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Using cavity liners with direct posterior composite restorations.
1Division of Primary Oral Health, University of Southern California, School of Dentistry, Los Angeles, California, USA.
Summary
Cavity liners, used with resin composites, help reduce tooth sensitivity and improve cavity adaptation. This review clarifies their modern function and provides evidence-based guidelines for clinical use.
Area of Science:
- Restorative Dentistry
- Dental Materials Science
Background:
- Cavity liners traditionally aided dentin repair and acid neutralization.
- Their role has evolved with the use of resin composites in posterior restorations.
- Current use focuses on reducing sensitivity and improving cavity adaptation due to flowability and adhesion.
Purpose of the Study:
- To reassess the clinical relevance and function of cavity liners.
- To clarify confusion regarding the use, timing, and material selection of liners.
- To provide an evidence-based rationale and protocol for clinicians.
Main Methods:
- Literature review of existing studies on cavity liners.
- Analysis of the properties and functions of different liner materials (composite, resin-modified glass ionomer).
- Synthesis of findings to establish evidence-based recommendations.
Main Results:
- Liners offer benefits in reducing post-operative sensitivity and enhancing marginal seal.
- Different liner materials possess distinct advantages for specific clinical scenarios.
- There is ongoing debate and lack of consensus on optimal liner usage.
Conclusions:
- Cavity liners remain relevant in modern restorative dentistry, particularly with resin composites.
- Understanding liner properties and indications is crucial for optimal clinical outcomes.
- Evidence-based protocols can guide clinicians in selecting and using liners effectively.