Burgess J O, Walker Richard, Davidson J M
Department of Operative Dentistry and Biomaterials, LSUHSC-School of Dentistry, New Orleans, LA, USA.
Pediatr Dent. 2002 Sep-Oct;24(5):465-79.
The use of direct posterior resin-based composite has increased primarily due to patient esthetic desires and product improvements. Other factors (substantiated or not) contributing to increased use of resin-based composite are environmental and health concerns with dental amalgam. New visible light cured resin-based composite products are introduced yearly, as manufacturers continue to improve this tooth-colored restorative material. This paper will characterize current posterior resin-based composite materials (hybrid, microfill, flowable, and packable), review recent in vitro and clinical research, and recommend indications for these materials. In addition, the literature on compomers will be reviewed and recommendation made for their use. The data indicates that composite resin is a technique sensitive restorative material that can be used in large preparations if proper manipulation and isolation can be maintained. Compomers may also be used as an esthetic posterior restorative if proper isolation is provided.
直接后牙树脂基复合材料的使用增加主要是由于患者对美观的需求以及产品的改进。导致树脂基复合材料使用增加的其他因素（无论是否有充分依据）是对牙科汞合金的环境和健康担忧。随着制造商不断改进这种牙齿颜色的修复材料，每年都会推出新的可见光固化树脂基复合材料产品。本文将对当前的后牙树脂基复合材料（混合型、微填料型、可流动型和可压实型）进行特性描述，回顾近期的体外和临床研究，并推荐这些材料的适用症。此外，还将回顾有关聚羧酸锌粘固粉改性树脂的文献并对其使用提出建议。数据表明，复合树脂是一种技术敏感型修复材料，如果能保持适当的操作和隔离，可用于较大的窝洞预备。如果能提供适当的隔离，聚羧酸锌粘固粉改性树脂也可用作美观的后牙修复材料。
