Elsevier

Dental Abstracts

Volume 59, Issue 4, July–August 2014, Pages e81-e82
Dental Abstracts

Hands On
Repair of direct composite buildups

https://doi.org/10.1016/j.denabs.2013.12.030Get rights and content

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Background

Increasingly, patients are demanding an attractive facial and dental appearance. They want a sound, highly esthetic dentition, but especially desire attractive maxillary and mandibular anterior teeth. With today's adhesive technology and minimally invasive direct resin composite restorations, it is possible to restore teeth without a significant loss of tooth substance. With the current finishing and polishing techniques for these restorations, surface roughness and color stability are

Methods

Outcome was graded as failure (F), survival (SR), or success (S). Failure indicated the complete restoration was lost and repair impossible. Survival indicated minor damaging events that were addressed with repair and polishing and the events documented in the patient's record. Successful restorations had no failure or unfavorable events documented. The modified United States Public Health Service/Fédération dentaire international (USPHS/FDI) criteria were used to qualitatively assess

Results

The mean age of the patients was 31.1 years, and 96 restorations were placed in female patients and 80 in male patients. Included were 146 anterior maxillary restorations, 5 posterior maxillary restorations, 21 anterior mandibular restorations, and 4 posterior mandibular restorations. Abutment tooth preparation was minimally invasive or noninvasive.

Success was achieved in 146 restorations. Thirty restorations had unfavorable events or clinical findings, classified as SR (Fig 2). None of the

Discussion

The clinical quality ratings achieved by these restorations indicate that most restorations were of good to excellent quality after 5 years in clinical service.

Clinical Significance

When a noninvasive or minimally invasive treatment approach is indicated, direct composite buildups should be chosen as an excellent alternative to achieve esthetic correction and reshaping of anterior teeth. After 5 years, most will be functioning well. This approach provides a patient-oriented and tooth-oriented

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Frese C, Shiller P, Staehle HJ, et al: Recontouring teeth and closing diastemas with direct composite buildups: A 5-year follow-up. J Dent 41:979-985, 2013

Reprints available from C Frese, School of Dental Medicine, Univ Hosp Heidelberg, Dept of Conservative Dentistry, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany; fax: +49 6221 565074; e-mail: [email protected]; [email protected]

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