Direct composite posterior restorations with stress reduced and fiber reinforcement techniques

– What happens to the composite restoration with time?

– Risk assessment and diagnostic:

- Cracks

- Axial loads

- Reduced cuspal tensile movement 

- Vertical fracture risk.

– Techniques to maximize bond strength: 

- Immediate Dentine Sealing (IDS) 

- Resin coating

- Deep Margin Elevation

- Gold standard adhesive

- Air particle abrasion

- Peripheral Seal Zone (PSZ)

- Matrix metalloproteinases (MMPs).

– Decoupling with Time

– Direct reconstruction of structurally compromised teeth 

– Reduction of the micromovement

– Dentin replacement: how to mimic this tissue

– The stress reduced direct composite concept

– Adhesive optimization and stress control

– Special fiber reinforcement biomaterials

– Wallpapering technique

– Instruments and materials for direct restorations (class I and II)

– 2 step approach for subgingival restorations

– Sequenced bands technique

– Double ring technique

– Clinical cases.

Recommended for: Pediatric dentists, Restorative dentists, General dentists.