unexpectedly come
loose from its seated position, tying the ring to a previously placed rubber dam clamp
with dental floss is recommended.
Pre-Operative Placement of Ring for Separation (Optional)
To effectively use a contoured sectional matrix, there must be enough interproximal
space to position the matrix without force or distortion. The retaining ring, when placed
prior to and left on during cavity preparation, creates the interproximal space required
for sectional matrix placement.
Cavity Preparation:
Complete preparation as usual.
After preparation is complete, follow the matrix placement (Step 2), wedge placement
(Step 3) and retaining ring placement (Step 4) instructions.
Step 2: Sectional Matrix Placement
Select a sectional matrix that most closely approximates the occlusogingival height
of the tooth.
Matrix Selection:
The 5.5mm non-stick sectional matrix (dark blue) is recommended for most
applications. The 3.8mm (light blue) and 4.6mm (light gray) matrices are designed
for use with adolescents and patients with short posterior teeth. The 6.4mm matrices
(purple, green) are designed for larger cavities occlusogingivally. The 3.8mm (light
blue) and the 6.4mm (purple) matrices with a subgingival extension supplement a
contoured matrix with a pronounced gingival apron.
Technique Tip:
Using cotton dressing forceps or similar instrument, grasp the tab at
the top-center area of the matrix.
Over-approximate tooth curvature buccolingually by rolling the sectional matrix
with your fingers. This will help keep the matrix ends from interfering with the
Ring placement.
Technique Tip:
The matrix should be oriented with the convex edge towards the
gingival margin of the tooth, and the tab on top.
Technique Tip:
The matrix placement tab may be bent over the adjacent marginal
ridge to facilitate restoration marginal ridge contour.
If the ring was placed properly before tooth preparation, then the matrix should slide
easily into place adjacent to the space to be restored from the occlusal approach.
Ensure matrix is apical to preparation margin with no gap.
Step 3: Wedge Placement
For optimal contour, gingival seal, and tooth separation, use Waterpik
®
wedges.
Technique Tip:
Keep a finger on the sectional matrix placement tab to prevent the
wedge from dislodging the matrix during insertion.
Since a high viscosity resin packed into the preparation may displace the matrix
away from the tooth, firmly insert the wedge.
Step 4: Ring Placement
Technique Tip:
For secure gripping of ring tips to the surfaces, dry teeth thoroughly
before placement.
Grasp the Waterpik
®
ClearView retaining ring near the tips of the ring with the ring
placement forceps, being sure the ring rests within the channel on the forceps tips.
Spread the ring with the forceps only enough to clear tooth height of contour. Do not
over-expand the ring. Over-expansion may result in permanent ring deformation.
The locking slide on the forceps may be engaged to facilitate carrying and
placement of the ring.
Technique Tip:
To avoid hitting and possibly dislodging the matrix when placing the
ring, bring the ring down at an angle over the adjacent tooth and then flatten out the
ring as you place it into the interproximal space and over the top of the wedge.
Place the ring with one tine in each interproximal space from buccal to lingual
adjacent to the surface to be restored. The direction the ring points, mesial or distal,
does not matter, though placing it so that the ring points mesially is usually more
easily achieved due to easier access.
Using the slots on the bottom of the ring tines, fit the ring over the wedge.
With the tines properly positioned interproximally, release the locking slide on the
forceps and slowly release the forceps tension. When ring is securely seated, release
the forceps completely and withdraw forceps.
To avoid inadvertent swallowing or aspiration of the ring should it unexpectedly come
loose from its seated position, tying the ring to a previously placed rubber dam
clamp with dental floss is recommended.
Step 5: Contouring to Adjacent Tooth
To form proper contours, it is very important to push the sectional matrix firmly into
contact with the adjacent tooth in the desired contact area.
Technique Tip:
The matrix placement tab may be bent over the adjacent marginal
ridge to facilitate restoration marginal ridge contour.
Small parts under tension
•
Be sure ring is securely seated in the forceps before introducing into the patient field.
•
Be sure ring is securely seated apically before withdrawing forceps.
Step 6: Restorative Application
Use your preferred etching, disinfecting and bonding technique following
manufacturer's instructions.
Apply your preferred restorative material following manufacturer's instructions.
Light cure and/or allow material to reach initial set.
Gross contouring may be accomplished with matrix in place.
Step 7: Removal
Remove Ring using forceps. Remove Wedge and Sectional Matrix using cotton
dressing forceps or similar instrument.
Because of the superior contact achieved with the Waterpik
®
ClearView Ring,
removal of the band may require a hemostat.
Step 8: Finishing
Finish contouring, verify proximal contact and polish the restoration.
HYGIENE:
Cleaning:
The Waterpik
®
ClearView ring placement forceps and ring may be cleaned by
scrubbing with a disposable towel soaked with hot water and soap or detergent.
Disposal of Single-use components and Sterilization:
Cross-contamination
•
Do not reuse used matrices or wedges.
•
Do not attempt to sterilize used matrices or wedges.
•
Properly dispose of the used and/or contaminated matrices or wedges in
accordance with local regulations.
Sterilization:
Waterpik
®
ClearView Retaining Ring and Ring Placement Forceps should be steam
autoclaved at 121°C for 15 minutes, followed by a 25 minute air drying time. Use
of other sterilization procedures/methods is at the discretion and sole responsibility
of the practitioner. It is not recommended to immerse components into disinfection
or cold sterilization solutions. Allow Ring and Forceps to dry prior to storage. The
forceps require no additional maintenance and should not be oiled or greased.
Waterpik
®
ClearView Sectional Matrices and Wedges are supplied non-sterile and
are for single use only. Sterilize for use by steam autoclaving, 121°C for 15 minutes,
followed by a 25 minute air drying time.
LOT NUMBER:
The following numbers should be quoted in all communications with Water Pik, Inc.:
•
Reorder Number
•
Lot number on the package
CONTACT:
Water Pik, Inc.
1730 E. Prospect Rd.
Fort Collins, CO USA
80533-0001
For questions, contact Water Pik, Inc.:
USA: (800) 525-2020
Canada: (888) 226-3042
www.waterpik.com/matrix
Waterpik
®
is a trademark of Water Pik, Inc. registered in China, Denmark, EU, Hong
Kong, India, Japan, Korea, Turkey, and the United States.
Waterpik
®
(stylized) is a trademark of Water Pik, Inc. registered in Australia, Canada,
China, EU, Hong Kong, Korea, Russian Federation, Saudi Arabia, Switzerland and the
United States.
FN 20020307-F AB
#1692r0415
©2015 Water Pik, Inc.
Instructions for Use