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Seventeen years of using flowable resin restoratives – a dental practitioner's personal clinical review

From Volume 42, Issue 3, April 2015 | Pages 261-268

Authors

Markus Th Firla

DMD (Dr med dent)

General Dental Practitioner, Private and Statutory Insurance Services Practice, Hauptstrasse 55, D-49205 Hasbergen-Gaste, Germany

Articles by Markus Th Firla

Abstract

Seen through the author's eyes on the basis of his practising dentistry for almost three decades, light-activated flowable resin restoratives (FRCs) or, in common clinical dental terminology, flowable composites have gradually gained major importance in restorative dentistry. Inputs to this ongoing trend are coming from continuous improvements in material properties and the favourable handling characteristics experienced with this particular group of restoratives.

Intended to be used in direct adhesive filling procedures, the number and variety of recent generations of flowable composites for lining, restoration of all cavity classes (I–V), core build-ups and, more recently, ‘bulk-fill-restorations’, however, necessitates a profound clinical understanding of the selective use of flowable composites to ensure clinical success and guarantee long-term high quality results.

Clinical Relevance: Today's flowable composites allow for reliable restoration of all kinds of defects. However, both the handling characteristics and the material properties of FRCs must be fully understood before taking advantage of their potentially excellent clinical performance.

Article

Light-cured flowable resin restoratives for direct adhesive restorations, more commonly known as ‘flowable composites’, have grown into a substantial group of products for professional use in dental practices.1 All major manufacturers in the global dental market who market conventional ‘paste-like’ RBC restoratives also offer one or more less viscous ‘runny versions’ of their regular, more viscous, composites, reflecting the market demand for such products2,3 (Figures 14).

This phenomenon manifests in one of the most prolific commercial print and online rating media of dental products, the Houston/USA-based REALITY – the information source for esthetic dentistry whose ‘2003 Volume’ included 32 pages focusing on ‘Flowable Composites/Compomers’. The recent ‘2012 Volume’, published in 2013, devotes 83 pages to cover the subject ‘Flowable Composites’. The text now groups flowable composites more specifically into ‘Dual-Cured/Self-Cured’, ‘Light-Cured – Conventional’ and ‘Light-cured – Low Stress’ categories. The final subsection discusses the recently developed, so-called ‘Bulk-Fill’ FRC restoratives.4,5

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