Ausarbeitung und Politur von Kompositrestaurationen

Einleitung

Der vorliegende Artikel präsentiert eine Übersicht über den aktuellen Stand der Feinkorrektur, Ausarbeitung, Finierung und Politur von Kompositrestaurationen. Beschrieben werden die Möglichkeiten der Optimierung von gut zugänglichen Oberflächen, beispielsweise okklusalen oder fazialen, sowie die Bearbeitung schwer zugänglicher Bereiche wie marginale Ränder und approximale Flächen. Dargestellt werden die aktuellen Empfehlungen zur Fertigstellung von Kompositrestaurationen sowie die verschiedenen Möglichkeiten einschließlich ihrer Vor- und Nachteile.

• Literatur

• 1 Opdam NJ, van de Sande FH, Bronkhorst E et al. Longevity of posterior composite restorations: a systematic review and meta-analysis. J Dent Res 2014; 93: 943-949
• 2 Astvaldsdottir A, Dagerhamn J, van Dijken JW et al. Longevity of posterior resin composite restorations in adults — a systematic review. J Dent 2015; 43: 934-954
• 3 Beck F, Lettner S, Graf A et al. Survival of direct resin restorations in posterior teeth within a 19-year period (1996–2015): A meta-analysis of prospective studies. Dent Mater 2015; 31: 958-985
• 4 Heintze SD, Rousson V, Hickel R. Clinical effectiveness of direct anterior restorations — a meta-analysis. Dent Mater 2015; 31: 481-495
• 5 Frese C, Schiller P, Staehle HJ et al. Recontouring teeth and closing diastemas with direct composite buildups: a 5-year follow-up. J Dent 2013; 41: 979-985
• 6 Staehle HJ, Wohlrab T, Saure D et al. A 6.5-year clinical follow-up of direct resin composite buildups in the posterior dentition: Introduction of a new minimally invasive restorative method. J Dent 2015; 43: 1365-1370
• 7 Wolff D, Kraus T, Schach C et al. Recontouring teeth and closing diastemas with direct composite buildups: a clinical evaluation of survival and quality parameters. J Dent 2010; 38: 1001-1009
• 8 Staehle HJ, Wolff D, Frese C. More conservative dentistry: clinical long-term results of direct composite resin restorations. Quintessence 2015; 46: 373-380
• 9 Frese C, Wolff D, Staehle HJ. Proximal box elevation with resin composite and the dogma of biological width: clinical R2-technique and critical review. Oper Dent 2014; 39: 22-31
• 10 Jones CS, Billington RW, Pearson GJ. Interoperator variability during polishing. Quintessence Int 2006; 37: 183-190
• 11 Jefferies SR. Abrasive finishing and polishing in restorative dentistry: a state-of-the-art review. Dent Clin North Am 2007; 51: 379-397
• 12 Hellwig E, Klimek J, Attin T. Einführung in die Zahnerhaltung. München: Urban & Fischer; 2007
• 13 Schmidseder J, Munz T. Ästhetische Zahnmedizin. Stuttgart: Thieme; 2009
• 14 Frankenberger R. Adhäsiv-Fibel: Adhäsive Zahnmedizin. Wege zum klinischen Erfolg. Balingen: Spitta; 2013
• 15 Dickinson GL, Leinfelder KF. Assessing the long-term effect of a surface penetrating sealant. J Am Dent Assoc 1993; 124: 68-72
• 16 Kawai K, Leinfelder KF. Effect of surface-penetrating sealant on composite wear. Dent Mater 1993; 9: 108-113
• 17 Ramos RP, Chinelatti MA, Chimello DT et al. Assessing microleakage in resin composite restorations rebonded with a surface sealant and three low-viscosity resin systems. Quintessence Int 2002; 33: 450-456
• 18 Kumada A, Matsuka Y, Mine A et al. Influence of resin coating materials on Porphyromonas gingivalis attachment. Dent Mater J 2012; 31: 86-91
• 19 Zimmerli B, Koch T, Flury S et al. The influence of toothbrushing and coffee staining on different composite surface coatings. Clin Oral Investig 2012; 16: 469-479
• 20 Mei L, Busscher HJ, van der Mei HC et al. Influence of surface roughness on streptococcal adhesion forces to composite resins. Dent Mater 2011; 27: 770-778
• 21 Pereira CA, Eskelson E, Cavalli V et al. Streptococcus mutans biofilm adhesion on composite resin surfaces after different finishing and polishing techniques. Oper Dent 2011; 36: 311-317
• 22 Bollen CM, Lambrechts P, Quirynen M. Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: a review of the literature. Dent Mater 1997; 13: 258-269
• 23 Jones CS, Billington RW, Pearson GJ. The in vivo perception of roughness of restorations. Br Dent J 2004; 196: 42-45 discussion 31
• 24 Heintze SD, Forjanic M, Rousson V. Surface roughness and gloss of dental materials as a function of force and polishing time in vitro. Dent Mater 2006; 22: 146-165
• 25 Yap AU, Sau CW, Lye KW. Effects of finishing/polishing time on surface characteristics of tooth-coloured restoratives. J Oral Rehabil 1998; 25: 456-461
• 26 Yazici AR, Tuncer D, Antonson S et al. Effects of delayed finishing/polishing on surface roughness, hardness and gloss of tooth-coloured restorative materials. Eur J Dent 2010; 4: 50-56
