Bulk Fill Composites: An Anatomic Sculpting Technique.

Autor: Hirata R; Department of Biomaterials and Biomimetics, New York University, New York, NY, USA.; Post Graduation on Restorative Dentistry, Department of Restorative Dentistry, CETAO, Sao Paulo, SP, Brazil., Kabbach W; Post Graduation on Restorative Dentistry, Department of Restorative Dentistry, CETAO, Sao Paulo, SP, Brazil., de Andrade OS; Post Graduation on Restorative Dentistry, Department of Restorative Dentistry, CETAO, Sao Paulo, SP, Brazil.; Post Graduation on Restorative Dentistry, Department of Restorative Dentistry, SENAC, Sao Paulo, SP, Brazil., Bonfante EA; Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil., Giannini M; Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, São Paulo, Brazil., Coelho PG; Department of Biomaterials and Biomimetics, New York University, New York, NY, USA.
Jazyk: angličtina
Zdroj: Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] [J Esthet Restor Dent] 2015 Nov-Dec; Vol. 27 (6), pp. 335-43. Date of Electronic Publication: 2015 Jul 14.
DOI: 10.1111/jerd.12159
Abstrakt: Unlabelled: Composite resins have been routinely used for posterior cavities due to a phasedown on amalgam as a restorative option. However, clinical problems related to polymerization shrinkage demands careful and specific techniques for placement of the composite layers. New low shrinkage composites are now marketed for bulk filling of cavities without the need of a traditional layering. With this new concept, the restoration can be built in one or two layers, depending on the classification of the bulk fill material. This article discusses and presents two alternative techniques using the low shrinkage composites, suggesting a called "amalgam-like sculpting technique," one using a flowable bulk fill and other a regular bulk fill material. Clinical cases illustrate these two alternatives compared with the layered technique.
Clinical Significance: New techniques using low shrinkage composites for bulk filling can provide a simpler technical approach for the clinician in sculpting and generating highly esthetic posterior composites.
(© 2015 Wiley Periodicals, Inc.)
Databáze: MEDLINE
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