Clinical considerations in the application of direct composite for tooth wear (2024)

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Abstract Key points Access options Additional access options: Similar content being viewed by others Indications for the use of direct composite restorations in the management of tooth wear Dental adhesion with resin composites: a review and clinical tips for best practice Developments in resin-based composites References Author information Authors and Affiliations Contributions Corresponding author Ethics declarations Rights and permissions About this article Cite this article
  • Clinical
  • Published:
  • Amin Aminian1,
  • A. Johanna Leven2 &
  • Martin P. Ashley2

British Dental Journal volume234,pages 400–405 (2023)Cite this article

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Abstract

Various techniques are available for the application of composite to restore worn teeth. Different techniques may be chosen based on the clinical presentation or clinician preference. However, for composite to be successful, there are numerous factors which must be considered in order to optimise the outcome. Pre-treatment steps, such as isolation for optimal moisture control and adequate surface preparation of the tooth, as well as the post build-up objectives of achieving a stable occlusion, good marginal adaptation and final aesthetics, are discussed in the paper.

Key points

  • Composite can be used to restore teeth using the free-hand technique, free-hand technique with a palatal stent, or full coverage matrix techniques. Each method has advantages and disadvantages which are discussed.

  • Optimal surface preparation of the teeth for restoration, adequate isolation to ensure good moisture control, sufficient thickness of composite and a stable occlusion post restoration are key considerations to successful composite restorations.

  • Multiple appointments are generally required in the restoration of tooth wear patients when using composite. Having consecutive appointments allows the clinician sufficient time to ensure restorations are well-contoured and polished to optimise the aesthetics but also review the occlusal scheme and make necessary adjustments.

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Clinical considerations in the application of direct composite for tooth wear (1)
Clinical considerations in the application of direct composite for tooth wear (2)
Clinical considerations in the application of direct composite for tooth wear (3)
Clinical considerations in the application of direct composite for tooth wear (4)
Clinical considerations in the application of direct composite for tooth wear (5)
Clinical considerations in the application of direct composite for tooth wear (6)
Clinical considerations in the application of direct composite for tooth wear (7)

Similar content being viewed by others

Clinical considerations in the application of direct composite for tooth wear (8)

Indications for the use of direct composite restorations in the management of tooth wear

Article 24 March 2023

Clinical considerations in the application of direct composite for tooth wear (9)

Dental adhesion with resin composites: a review and clinical tips for best practice

Article 13 May 2022

Clinical considerations in the application of direct composite for tooth wear (10)

Developments in resin-based composites

Article Open access 13 May 2022

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Authors and Affiliations

  1. Private Practice, Clinic 334, Wilmslow, UK

    Amin Aminian

  2. Manchester University NHS Foundation Trust, Manchester, UK

    A. Johanna Leven&Martin P. Ashley

Authors

  1. Amin Aminian

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  2. A. Johanna Leven

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Contributions

Amin Aminian is the main author, with support and contribution from A. Johanna Leven and Martin Ashley. All three authors contributed to the concept, the design, the writing and the editing.

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Correspondence to Amin Aminian.

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The authors declare that there are no conflicts of interest.

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Clinical considerations in the application of direct composite for tooth wear (11)

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Aminian, A., Leven, A. & Ashley, M. Clinical considerations in the application of direct composite for tooth wear. Br Dent J 234, 400–405 (2023). https://doi.org/10.1038/s41415-023-5675-2

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Clinical considerations in the application of direct composite for tooth wear (2024)
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