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References

Bevenius J, Evans S, L'Estrange P. Conservative management of erosion-abrasion. A system for the general practitioner. Aust Dent J. 1994; 39:4-10
Mehta SB, Banerji S, Millar BJ, Suarez-Fieto JM. Current concepts in tooth wear management. Part 4 An overview of the restorative techniques and materials commonly applied for management of tooth wear. Br Dent J. 2012; 212:169-177
Bowen RL. Properties of a silica-reinforced polymer for dental restorations. J Am Dent Assoc. 1963; 66:57-64
Glenn JF. Composition and properties of unfilled and composite resin restorative materials, 10th edn. In: Smith DC, Williams DF (eds). Boca Raton (FL): CRC Press; 1982
Craig RG. Chemistry, composition, and properties of composite resins. Dent Clin N Am. 1981; 25:219-239
Ferracane JL. Resin composite – state of the art. Dent Mater J. 2011; 27:29-38
Mitra SB, Wu D, Holmes BN. An application of nanotechnology in advanced dental materials. J Am Dent Assoc. 2003; 134:1382-1390
Hemmings K, Darbar U, Vaughan S. Toothwear treated with direct resin composite at an increased vertical dimension, results at 30 months. J Prosthet Dent. 2000; 83:287-293
Redman C, Hemmings K, Good J. The survival and clinical performance of resin based restorations used to treat localised anterior tooth wear. Br Dent J. 2003; 194:566-572
da Costa TR, Serrano AM, Atman AP, Loguercio AD, Reis A. Durability of composite repair using different surface treatments. J Dent. 2012; 40:513-521
Welbury R. A clinical study of microfilled composite resin for labial veneers. Int J Paed Dent. 1991; 1:9-15
Poyser N, Porter R, Briggs P, Kelleher M. Demolition experts: management of the parafunctional patient: 2. Restorative management strategies. Dent Update. 2007; 34:262-268
Gulamali AB, Hemmings KW, Tredwin CJ, Petrie A. Survival analysis of composite Dahl restorations provided to manage localised anterior tooth wear (ten year follow-up). Br Dent J. 2011; 211
Al-Khayatt AS, Ray-Chaudhuri A, Poyser NJ, Briggs PF, Porter RW, Kelleher MG, Eliyas S. Direct composite restorations for the worn mandibular anterior dentition: a 7-year follow-up of a prospective randomised controlled split- mouth clinical trial. J Oral Rehab. 2013; 40:389-401
Milosevic A, Burnside G. The survival of direct composite restorations in the management of severe tooth wear including attrition and erosion: a prospective 8-year study. J Dent. 2016; 44:13-19
Knight JS, Fraughn R, Norrington D. Effect of temperature on the flow properties of resin composite. Gen Dent. 2006; 54:14-16
Wagner WC, Aksu MN, Neme AL, Linger JB, Pink EE, Walker S. Effect of pre-heating resin composite on restoration microleakage. Oper Dent. 2008; 33:72-78
Lohbauer U, Zinelis S, Rahiotis C, Petschelt A, Eliades G. The effect of resin composite pre-heating on monomer conversion and polymerisation shrinkage. Dent Mater J. 2009; 25:514-519
Daronch M, Rueggeberg FA, De Goes MF. Monomer conversion of pre-heated composite. J Dent Restor. 2005; 84:663-667
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Composite Build-Ups: a Review of Current Techniques in Restorative Dentistry

From Volume 47, Issue 3, March 2020 | Pages 186-198

Authors

Surina Bhola

BDS(Hons), MFDS RCPSG, PgCert(DentEd)

Dental Core Trainee in Restorative Dentistry, Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK

Articles by Surina Bhola

Dean Barker

BDS, DDS, FDS RCSEd, FDS(Rest Dent) RCSEd, FDTFEd

Consultant and Honorary Clinical Senior Lecturer in Restorative Dentistry, University of Aberdeen Dental School and Hospital, Cornhill Road, Aberdeen AB31 6NL, UK

Articles by Dean Barker

Abstract

Composite build-ups are a widely used technique in Restorative Dentistry, typically for tooth wear cases. A patient who requires dental rehabilitation may have composite build-ups on anterior teeth in order to increase vertical dimension, improve appearance, and provide protection to their remaining teeth. This paper reviews the most commonly used methods to increase predictability of treatment, including their ease of use and to improve the aesthetic outcomes.

CPD/Clinical Relevance: This article is clinically relevant in educating clinicians in the different methods of predictable composite build-ups for tooth wear cases.

Article

Composite build-ups are a widely used technique for the restoration of worn teeth, first described by Bevenius et al.1 Multiple composite build-ups can be a useful, minimally invasive technique for patients with complex treatment needs. Composite restorations can also be used as a diagnostic tool to assess how patients would respond to an increased vertical dimension, as they can be added to and removed, causing minimal damage to the underlying tooth structure. Composite restorations are also cost-effective and minimally abrasive to opposing tooth surfaces.2 Although indirect restorations are also a valid option in the management of worn teeth, they will not be the primary focus of this paper, as they are substantially more invasive, but a case using indirect restorations has been described later in this article.

Resin composite materials have been around since the 1960s, ever since the introduction of the bis-GMA monomer in 1962 by Bowen.3 Following on from Bowen, pioneers such as Chang (1969) and Lee (1970)4 developed composite materials in a paste/liquid form. It was not until the late 70s that a distinct photopolymerized system was available.5

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