Ain't Composite Grand?

Sometimes composite additions to teeth are the way to go. These can be relatively simple to achieve and can be done in a no prep and additive way. Usually I perform a mock up dress rehearsal prior to taking the time to make a "functional" bonded change for someones smile. If I can mock it up and make it look good , then chances are really excellent that I can achieve a real bonded change that my patient and I will like.  Bonding can be used to disguise a myriad of tooth problems, including "black holes", worn teeth, hide white or brown spots and repair erosions into dentin.

Composites often blend well with the color of an existing tooth, so that less tooth structure needs to be removed to achieve an esthetic result as compared to porcelain or lithium disilicates. Often all that is needed is a short bevel and intact enamel to bond to for them to be successful.

Repairs are usually long lasting especially when patients have good hygiene and the additions are not placed in spots that are stressed by occlusion. In my experience bonded composite restorations are as long lasting as bonded porcelain restorations and usually are less costly. They do have some potential drawbacks. Composite tends to experience some wear over time and can become discolored when a patient has poor plaque control. Also, depending on the occlusion, composite can chip or shear off and need occasional repairs.








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