Composite resin bonding is an efficient, minimally-invasive technique that can be used to create beautifully life-like direct restorations. While sometimes used for general or emergency procedures, composite bonding is primarily considered a cosmetic solution. Common applications include restoration of gapped, chipped, fractured and decayed teeth as well as remedying discoloration in stained teeth or fillings.
For discerning patients and practitioners, composite bonding offers many advantages. First and foremost, modern composite materials possess excellent esthetic and physical properties and can closely emulate natural teeth. Bonding is also minimally-invasive and can typically be completed in just one quick, pain-free procedure. Direct composite restorations are easily repairable if damaged and, in the case of temporary applications, reversible should any issues arise.
Performing direct composite restorations requires not only technical precision but a high degree of artistry as well. The procedure begins with etching surface enamel and placing a bonding agent to ensure composite adherence to underlying tooth structure. Next, indirect mock-ups and/or putty matrices are used to fabricate the final restoration. Composite materials are then skillfully applied in layers to create the appearance of dentin and enamel. Finally, the restoration is finished and polished to achieve natural-looking tooth outline, texture and luster.
In the hands of a skilled cosmetic dentist, the resulting restoration from composite bonding is long-lasting and virtually indistinguishable from natural dentition. A deep understanding of contour and color principles such as polychromicity, translucency and maverick coloring goes a long way towards producing seamless esthetic outcomes. Likewise, implementing advanced layering, finishing and polishing techniques can take a restoration’s realism to the next level. Truly mastering direct composite restorations necessitates an artful blend of technical proficiency and creativity—knowledge of relevant tools and techniques as well as the ability to see teeth differently and in detail.
To learn how to attain unparalleled composite results, register for the American Academy of Cosmetic Dentistry’s upcoming course, “Contour, Color and Creativity in Direct Composite Restorations” with Brian P. LeSage, DDS, FAACD at https://www.aacd.com/continuum.