Direct composite restorative materials.

Composite dental restorative materials have advanced considerably over the past 10 years. Although composites have not totally replaced amalgam, they have become a viable substitute in many situations. Problems still exist with polymerization contraction stress, large differences in the coefficient of thermal expansion (CTE) of composites compared with tooth structure, and with some technique sensitivity; however, new expanding resins, nanofiller technology, and improved bonding systems have the potential to reduce these problems. With increased patient demands for esthetic restorations, the use of direct filling composite materials will continue to grow. The one major caveat to this prediction is that clinicians must continue to use sound judgment on when, where, and how to use composite restoratives in their practices.