title: A review of polymerization shrinkage stress: current techniques for posterior direct resin restorations.
abstract: In general excellent results cannot be guaranteed when using resin-based composites for posterior restorations. This is due to polymerization shrinkage which can still be regarded as the primary negative characteristic of composite resins. A review of available literature regarding the polymerization process, its flaws, and suggested strategies to avoid shrinkage stress was conducted. Several factors responsible for the polymerization process may negatively affect the integrity of the tooth-restoration complex. There is no straightforward way of handling adhesive restorative materials that can guarantee the reliability of a restoration. At present, the practitioner has to coexist with the problem of polymerization shrinkage and destructive shrinkage stress. However, evolving improvements associated with resin-based composite materials, dental adhesives, filling, and light curing techniques have improved the predictability of such restorations. This critical review paper is meant to be a useful contribution to the recognition and understanding of problems related to polymerization shrinkage and to provide clinicians with the opportunity to improve the quality of composite resin restorations.
authors.affiliation: Department of Dentistry of the University of Florence in Florence, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Giachetti
authors.forename: Daniele
authors.initials: D
authors.lastname: Scaminaci Russo
authors.forename: Claudia
authors.initials: C
authors.lastname: Bambi
authors.forename: Romano
authors.initials: R
authors.lastname: Grandini
mesh_terms: D001641:Bicuspid; D003188:Composite Resins / Q000737:chemistry*; D003736:Dental Cavity Lining; D003737:Dental Cavity Preparation; D018772:Dental Marginal Adaptation; D003793:Dental Restoration, Permanent / Q000379:methods*; D003799:Dental Stress Analysis; D004548:Elasticity; D006244:Hardness; D006801:Humans; D008027:Light; D008963:Molar; D044367:Phase Transition; D013314:Stress, Mechanical
chemical_list: D003188:Composite Resins