Background: Direct Posterior Composite restorations are one of the most commonly practiced restoration in clinical practice. It is considered to be the best alternative among all metal free restorations owing to low cost, satisfactory clinical success rate, relatively simple procedure not but least preserve remaining tooth structure in accordance to minimal invasive dentistry. Obtaining a precise contour and contact for class- II composite restoration or reconstruction is challenging as the most frequently faced complications are open contact leading to food impaction and post-operative sensitivity. Inefficient contour result in faulty occlusion and excessive wear of the restoration. Improper contact jeopardizes the health of the entire periodontium such as increased gingival inflammation, attachment loss apart from overhanging restorations. So the primary objective of a class II resin composite restoration is to create a functional and predictable ideal physiological proximal contact Numerous techniques and special armamentarium are needed to overcome the problems encountered in such clinical situations. Conclusion: This technical report shows various matrices and techniques that are used to overcome the open contact problem. These are evidence based solutions that can be used in clinical practice.
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