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Can a single composite resin serve all purposes?
J J M Roeters1, A C C Shortall, N J M Opdam
1Department of Cariology and Endodontology, Radboud University Nijmegen, The Netherlands.
British Dental Journal
|July 26, 2005
Summary
Direct posterior composite restorations are now viable for larger restorations, even in teeth with significant occlusal function. Advances in dental materials and techniques support this expanded clinical application for composite fillings.
Area of Science:
- Dentistry
- Dental Materials Science
- Restorative Dentistry
Background:
- Historically, direct posterior composites were limited to small restorations in low-stress areas.
- Previous clinical consensus restricted their use, particularly in premolars with occlusal loading.
Purpose of the Study:
- To re-evaluate the clinical indications for direct posterior composite restorations.
- To assess the impact of recent advancements on the suitability of composites for broader posterior applications.
Main Methods:
- Review of clinical evidence and advancements in adhesive dentistry.
- Analysis of new dental materials and restorative techniques.
- Evaluation of updated clinical guidelines and expert opinions.
Main Results:
- Significant improvements in adhesive systems enhance bond strength and durability.
- Modern composite materials offer superior mechanical properties and wear resistance.
- Clinical evidence supports expanded use in posterior teeth, including those with occlusal function.
Conclusions:
- The limitations previously placed on direct posterior composites are no longer fully supported by current evidence.
- Advances in dental technology permit wider application of composite restorations in posterior dentition.
- A reassessment of clinical practice regarding posterior composites is warranted.