The name “VursaWedge” may be more than just a clever play on the word “versatile” because these innovative wedges are indeed versatile in their application for class II restorations. Developed by a dentist, Dr. Matthew Burton, they can be used with either single MO or DO class II preparations, adjacent MO/DO preparations, with or without a ring or Tofflemire-type retainer. And that makes them versatile.
As I’ve said before, dentists often are the most innovative since we know the problems encountered in restorative dentistry. There are four wedge sizes: small, medium, large, and anatomical, and all feature the distinctive clothespinlike design wherein there is a split at the end that slips interproximally, ensuring a secure, solid fit. These plastic wedges are seemingly easier to place than wooden wedges, and even other plastic wedges. Since wedging helps to engage the most gingival portion of the matrix, they are essential for a tight seal against the tooth and reduce the risk of material overhang. You can use these with just a sectional matrix (although I do use a retainer) and no matrix holder, and I find that they provide a tight adaptive seal against the gingival portion of the proximal box. VursaWedges can be placed from the buccal or lingual, depending on need. These wedges are quite useful in creating a proper seal and minimizing any overhang. Bravo, Dr. Burton!
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Editor's note: This article appeared in the April 2022 print edition of Dental Economics magazine. Dentists in North America are eligible for a complimentary print subscription. Sign up here.