Direct Restorations: Posterior Composite
Three techniques for incremental placement of composite
Posterior composite is usually placed in increments. There are a number of ways of doing incremental placement: three are shown here.
Before and after: click to magnify
The treatment shown in the slide-show below was not clinically necessary: it was carried out at the patient’s request after a full discussion of risks/benefits, so that fully informed consent was obtained.
The composite used here was Majesty Esthetic (from J&S Davis if you are in the UK).
Why is it important to control the shape of the restoration before setting the composite with a curing lamp?
Finishing with rotary instruments is undesirable on a freshly set posterior composite: the vibration can cause fractures to appear in the highly stressed composite, or at the interface between restoration and tooth.
What records should you make regarding consent for a cosmetic procedure?
The consent should be "fully informed". This means that the risks and benefits are both explained and understood. To reduce the possibility of litigation, it is advisable for the discussion to be recorded, and have the patient sign it as read and understood.
It is not enough just to record that the patient verbally agreed to the procedure.
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