Never before in restorative dentistry, have so many different materials been presented as alternatives for cavity restorations. First introduced as anterior restorative materials, resin composites are being used, more and more, for posterior restorations. Because of the considerable progress in adhesive technology and resin-based materials, the concept of aesthetic dentistry has widely changed. Recently, nanocomposites and the one step bonding were marketed, thus enlarging the dental armamentarium.
A successful composite restoration starts with an adequate selection of the resin-based material. A better understanding of tooth-colour characteristics and morphology, as well as materials composition and selection are of paramount importance to achieve optimal aesthetic restorations. Other factors such as the age of the patient, the size and the location of the cavity must be considered. Bonding technique is the second element conditioning the success of a restoration. The cavity is filled using Incremental or layering technique, combining different shades of resin composites.
The light curing procedure, often forgotten or slightly mentioned, is the third and very important part of a successful direct composite restoration.
Last but not least, the regular maintenance and polishing of resin composite restorations will ensure better aesthetics and longer longevity.
Treatment modalities of composite restorations will be presented through clinical cases highlighting the key steps of recent restoration procedure.