Steps for Direct Posterior Composite Resin Placement

A Simplified Approach for Sustained Success

by Jason Smithson, BDS, DipRestDent RCS (Eng)

taken from the Journal of Cosmetic Dentistry, Vol. 27 Issue 3

Step 1: Isolation

Isolation in quadrants utilizing a clamp and rubber dam

Step 2: Preparation

Removal of old dentistry

Step 2: Preparation

After rendering cavity as caries-free, enamel margins are beveled

Step 2: Preparation

Cavity is etched, and a dentin-bonding agent is placed and polymerized for 30 seconds

Step 2: Preparation

Flowable composite is placed, then polymerized for 40 seconds

Step 3: Bonding

Composite resin is laid out in 2mm x 1mm increments in the light well of a composite heater

Step 3: Bonding

Resin carried to the cavity

Step 3: Bonding

Bend microbrush at desired angle to aid in ergonomics, and used in patting motion to condense resin

Step 4: Resin Build-Up

The dentin mass is modeled on a cusp-by-cusp bases, oblique layering and polymerizing each separate cusp to reduce “C-Factor” stresses

Step 5: Finishing

Enamel tints are applied. The enamel shade composite is built up. Each increment is polymerized for three seconds.

Step 5: Finishing

Initial and Final polishing

Result

Final restoration and esthetic integration

Read more in the Journal of Cosmetic Dentistry by visiting www.aacd.com/jcd