Lingual root caries on molars can be hard to access and keep isolated.

Before

Step 1

Class V subgingival caries on the mesial lingual root of #18

Prepped

Step 2

Root caries prepped and then Greater Curve U-Band placed. The U-Band enhances visibility due to its additional flare

Band cut back

Step 3

Band cut back to provide additional access.

Activa bonded into prep

Step 4

Not worried about shaping while in the fluid stage. Maintaining isolation and working quickly during placement was the larger concern. Activa lends itself to working quickly and precisely

Final

Step 5

Final lingual Class V restoration #18

Bonus

Saliva ejector holder controlled unwanted saliva and kept tongue away

Conclusion:

Using the saliva ejector holder and the U-Band made this case very manageable