Aesthetic guidelines for posterior composite restorations

The development of composite resin materials that combine the required strength and wear resistance with the appropriate color palate which resembles natural dentition has enabled the clinician to successfully place composite restorative materials in the posterior region. Appropriate techniques have been developed for utilization of the new materials. This article reviews the selection of posterior composite materials, indications, and force factors. Preparation guidelines are presented, including a review of the criteria established by G.V. Black. The article also reviews the indications, preparation guidelines, bonding materials, composite placement techniques, and finishing protocols for posterior composite restorations. Three case presentations illustrate the clinical procedure. The learning objective of this article is to enhance the knowledge of materials currently available for posterior tooth-color restorations and their application techniques.