• 27 Cenci MS, Venturini D, Pereira-Cenci T et al. The effect of polishing techniques and time on the surface characteristics and sealing ability of resin composite restorations after one-year storage. Oper Dent 2008; 33: 169-176
• 28 Kaminedi RR, Penumatsa NV, Priya T et al. The influence of finishing/polishing time and cooling system on surface roughness and microhardness of two different types of composite resin restorations. J Int Soc Prev Community Dent 2014; 4: 99-104
• 29 Jung M, Eichelberger K, Klimek J. Surface geometry of four nanofiller and one hybrid composite after one-step and multiple-step polishing. Oper Dent 2007; 32: 347-355
• 30 Maresca C, Pimenta LA, Heymann HO et al. Effect of finishing instrumentation on the marginal integrity of resin-based composite restorations. J Esthet Restor Dent 2010; 22: 104-112
• 31 St-Pierre L, Bergeron C, Qian F et al. Effect of polishing direction on the marginal adaptation of composite resin restorations. J Esthet Restor Dent 2013; 25: 125-138
• 32 Lang NP, Saxer CM, Burgin W et al. Marginal fit of dental restorations and the periodontium in Swiss army recruits. Schweiz Monatsschr Zahnmed 2001; 111: 538-544
• 33 Chen JT, Burch JG, Beck FM et al. Periodontal attachment loss associated with proximal tooth restorations. J Prosthet Dent 1987; 57: 416-420
• 34 Gilmore N, Sheiham A. Overhanging dental restorations and periodontal disease. J Periodontol 1971; 42: 8-12
• 35 Hakkarainen K, Ainamo J. Influence of overhanging posterior tooth restorations on alveolar bone height in adults. J Clin Periodontol 1980; 7: 114-120
• 36 Lang NP, Kiel RA, Anderhalden K. Clinical and microbiological effects of subgingival restorations with overhanging or clinically perfect margins. J Clin Periodontol 1983; 10: 563-578
• 37 Than A, Duguid R, McKendrick AJ. Relationship between restorations and the level of the periodontal attachment. J Clin Periodontol 1982; 9: 193-202
• 38 Opdam NJ, Roeters FJ, Feilzer AJ et al. A radiographic and scanning electron microscopic study of approximal margins of Class II resin composite restorations placed in vivo. J Dent 1998; 26: 319-327
• 39 Frankenberger R, Kramer N, Pelka M et al. Internal adaptation and overhang formation of direct Class II resin composite restorations. Clin Oral Investig 1999; 3: 208-215
• 40 Loomans BA, Opdam NJ, Roeters FJ et al. Restoration techniques and marginal overhang in Class II composite resin restorations. J Dent 2009; 37: 712-717
• 41 Loomans BA, Opdam NJ, Roeters FJ et al. Proximal marginal overhang of composite restorations in relation to placement technique of separation rings. Oper Dent 2012; 37: 21-27
• 42 Mullejans R, Badawi MO, Raab WH et al. An in vitro comparison of metal and transparent matrices used for bonded class II resin composite restorations. Oper Dent 2003; 28: 122-126
• 43 McLundie AC, Murray FD. Comparison of methods used in finishing composite resin — a scanning electron microscope study. J Prosthet Dent 1974; 31: 163-171
• 44 Givens EG, Gwinnett AJ, Boucher LJ. Removal of overhanging amalgam: a comparative study of three instruments. J Prosthet Dent 1984; 52: 815-820
• 45 Lim KC, Ong GH. Methods of proximal amalgam overhang removal — a comparison of different techniques. Ann Acad Med Singapore 1989; 18: 599-602
• 46 Spreafico R, Roulet JF. Posterior Esthetics with Composite Resins. In: Roulet JF, Wilson NHF, Fuzzi M, Hrsg. Advances in Operative Dentistry. Challenges of the Future. Illinois: Quintessence; 2001: 225-236
• 47 Kocher T, Plagmann HC. The diamond-coated sonic scaler tip. Part I: Oscillation pattern of different sonic scaler inserts. Int J Periodontics Restorative Dent 1997; 17: 392-399
• 48 Blanchard JS. The periodontal curet and the ultrasonic scaler. Their effectiveness in removing overhangs from amalgam restorations. Dent Hyg 1984; 58: 450-454
• 49 Opdam NJ, Roeters FJ, Feilzer AJ et al. Marginal integrity and postoperative sensitivity in Class 2 resin composite restorations in vivo. J Dent 1998; 26: 555-562
• 50 Spinks GC, Carson RE, Hancock EB et al. An SEM study of overhang removal methods. J Periodontol 1986; 57: 632-636
• 51 Anami LC, Pereira CA, Guerra E et al. Morphology and bacterial colonisation of tooth/ceramic restoration interface after different cement excess removal techniques. J Dent 2012; 40: 742-749
• 52 Morgan M. Finishing and polishing of direct posterior resin restorations. Pract Proced Aesthet Dent 2004; 16: 211-217 quiz 218
• 53 Kup E, Tirlet G, Attal JP. The scalpel finishing technique: a tooth-friendly way to finish dental composites in anterior teeth. Int J Esthet Dent 2015; 10: 228-245