By Mohamed Eldernawi, BDS, ALD member, ALD Fellowship

One of the most difficult cases in restorative dentistry is the deep subgingival caries in Class II and Class V cavity preparations. The subgingival location of the caries makes it difficult to clean without trauma to soft tissue that will lead to bleeding which is difficult to control and sometimes causes a delay in treatment by postponing the restoration to another visit so the dentist can work in a dry field.