Restoring the interproximal zone using the proximal adaptation technique--Part 2.
In this era of modern adhesive dentistry, clinicians are still faced with challenges from microleakage, recurrent decay, and sensitivity. Many of the challenges are a result of using yesterday's restorative techniques and principles with the new formulations of biomaterials. Procedures such as the proximal adaptation and the oblique layering techniques offer modifications to the nonadhesive principles discussed in Part I (The Compendium, December 2004), while providing the patient and clinician with the 3 primary objectives of restorative dentistry: prevention, preservation, and conservation. Using stratification techniques and thorough adhesive protocol as illustrated in this article allows clinicians to provide restorations that have improved physical characteristics while reducing the effects of polymerization shrinkage. Other benefits of these adhesive procedures include enhanced chromatic integration, ideal anatomical form and function, optimal proximal contact, improved marginal integrity, and longer lasting directly placed composite restorations.
Terry
Douglas A
DA
University of Texas Health Science Center, Dental Branch, Houston, Texas, USA.
D000328:Adult; D001641:Bicuspid / Q000473:pathology; D003116:Color; D003188:Composite Resins / Q000737:chemistry*; D001840:Dental Bonding / Q000379:methods; D003731:Dental Caries / Q000517:prevention & control; D003736:Dental Cavity Lining; D003737:Dental Cavity Preparation / Q000379:methods; D003743:Dental Enamel / Q000473:pathology; D003763:Dental Leakage / Q000517:prevention & control; D018772:Dental Marginal Adaptation; D003775:Dental Polishing / Q000379:methods; D003793:Dental Restoration, Permanent / Q000379:methods*; D003804:Dentin / Q000473:pathology; D003807:Dentin Sensitivity / Q000517:prevention & control; D006801:Humans; D008297:Male; D011108:Polymers / Q000737:chemistry; D013499:Surface Properties
D003188:Composite Resins; D011108:Polymers