Direct fabrication of “esthetic” posterior composite restorations by combining the incremental placement techniques with polychromatic stratification

Overview

The incremental placement techniques in combination with polychromatic stratification enable dentists to directly fabricate “esthetic” posterior composite restorations by utilizing dentin, enamel and effect shades for reproducing tooth colors.

Summary

The practicing dentists have a variety of incremental composite placement techniques from which to select when directly restoring posterior teeth.

Author Comments

Prof. Khamis A Hassan, BDS, MSD (Cons Dent), Doctorate (Cons Dent)
Prof. Khamis A Hassan, BDS, MSD (Cons Dent), Doctorate (Cons Dent)
Global Dental Center
Professor & Senior Clinical Consultant of Restorative Dentistry
Restorative Dentistry, Aesthetic Dentistry
Vanvouver , British Columbia | Canada
An elaborate account of combining the incremental placement techniques with polychromatic stratification was given for the direct fabrication of “esthetic” posterior composite restorations.Prof. Khamis A Hassan, BDS, MSD (Cons Dent), Doctorate (Cons Dent)

A Review on Incremental Techniques for Placing Direct Occlusal and Proximal Composite Restorations.

Dental & Oral Health Int. Journal (OMSP International)

Dental & Oral Health Int. Journal; 1 (1)1 – 11, 2019.

Objectives. This paper reviews the different incremental techniques used for placing direct composite restorations in occlusal cavities. A detailed description of such techniques was presented and illustrated. The rationale for each of these techniques was highlighted, and the advantages and disadvantages were pointed out. An elaborate account of combining the incremental placement techniques with polychromatic stratification was given for the direct fabrication of “esthetic” posterior composite restorations. Research studies comparing the effects of these techniques on micro leakage, cuspal deformation, and marginal adaptation were summarized.

Methodology. A narrative review was conducted through a literature search in the following electronic databases: PubMed, and Google Scholar. Electronic search for the following keywords was used: stratified, C-factor, shrinkage, dentin, composite, posterior, polymerization, split-incremental, centripetal,  stress. The search covered the period from 2001 to 2018.

Results. A total of 208 articles were cast, of which 129 were potentially relevant articles. 83 of these articles were dismissed for not meeting the inclusion and exclusion criteria, while a total of 46 articles were only included in this review.

Conclusion. The practicing dentists have a variety of incremental composite placement techniques from which to select when directly restoring posterior teeth. The incremental placement techniques in combination with polychromatic stratification enable dentists to directly fabricate “esthetic” posterior composite restorations by utilizing dentin, enamel and effect shades for reproducing tooth colors.

November 2019
116 Reads
Citations: 26

Similar Publications