Simplified occlusal anatomy for posterior composites

Direct posterior composites have had problems in the past and thus have not had wide acceptance. The newest generation materials overcome many of their previous shortcomings. Finishing with proper anatomy has been difficult and time-consuming. An alternative to overfilling and then grinding in the anatomy is proposed. Using a prefilled tip allows small increments of composite to be placed without flowing and sagging. Each cusp is individually shaped and initially cured for 10 seconds. Every attempt is made not to overfill the preparation to avoid unnecessary grinding. The anatomy shapes up almost automatically, similar to P.K. Thomas waxing. With only minor adjustments and polishing with a polishing paste, time spent finishing is reduced. Natural looking, functional, and beautiful occlusal anatomy is now possible with this simple technique.