Should my composite restorations last forever? Why are they failing?

Abstract Composites resins have become the first choice for direct anterior and posterior restorations. The great popularity is related to their esthetic appearance and reduced need of sound tissue removal as compared with former treatments. Several studies have demonstrated that composite restorati...

Full description

Bibliographic Details
Main Authors: Flávio Fernando DEMARCO, Kauê COLLARES, Marcos Britto CORREA, Maximiliano Sergio CENCI, Rafael Ratto de MORAES, Niek Johannes OPDAM
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2017-08-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000500201&lng=en&tlng=en
_version_ 1818752933011914752
author Flávio Fernando DEMARCO
Kauê COLLARES
Marcos Britto CORREA
Maximiliano Sergio CENCI
Rafael Ratto de MORAES
Niek Johannes OPDAM
author_facet Flávio Fernando DEMARCO
Kauê COLLARES
Marcos Britto CORREA
Maximiliano Sergio CENCI
Rafael Ratto de MORAES
Niek Johannes OPDAM
author_sort Flávio Fernando DEMARCO
collection DOAJ
description Abstract Composites resins have become the first choice for direct anterior and posterior restorations. The great popularity is related to their esthetic appearance and reduced need of sound tissue removal as compared with former treatments. Several studies have demonstrated that composite restorations may last long in clinical service. In this review we discuss the factors playing a role on the long-term longevity. Composite restorations have demonstrated a good clinical performance with annual failure rates varying from 1% to 3% in posterior teeth and 1% to 5% in anterior teeth. Factors related to the patients such as caries risk and occlusal stress risk, in addition to socioeconomic factors, may affect the survival significantly. Characteristics of the clinical operators, particularly their decision making when it comes to observing or approaching an existing restoration, are decisive for longevity. Cavity features such as the number of restored walls, composite volume, and presence of endodontic treatment are of major importance and may dictate the service time of the restorative approach. The choice of restorative composite seems to have a minor effect on longevity provided that appropriate technical procedures are used. The main reasons for failure in posterior teeth are secondary caries and fracture (restoration or tooth/restoration), while in anterior teeth esthetic concerns are the main reasons leading to restoration failures. Composite resin restorations can be considered a reliable treatment as long as both the professional and the patient are aware of the factors involved in restoration failures.
first_indexed 2024-12-18T04:59:20Z
format Article
id doaj.art-ed60ea2cc85247c3923fbdb678ebe603
institution Directory Open Access Journal
issn 1807-3107
language English
last_indexed 2024-12-18T04:59:20Z
publishDate 2017-08-01
publisher Sociedade Brasileira de Pesquisa Odontológica
record_format Article
series Brazilian Oral Research
spelling doaj.art-ed60ea2cc85247c3923fbdb678ebe6032022-12-21T21:20:11ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072017-08-0131suppl 110.1590/1807-3107bor-2017.vol31.0056S1806-83242017000500201Should my composite restorations last forever? Why are they failing?Flávio Fernando DEMARCOKauê COLLARESMarcos Britto CORREAMaximiliano Sergio CENCIRafael Ratto de MORAESNiek Johannes OPDAMAbstract Composites resins have become the first choice for direct anterior and posterior restorations. The great popularity is related to their esthetic appearance and reduced need of sound tissue removal as compared with former treatments. Several studies have demonstrated that composite restorations may last long in clinical service. In this review we discuss the factors playing a role on the long-term longevity. Composite restorations have demonstrated a good clinical performance with annual failure rates varying from 1% to 3% in posterior teeth and 1% to 5% in anterior teeth. Factors related to the patients such as caries risk and occlusal stress risk, in addition to socioeconomic factors, may affect the survival significantly. Characteristics of the clinical operators, particularly their decision making when it comes to observing or approaching an existing restoration, are decisive for longevity. Cavity features such as the number of restored walls, composite volume, and presence of endodontic treatment are of major importance and may dictate the service time of the restorative approach. The choice of restorative composite seems to have a minor effect on longevity provided that appropriate technical procedures are used. The main reasons for failure in posterior teeth are secondary caries and fracture (restoration or tooth/restoration), while in anterior teeth esthetic concerns are the main reasons leading to restoration failures. Composite resin restorations can be considered a reliable treatment as long as both the professional and the patient are aware of the factors involved in restoration failures.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000500201&lng=en&tlng=enClinical StudyLongevityComposite ResinsDental Restoration
spellingShingle Flávio Fernando DEMARCO
Kauê COLLARES
Marcos Britto CORREA
Maximiliano Sergio CENCI
Rafael Ratto de MORAES
Niek Johannes OPDAM
Should my composite restorations last forever? Why are they failing?
Brazilian Oral Research
Clinical Study
Longevity
Composite Resins
Dental Restoration
title Should my composite restorations last forever? Why are they failing?
title_full Should my composite restorations last forever? Why are they failing?
title_fullStr Should my composite restorations last forever? Why are they failing?
title_full_unstemmed Should my composite restorations last forever? Why are they failing?
title_short Should my composite restorations last forever? Why are they failing?
title_sort should my composite restorations last forever why are they failing
topic Clinical Study
Longevity
Composite Resins
Dental Restoration
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000500201&lng=en&tlng=en
work_keys_str_mv AT flaviofernandodemarco shouldmycompositerestorationslastforeverwhyaretheyfailing
AT kauecollares shouldmycompositerestorationslastforeverwhyaretheyfailing
AT marcosbrittocorrea shouldmycompositerestorationslastforeverwhyaretheyfailing
AT maximilianosergiocenci shouldmycompositerestorationslastforeverwhyaretheyfailing
AT rafaelrattodemoraes shouldmycompositerestorationslastforeverwhyaretheyfailing
AT niekjohannesopdam shouldmycompositerestorationslastforeverwhyaretheyfailing