Robert A. Lowe, DDS

Disclosures

June 02, 2011

Achieving Esthetics With Composites

No material in the history of dentistry has undergone as much of an evolution as composite resin, especially since successful bonding to dentin was achieved. Since then, the goal of clinical and material science has been to find simple, predictable approaches to the composite restorative process. Compared with dental amalgam, the oldest direct restorative, the placement of composite requires many more steps and an exacting technique to achieve the best results.

This includes bonding (the process of adhesion) with conditioning the tooth surface, application of primers and adhesives,and layering of composite resins to complete the restorative process with many independent steps. In the past, achieving a strong and durable restoration for posterior composites may have been a challenge, which often compromised esthetics. Two cases are presented for preparing and placing composites that overcome these challenges with new seventh-generation composites.[1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27] One case is a presentation of placement of a composite with nano-microhybrid composite layering (Figure 1-6), while the second case demonstrates use of composite for posterior placement with a bulk-fill composite for a deep restoration, followed by use of another nano-microhybrid composite (Figure 7-10).

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