Functional and aesthetic guidelines for stress-reduced direct posterior composite restorations

Oper Dent. 2012 Jul-Aug;37(4):425-31. doi: 10.2341/11-082-T.

Abstract

Amalgam has been used in the restoration of structurally compromised posterior teeth for many years. When placing large amalgam restorations, replacement of weak cusps with restorative material is recommended to prevent tooth fracture. This recommendation can be modified with new guidelines using modern adhesive techniques. Semidirect and indirect inlay/onlay composite restorations have progressively replaced amalgam restorations over the past 20 years. Lately, single visit direct resin-bonded composite (RBC) restorations have also been used as a viable alternative to conventional indirect restorations. This paper is intended to introduce a step-by-step protocol for the direct restoration of structurally compromised posterior teeth using RBCs with stress-reducing protocols.

Publication types

  • Case Reports

MeSH terms

  • Acid Etching, Dental / methods
  • Adult
  • Bite Force
  • Composite Resins / chemistry*
  • Dental Bonding / methods
  • Dental Caries / therapy
  • Dental Cavity Preparation / methods
  • Dental Prosthesis Design*
  • Dental Restoration, Permanent / methods*
  • Dentin-Bonding Agents / chemistry
  • Esthetics, Dental*
  • Female
  • Humans
  • Matrix Bands
  • Molar / pathology*
  • Polymerization
  • Resin Cements / chemistry
  • Stress, Mechanical

Substances

  • Composite Resins
  • Dentin-Bonding Agents
  • PermaFlow
  • PermaQuik
  • Resin Cements
  • Vit-l-escence Trans Ice