* denotes required field

Your Name: *

FIRST NAME

 LAST NAME

Gender: *

Personal Email: *

This will be your username

Password: *

Display Name: *

This will be what others see in social areas of the site.

Address: *

STREET ADDRESS (LINE 1) *

 

STREET ADDRESS (LINE 2)

 

CITY *

STATE *

ZIP *

 

 

Phone Number:

School/University: *

Graduation Date: *

Date of Birth: *

ASDA Membership No:



ABOUT SSL CERTIFICATES

Username

 

Password

Hi returning User! please login with Facebook credentials where Facebook Username is same as THENEXTDDS Username.

Username

 

Password

 
Podcast Image
Podcast
Comments (0)

Stress-Reducing Protocol for Direct Composite Restorations in Minimally Invasive Cavity Preparations

The concept of maximum dental tissue preservation is a fundamental of minimally invasive dentistry (MID). Along with caries management by caries risk assessment, MID uses adhesive techniques to preserve existing sound tooth structure, thus the need for endodontic treatment and/or full-coverage crowns is siginficantly reduced. This podcast presents a technique for composite resin restorations, with the ultimate goal of reducing polymerization shrinkage stress. When the stresses of polymerization are minimized and the adhesive bonds are maximized, the composite resin restorations may better seal direct composite restorations.

*Adjunct Assistant Professor, Tufts University School of Dental Medicine, Boston, MA; Private practice, Caligari Italy

 

Learning Objectives:

This podcast describes a direct technique for limiting polymerization stresses in posterior composite resin restorations. Upon completing this podcast, the listener should:

  • Understand the role of the C-factor on polymerization stresses and techniques to address its influence on restoration success.
  • Recognize the importance of conservative cavity preparation in minimally invasive dentistry.

 

Related Reading:

  1. Fusayama T. New Concepts in Operative Dentistry: Differentiating Two Layers of Carious Dentin and Using an AdhesiveResin.Chicago, IL: Quintessense Publishing; 1981.
  2. Fusayama T. A Simple Pain-Free Adhesive RestorativeSystemby Minimal Reduction and Tokyo, Japan: Ishiyaku EuroAmerica, Inc.; 1993.
  3. Boston D, Sauble J. Evaluation of laser fluorescence for differentiating caries dye-stainable versus caries dye-unstainable dentin in carious lesions. Am J Dent 2005;18(6):351-354.
  4. Summit J, Hilton T, Robbins W, Schwartz R. Fundamentals of Operative Dentistry, 3rd ed. Chicago, IL: Quintessense Publishing; 2006:515-518.
  5. Kemp-Scholte CM, Davidson CL. Complete marginal seal of Class V resin composite restorations effected by increased flexibility. J Dent Res 1990:69(6):1240-1243.
  6. Davidson CL, de Gee AJ, Feilzer A. The competition between the composite-dentin bond strength and the polymeriztion contraction stress. J Dent Res 1984:63(12):1396-1399.
  7. Feilzer AJ, de Gee AJ, Davidson CL. Setting stress in composite resin in relation to configuration of the restoration. J Dent Res 1987:66(11):1636-1639.
  8. De Munck J. An in vitro and in vivo study on the durability of biomaterial-tooth bonds. PhD diss. Belgium: Catholic Univ. of Leuven; 2004.
  9. Nikaido T, Kunzelmann KH, Chen H, et al . Evaluation of thermal cycling and mechanical loading on bond strength of a self-etching primer system to dentin. Dent Mater 2002;18(3):269-275.
  10. Davidson CL, de Gee AJ. Relaxation of polymerization contraction stresses by flow in dental composites. J Dent Res 1984;63(2):146-148.
  11. Bertolotti RL. Posterior composite technique utilizing directed polymerisation shrinkage and a novel matrix. Pract Periodont Aesthet Dent 1991;3(4):53-58.
  12. Dietschi D, Spreafico R. Adhesive Metal Free Restorations. Chicago, IL: Quintessense Publishing; 1997:121-137.
  13. Magne P. Immediate dentin sealing: A fundamental procedure for indirect bonded restorations. J Esthet Restor Dent 2005;17(3):144-154.
  14. Magne P, Kim TH, Cascione D, Donovan TE. Immediate dentin sealing improves bond strength of indirect restorations. J Prosthet Dent 2005;94(6):511-519.
  15. Deliperi S, Bardwell DN. An alternative method to reduce polymerization shrinkage in direct posterior composite restorations. J Am Dent Assoc 2002;133(10):1387-1398.
  16. Magne P. Composite resins and bonded porcelain: The postamalgam era? J Calif Dent Assoc 2006;34(2):135-147.
  17. White JM, Eakle WS. Rationale and treatment approach in minimally invasive dentistry. J Am Dent Assoc 2000;131(Suppl):13S-19S.
  18. Magne P, Magne M, Belser U.
  19. Vailati F, Belser U. Full-mouth adhesive rehabilitation of a severely eroded dentition: The three-step technique. Part III. Eur J Esthet Dent 2008;3:236-257.
  20. Petersson GH. Assessing caries risk: The cariogram model. In: Minimally Invasive Dentistry. Chicago, IL: Quintessence Publishing; 2007:47-60.
  21. Ardu S. Minimally invasive dentistry: A treatment philosophy. Pract Proced Aesthet Dent 2008;20(7):426-427.
  22. Deliperi S, Bardwell DN. Clinical evaluation of direct cuspal coverage direct posterior composite resin restorations. J Esthet Restor Dent2006;18(5):256–267.
  23. Deliperi S. Clinical evaluation of non-vital tooth whitening and composite resin restorations: Five-year results. Eur J Esthet Dent 2008;3(2):148-159.
  24. Strand GV, Tveit AB, Eide GE . Cavity design and dimensions of tunnel preparations versus composite resin Class-II preparations. Acta Odontol Scand1995;53(4):217–221.
  25. Roeters J, Opdam N. Restoration in clinical service. Performance and maintanace. In Minimally Invasive Dentistry. Chicago, IL: Quintessence Publishing; 2007:137-142.
  26. Deliperi S. Modified matrix band design for ultra-conservative posterior restorations. Oper Dent2008;33(3):356-360.
  27. Ferracane JL. Buonocore Lecture. Placing dental composites—A stressful experience. Oper Dent 2008;33(3):247-257.
  28. Peutzfeldt A, Asmussen E. Resin composite properties and energy density of light cure. J Dent Res 2005;84(7):659-662.
  29. Miyazaki M, Oshida Y, Moore BK, Onose H. Effect of light exposure on fracture toughness and flexural strength of light-cured composites. Dent Mater 1996:12(6):328-332.
  30. Sakaguchi RL, Berge HX. Reduced light energy density decreases post-gel contraction while maintaining degree of conversion in composites. J Dent 1998;26(8):695-700.
  31. Braga RR, Hilton TJ, Ferracane JL. Contraction stress of flowable composite materials and their efficacy as stress-relieving layers. J Am Dent Assoc. 2003;134(6):721-728.
  32. Cunha LG, Alonso RC, Sobrinho LC, Sinhoreti MA. Effect of resin liners and photoactivation methods on the shrinkage stress of a resin composite. J Esthet Restor Dent. 2006;18(1):29-36.
Sorry, your current access level does not permit you to view this page.