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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

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