State of the Art in Posterior Restorative Dentistry
The restorative procedures of posterior areas are the most frequent in our daily practice. Despite the fact that composites are used in posteriors since more than twenty years, there’s still a lot of confusion about when to choose a direct technique or an indirect one, and when to do surgery or not. At the same time, indeed, when restoring we must have a perfect isolation, that means that we do not have to select shortcuts: when surgery it’s mandatory, we have to perform it, to obtain a proper isolation, good impressions, and a perfect sealing. This Article clarifies how and when to chose a direct approach or an indirect one, depending on the clinical indications.
A modern restorative approach of the posterior teeth, that uses direct techiques as a first choice, and partial restorations (not crowns) in endo treated teeth, with the full respect and preservation of the remaning sound dental tissues and the periodontal ones, allows us to obtain ideal results, from a morphological-functional and biological point of view, which can be predictable and long lasting in time.
I want to thank my partner, team mate and brother Dr. Paolo Marchetti, for the endo and perio therapies and Sebastiano Nardo for the lab work.
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