COMPOSITE
R E S T O RAT I O N
DEPARTMENT OF CONSERVATIVE AND ENDODONTICS
PRESENTED BY : GANESH BIKRAM SHAH (19TH BATCH BDS)
CONTENTS
Steps of Composite restoration
Isolation
Cavity Preparation
Cleaning
Etching and Conditioning
Washing and Drying
Bonding
Curing
Incremental Buildup and Curing of
Composite
Finishing and Polishing
Post-operative Instructions
I S O L AT I O N
Composite resins are highly technique sensitive.
Isolation is achieved with the help of rubber dam or cotton rolls.
It avoid the contamination of composite from saliva, gingival fluid or
blood.
C AV I T Y P R E PA RAT I O N
The Cavity is prepared and margins beveled.
The Cavity is prepared to the extension of
the caries.
CLEANING
Cleaning of the cavity is done with cavity cleaners.
Most commonly used cavity cleaners is
Chlorhexidine gluconate.
They are bactericidal/bacteriostatic,
biocompatible and easy to acquire and
handle.
Cleaning of the cavity is done for 60
seconds.
ETCHING AND CONDITIONING
Remove the smear layer and demineralize the tissues.
Most common etchant used for enamel etch is 37% Phosphoric acid.
Etchants are found in two forms :
Li
Ge
qu
l
id
CONTD..
Various acid are supplied with various adhesive systems :
Citric acid
Maleic acid
Nitric acid
Phosphoric acid
Polyacrylic acid
Etching time : 15-30 Seconds
60 Seconds (Deciduous Teeth)
Conditioning is usually done in dentin with 10% Polyacrylic acid.
WASHING AND DRYING
The acid is rinsed off for 5-10 seconds and the area is dried thoroughly.
Washing is performed with triple syringe.
BONDING
An enamel or dentin bond agent is applied and polymerized.
Bonding agents are unfilled resins that flow into the micro
channels and form an interlocking system.
Bonding agents are available in Liquid form.
Bonding agent is applied with the help of small brush.
CURING
Curing is done after the application of bonding agent.
It is usually done for 20 seconds.
Incremental Buildup and Curing of
Composite
Fill the cavity with composite restoration in increments.
Cure for 40-45 seconds after each incremental
placement of composite.
Curing is done with the help of light cure.
FINISHING AND POLISHING
Refined finishing may be needed especially when occlusion adjustment
are necessary.
The occlusal surface is shaped with a round or oval carbide finishing
bur or similarly shaped finishing diamond.
CONTD..
The marginal ridge is contoured with the help of tungsten carbide
finishing bur.
Polishing is accomplished with appropriate polishing cups, points, or
both after the occlusion is adjusted as necessary.
P O S T- R E S T O RAT I V E
INSTRUCTIONS
General consideration for fillings :
Not to chew hard things for 24 hours.
Not to eat for at least 15 minutes after
treatment.
If any leakage, sensitivity, dislodgement,
pain, swelling, discomfort etc. inform
Dentist.
Proper and Regular brushing and oral
hygiene maintenance.
CONTD..
Composite Restoration :
Not to chew pan, gutkha, cigarette which
can stain the teeth.
Not to drink staining products such as tea,
coffee on that day.
T H A N K YO U ! ! !
