Composite Restoration
Composite Restoration
Disadvantages:
- high polymerization shrinkage, high CTE, lack of
abrasion resistance marginal leakage pulp injury,
recurrent caries, discoloration and excessive tooth wear
* homogenous or heterogenous
Particle size
Macrofillers
large particle small surface area more fillers less matrix
Microfillers
small particle bigger surface area more matrix less fillers
Comparison of Composite Filling
Material
Macrofillers Microfillers Hybrid fillers
Average particle 8 to 10 .02 to .04 .1 to 1
size
Filler % 75 to 80 % 35 to 60 % 75 to 85 %
(by weight)
Matrix % 15 to 25 % 15 to 40 % 15 to 25 %
Physical Stronger, Less strength, Better physical
properties harder, better less wear properties
wear resistance resistance
1. Microfills
- more esthetic, better depth & color, and more lifelike
reflective properties, polish to high gloss. Ideal for
anterior restorations
2. Hybrids
- greater strength and more opaque. For both anterior
and posterior restorations.
Physical Properties
Polymerization shrinkage
Thermal properties
Water sorption
Solubility
Mechanical properties
Radiopacity
Depth cure
Properties
Polymerization shrinkage
- one of the major setbacks of composite
- shrinks upon curing (light cured towards light
source)
- offset by acid etching
- results of polymerization shrinkage?
marginal leakage
tooth sensitivity
pulpal sensitivity
post-operative sensitivity
Properties
Thermal properties
Thermal conductivity
- minimal in composites
- greater in organic phase than in the
matrix
Properties
Water absorption
- when a resto. material absorbs water, its properties
change, and its effectiveness as a resto. material is
diminished
- all tooth-colored materials exhibit some water
absorption
- materials with higher filler content exhibit lower water
absorption
Solubility
- composite do not show any clinically relevant
solubility
- composite can be soluble to alcohol
- inadequate polymerization greater solubility
and sorption
Properties
Mechanical properties
- composite have lower mechanical properties
than amalgam
- greater strength for macrofill than microfill
compressive strength
tensile strength
abrasive wear resistance
To increase wear resistance of
composite:
Dependent on:
Distance of light source
-
Degree of intensity light absorbed
Shade
- darker shade, longer polymerization
Exposure time
- longer exposure time, better curing
Smear layer layer of dentinal shavings that will get
compacted into the surface of cut dentin after rotary
instrumentation
Smear plug the part of the smear layer that goes into
the dentinal tubules
Adhesion to Enamel
Primer
with hydrophilic & hydrophobic components
Hydrophilic ends bind to dentin
Hydrophobic end binds to bonding agent
Bonding agent
helps stabilize the hybrid layer
Cavity preparation
General Considerations:
Bevel
1. partial bevel
2. long bevel
3. rounded bevel
Acid Etching
20 30 sec.
Acids are used to dissolve the inorganic
component of the dentin which creates
irregularities/porosities on the surface of the
tooth to create mechanical interlocking called
RESIN TAGS
Most common agent: Phosphoric acid 20-40%
1. Isolation
2. Occlusion
3. Operator factors
Advantages of Composite
1. Esthetic
2. Conservative tooth structure removal
3. Less complex preparing the tooth
4. Insulative, having low thermal conductivity
5. Used almost universally
6. Bonded to tooth structure, resulting in good retention,
low microleakage, minimal interfacial staining, and
increased strength of remaining tooth structure
7. Repairable
Disadvantages of Composite
1. May have a gap formation, usually occurring on root surfaces as a
result of polymerization shrinkage
2. Are more difficult, time-consuming and costly
3. Are more technique sensitive
- Tooth treatment for bonding requires multiple step
- Insertion is more difficult
- Establishing proximal & occlusal contacts, axial contours, and
embrasures maybe more difficult
- Finishing and polishing procedures are more difficult
4. May exhibit greater occlusal wear in areas of high occlusal stress
(esp. when tooth contacts are more on the composite material)
5. Have a higher CTE, resulting in potential marginal percolation if an
inadequate bonding technique is used.
Conventional GIC
Developed in 1972 by Wilson and Kent
Powder/liquid system, the same characteristics of silicate
cement
They release fluoride into tooth structure yielding a
potential anti-cariogenic effect, and possess a favorable
CTE
Polyacrylic acid (liquid) renders the resto. material less
soluble
Technique sensitive regarding mixing and insertion
procedures
Because of its low resistance to wear, it is not
recommended for occlusal areas
Read: Part 3:Composite Restorations (Chapters 11-15)
Sturdevants Art and Science of Operative Dentistry 5 th edition
Thank you