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    How to create more esthetic restorations

    When it comes to restorations, post-op sensitivity and restoration longevity are important. Here's how to manage both.

    Placing direct restoratives on patients is a very common procedure in most general dental practices. While esthetics are important when utilizing composite restoratives, practitioners are also concerned about post-op sensitivity and longevity of the restorations. 

    Dentists can review the results of their techniques in radiographs taken at recare appointments and consult with patients about post-op sensitivity and esthetic results. Dentists can use techniques to improve the Class II posterior direct composite procedure. While many of us received minimal training in dental school on clinical placement of posterior composite restorations, it’s important to keep current on improved restorative materials and treatment modalities to ensure more consistent results.

    Fig. 1Fig. 1Fig. 2Fig. 2






    A 50-year-old female patient presented for replacement of a fracture and decay in an existing composite restoration (Figs. 1-2). While crowns or onlays would be the typical treatment of choice in our office, the patient will need to put off receiving indirect restorations for a couple years. It was decided that due to the depth of the existing restorations and the recurrent caries present, it would be wisest to perform caries control for the teeth.

    Click through to see how this practitioner created great-looking restorations

    Jason Olitsky, DMD, AAACD
    Jason Olitsky, DMD, AAACD, a 2001 graduate of Temple University School of Dentistry, is past president of the Florida Academy of ...


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