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References

Bohaty BS, Ye Q, Misra A Posterior composite restoration update: focus on factors influencing form and function. Clin Cosmet Investig Dent. 2013; 5:33-42 https://doi.org/10.2147/CCIDE.S42044
Green D, Mackenzie L, Banerjee A. Minimally invasive long-term management of direct restorations: the ‘5 Rs’. Dent Update. 2015; 42:413-416 https://doi.org/10.12968/denu.2015.42.5.413
Wilson NHF, Burke FJT, Brunton PA Dental practice in the UK in 2015/2016. Part 2: aspects of direct restorations, bleaching, endodontics and paediatric dentistry. Br Dent J. 2019; 226:110-114 https://doi.org/10.1038/sj.bdj.2019.50
Hickel R, Manhart J. Longevity of restorations in posterior teeth and reasons for failure. J Adhes Dent. 2001; 3:45-64
Hassall D, Burgess C. Developments in bonding and composite techniques and its clinical implications. Part 1: developments in dentine and enamel conditioning and bonding. Private Dentistry. 2020; 44-47
Gilmour AS, Latif M, Addy LD, Lynch CD. Placement of posterior composite restorations in United Kingdom dental practices: techniques, problems, and attitudes. Int Dent J. 2009; 59:148-154
Hickel R, Manhart J. Longevity of restorations in posterior teeth and reasons for failure. J Adhes Dent. 2001; 3:45-64
Ibbetson R., Jones I. All-ceramic inlays and onlays for posterior teeth. Dent Update. 2019; 46:610-624
Kopperud SE, Tveit AB, Gaarden T Longevity of posterior dental restorations and reasons for failure. Eur J Oral Sci. 2012; 120:539-548 https://doi.org/10.1111/eos.12004
Opdam NJ, Bronkhorst EM, Loomans BA, Huysmans MC. 12-year survival of composite vs. amalgam restorations. J Dent Res. 2010; 89:1063-1067 https://doi.org/10.1177/0022034510376071
Laske M, Opdam NJ, Bronkhorst EM Longevity of direct restorations in Dutch dental practices. Descriptive study out of a practice based research network. J Dent. 2016; 46:12-17 https://doi.org/10.1016/j.jdent.2016.01.002
Chaiyabutr Y, Kois JC. The effects of tooth preparation cleansing protocols on the bond strength of self-adhesive resin luting cement to contaminated dentin. Oper Dent. 2008; 33:556-563 https://doi.org/10.2341/07-141
Clark D. The new science of strong teeth: Class II preps. Dent Today. 2013; 32:97-100
Moraschini V, Fai CK, Alto RM, Dos Santos GO. Amalgam and resin composite longevity of posterior restorations: a systematic review and meta-analysis. J Dent. 2015; 43:1043-1050 https://doi.org/10.1016/j.jdent.2015.06.005
Burke FJ. From extension for prevention to prevention of extension: (minimal intervention dentistry). Dent Update. 2003; 30:492-502 https://doi.org/10.12968/denu.2003.30.9.492
Wagner WC, Aksu MN, Neme AM Effect of pre-heating resin composite on restoration microleakage. Oper Dent. 2008; 33:72-78 https://doi.org/10.2341/07-41
McConnell RJ, Sabbagh J, de la Macorra JC Frequently asked questions in composite restorative dentistry. Dent Update. 2011; 38:549-556 https://doi.org/10.12968/denu.2011.38.8.549
Lucey S, Lynch CD, Ray NJ Effect of pre-heating on the viscosity and microhardness of a resin composite. J Oral Rehabil. 2010; 37:278-282 https://doi.org/10.1111/j.1365-2842.2009.02045.x
Versluis A, Douglas WH, Cross M, Sakaguchi RL. Does an incremental filling technique reduce polymerization shrinkage stresses?. J Dent Res. 1996; 75:871-878 https://doi.org/10.1177/00220345960750030301
Burke FJ, Palin WM, James A The current status of materials for posterior composite restorations: the advent of low shrink. Dent Update. 2009; 36:401-409 https://doi.org/10.12968/denu.2009.36.7.401
Campodonico CE, Tantbirojn D, Olin PS, Versluis A. Cuspal deflection and depth of cure in resin-based composite restorations filled by using bulk, incremental and transtooth-illumination techniques. J Am Dent Assoc. 2011; 142:1176-1182 https://doi.org/10.14219/jada.archive.2011.0087
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Avoiding a ‘soggy bottom’: depth of cure of contemporary bulk-fill resin-based composites. Br Dent J. 2016; 221 https://doi.org/10.1038/sj.bdj.2016.492
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Posterior composite restorations including the Clark cavity design and superior Class II contacts using a novel matrix system: part 2

From Volume 50, Issue 3, March 2023 | Pages 177-186

Authors

Claire Burgess

BDS (Birm), MFGDP (RCS Eng)

Smile Concepts, Solihull

Articles by Claire Burgess

Email Claire Burgess

Dominic Hassall

BDS, MSc (Manc), FDS RCPS (Glasg), MRD RCS (Edin), FDS (Rest Dent), RCS (Eng)

Restorative, Prosthodontic and Periodontal Specialist, Director, Dominic Hassall Training Institute; Senior Clinical Lecturer School of Dentistry, Cardiff University

Articles by Dominic Hassall

Abstract

In the second part of this series, we describe the use of the Bioclear Method for posterior composite restorations, including modern cavity design and techniques to achieve predictable contacts with Class II restorations.

CPD/Clinical Relevance: This article highlights a clinically relevant and modern method that can be used for placing anterior and posterior direct composite restorations.

Article

A routine part of general dental practice is the placement of composite restorations in posterior teeth, with hundreds of millions of posterior restorations being undertaken annually in general practice, of which more than 50% involve replacement of failed existing restorations.1,2 After the Minamata Convention in July 2013, the number of ‘white’ fillings on posterior teeth has been increasing. In 2015, dentists placed nearly equal numbers of amalgam and composite Class II restorations.3 The principles of engineering for successful composite resin materials are addressed in this article, along with the concepts of modern cavity design to help reduce tooth fracture, and a modern technique, ‘the Spot Weld’ to establish predictable contact points. Both of these factors have the potential to influence the success of posterior composite restorations.

Posterior composites are well established, but dentists can nonetheless struggle to produce predictable contact points, which can potentially lead to recurrent caries or periodontal problems.4,5,6 This may be due to lack of training or issues with restorative materials.

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