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Quintessence International
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Quintessence Int 44 (2013), No. 6     24. Apr. 2013
Quintessence Int 44 (2013), No. 6  (24.04.2013)

Page 385-391, doi:10.3290/j.qi.a29509, PubMed:23534051


Conservative approach to restore the first molar with extensive destruction: A 30-month follow-up
Mondelli, Rafael Francisco Lia / Azevedo, Larissa Marinho / Silva, Luciana Mendonça da / Garrido, Ana Miriam / Ishikiriama, Sérgio Kiyoshi / Mondelli, José
The available options for restoring multiple surface cavities are: amalgam, composite resin, or indirect restorations. Adhesive system and intradentinal pin-retained composite resin restorations should have a similar performance to pin-retained amalgam, regarding resistance to support occlusal forces. Polymerization shrinkage is a major concern when performing direct posterior composite resin restorations and the incremental insertion technique can provide less stress and outstanding margin behavior. Intradentinal pins can potentially enhance composite resin's retention, while reducing gaps caused by polymerization shrinkage. This article reports a clinical case involving an extensive restoration on a posterior tooth with cusp loss that was successfully treated using an intradentinal pin and direct nano-hybrid composite resin restoration.

Keywords: composite resins, dental restoration, dental pins