When I graduated in 1990, the use of composite for direct restorations was mainly reserved for teeth in the aesthetic sectors, while the use of silver amalgam was still recommended for the posterior sectors. It was customary to communicate to the patient that direct composite restorations could also be performed in the posterior sectors, warning him that the duration would not be comparable with an amalgam restoration. The reason for this behavior was obviously given by the lack of materials that guaranteed a lasting adhesive bond and that guaranteed a degree of wear similar to that of enamel. Even in the anterior sectors where the composites were the masters, the materials offered a limited chromatic choice and even the most performing products offered a maximum of 4 shades of dentin and one or two enamels. The search for operating instructions for products of the time is somewhat amusing when you read that the application of orthophosphoric acid to dentin was not recommended to avoid issues with the pulp organ.
Today finally there are composites on the market that wisely used faithfully reproduce the chromaticity of natural teeth and have a wear resistance very similar to enamel. For a few years, technology has moved forward, leaving the chromatic and resistance qualities unaltered and replacing the monomers of the past with totally biocompatible molecules. These products are the panacea for those who have developed over the years the skills suitable for knowing how to replicate the morphologies of both the anterior and posterior sectors because they allow the clinician to be able to create artifacts that truly “disappear” inside the mouth.
I show with total satisfaction a series of direct restorations made with the Micerium HRI, HFO and BioFunction composites, both in the paste forms and in the flowable forms.
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