We are using cookies to implement functions like login, shopping cart or language selection for this website. Furthermore we use Google Analytics to create anonymized statistical reports of the usage which creates Cookies too. You will find more information in our privacy policy.
OK, I agree I do not want Google Analytics-Cookies
International Poster Journal of Dentistry and Oral Medicine



Forgotten password?


Int Poster J Dent Oral Med 16 (2014), No. 4     15. Dec. 2014
Int Poster J Dent Oral Med 16 (2014), No. 4  (15.12.2014)

Poster 826, Language: English

Indirect technical approach with composite Inlays/Onlays by the dentist in-office: Two clinical reports
Manarte-Monteiro, Patrícia / Gavinha, Sandra / Ribeiro, Aurea / Manso, Maria Conceição / Faria, Sandra / Martins, Tiago
Introduction: Indirect composite restorations are alternative technical approaches of posterior teeth rehabilitation, in certain clinical conditions.
Objective: The aim of this report is to describe two clinical cases in which composite inlay/onlay, made by the dentist in-office, was used to rehabilitate posterior tooth structures considering two strategies, such as large and multi-surface restorations. Clinical/radiographic findings and treatment are presented and discussed with the literature evidence.
Material and Methods: Two patients presenting different restorative problems were selected. Two clinical conditions are reported: (1) the 2.6 tooth showed a large extension composite restoration with loss of marginal integrity and cusp involvement (2) the 2.6 and 2.5 teeth with secondary caries/amalgam restorations (ICDAS 44 code) and proximal contact. Coronal rehabilitation with composite inlay/onlay made indirectly by the dentist was proposed for both clinical conditions. Cavity preparation and alginate impression were done. A silicone cast was performed to apply the nanostructured composite GrandioSO (Inlay System; Voco) that was incrementally applied and light-cured (1200mW/cm2, 20 seconds). Inlays/onlays were bonded with self-etch adhesive strategy (Futurabond DC) with enamel pre-etching and Bifix SE resin cement. Inlays/onlays occlusal/proximal adjustments, finishing and polishing were performed.
Results: This indirect technique approach with composite provided an easy, convenient and efficient method to restore neighbouring teeth, to create adequate proximal contacts without having to use the time-consuming and expensive matrix systems and to better perform occlusal/proximal anatomy by extraoral modelling.
Discussion and Conclusions: The indirect application of a composite is a predictable and economic approach to perform stress-free fabrication of tooth-coloured and durable restorations even in patients who are low- or non-compliant. This indirect rehabilitation is an aesthetic, functional and biological alternative face to direct techniques in coronal extensively weakened and multisurface restorations of posterior teeth, providing a refreshing alternative that can be processed in dental office by the dentist.

Keywords: inlays, onlays, posterior restoration, resin-based composite, indirect restoration technique, operative dentistry

6th ConsEuro Meeting
9.-11. May 2013
Espaces CAP15, 1-13 quai de Grenelle, 75015 Paris, France