Esthetic and functional integration with direct composite restorations
Direct composite restorations can be a great solution to restore aesthetics and function in the anterior area. The increased use of direct composite restorations can be mainly attributed to patient demand for esthetic restorations in a very short time and the availability of composites with high strength and excellent esthetics offered by the dental companies. The esthetic characteristics of composite materials should always be associated with the functional requirements of strength and morphologic stability, biocompatibility with the surrounding tooth structure and the ability to adhere to the tooth surface for a long time.
In dental clinical practice not all patients present indications for ceramic reconstructions, because of different reasons: final outcome, patient conditions, patient chief complaint, time, costs, etc.
Using composite to restore teeth in the anterior region provides patients with quick aesthetic results, and the possibility to have a long term mock-up for esthetic and functional reasons, and also less expensive treatment; for the dentist, composite is a good tool for communication with the patient, functional test of the restorations and also few hours work.
Composite reconstructions still could be a very good option to reconstruct the aesthetics and function in the anterior region in a very short time and with a lower budget for the patient. Also in some particular cases these kind of reconstructions could be a long term mock-ups, with the purpose to analyze the esthetic and function integration for a future ceramic reconstruction.
Manauta J, Salat A. Layers, An atlas of composite resin stratification. Quintessence Books, 2012.
Devoto W, Saracinelli M, Manauta J. Composite in everyday practice: how to choose the right material and simplify application techniques in anterior teeth. EJED 2010, vol.5, No.1, 102124.
Rondoni D. The course of time in dental morphology. Int Dent S Afr Australas Ed 2006; 1(2): 7681.
Devoto W, D. Pansecchi. Composite restorations in the anterior sector: Clinical and aesthetic performances PPAD 2007, 19 (8): 465-470.