PDF: Simplified protocol for adjacent Class II direct resin restorations

Bioactive direct composite resin materials like the next generation high strength injectables and low shrinkage packable composites, when used with advanced matrix systems, provide clinicians with an opportunity to adopt a minimally invasive patient-centric treatment approach while preserving sound tooth structure.

Material selection is an important step in treatment planning for posterior restorations.

The use of bioactive composites under strict isolation with rubber dam helps to achieve aesthetics and function with long-term clinical success while minimising the risk of secondary caries. 

Clinicians often find it challenging to restore multiple posterior teeth with direct resin in an efficient and predictable manner. 

The key to success lies in achieving a well-sealed restoration with good contact and contours.

Therefore, restoration of interproximal areas on posterior teeth requires stringent preoperative evaluation of tooth & defect size, location of contact & tightness, adjacent tooth position & contours and gingival location. 

This article aims to provide a simple and predictable protocol when dealing with adjacent Class II direct resin restorations in routine clinical practice. 

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