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The restoration of damaged posterior teeth using direct composite materials is an integral component of contemporary dental practice. Resin-based materials are now routinely used to solve a wide range of restorative problems from the minimally invasive management of early carious lesions to the total restoration of severely worn dentitions.
As there is a wide variation in the teaching and practice of posterior composite techniques worldwide, this paper aims to provide an evidence-based update designed to help clinical teams equip practices with suitable materials and equipment and optimize all clinical stages of posterior composite procedures.
CPD/Clinical Relevance: Knowledge, understanding and advanced practical skill in posterior composite restorations is an essential requirement for contemporary clinical dentistry.
Article
Although amalgam has served dentistry well for over 150 years, its use is declining due to patient and professional demand for tooth-coloured alternatives, which are generally less sacrificial of tooth tissue,1 and as a result of an international environmental treaty aimed at phasing down the use of mercury-containing products.2
The use of resin composites for the restoration of posterior teeth has been an accepted technique since the 1970s.3 It is now a routine procedure in dentistry,4,5 with 100s of millions of posterior composite restorations being performed annually.6
Over the last ten years, encouraging long-term outcomes have resulted in a significant improvement in the reputation of posterior composites7 and, when appropriately carried out, they may be considered to be the optimal method of restoring posterior teeth.8
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