‫بسم ال الرحمن الرحيم‬

Comparison between direct and indirect

composite restorations

Done by:
Waad Khayat.
 Out Lines
• Review (direct, semi direct and indirect composite resin).
- techniques.
- indications.
- advantages and disadvantages.
- failure rate.

• Comparison between direct and indirect composite resin for

the following properties:
- bond strength(study 1).
- diametral tensile strength (study 2).

• Conclusion.
• References.
What has caused the transition from metallic to
tooth colored restorative materials?

• The growing demand for esthetic restorations.

• The great improvement of the materials and

their properties.

• The change of the treatment philosophy to

more conservative approach.
 Review ¹
Objective:

To present the current data available about

many different types of direct and indirect
tooth colored restorative materials including
composite resin.

1- Pascal Mange. Composite resin and bonded porcelain:the post amalgam Era. CDA
Journal. 2006; 34(2):135-147.
 Direct Composite Indirect Composite Semi direct Composite
technique Intraorally, 1 visit. -restoration is -fabricated intraorally
-incremental technique. fabricated on a jypsum - photo thermic
-sandwich technique. model. curing in small
-Cured in small furnace. furnace
-cementation. -cementation

-small to medium class I serial large restorations limited number of teeth

indication and II cavities. with limited cuspal with favorable mouth
-class III, IV and V. coverage. access .

advantages -Satisfied properties if -better esthetics. -better wear resistance.

applied carefully. -more effective contact -better dimensional
points. stability .
-requires less clinical -better marginal
time. adaptation.
- Single visit.
disadvantage Polymerization shrinkage. -multiple visits. -multiple extra oral steps
Marginal leakage. -higher costs. -affected by the type of
Postoperative sensitivity. -affected by the type of cement used.
cement used.
 Review ¹

Failure rate:

1- Pascal Mange. Composite resin and bonded porcelain:the post amalgam Era. CDA
Journal. 2006; 34(2):135-147.
 Review ¹

1- Pascal Mange. Composite resin and bonded porcelain:the post amalgam Era. CDA
Journal. 2006; 34(2):135-147.
 Study 1: Bond strength evaluation of direct and
indirect composite restorations ² :

Objective:
To assess the bond strength of both direct and
indirect composite restorations to dentine.

2-Lopes M B,Consani S, Sinhoreti M A, Salvio L A , Sobrinho L C. Bond strength

evaluation of direct and indirect composite restorations. Arquivos em
Odontologia.2006;42:257-336.
Study 1: Bond strength evaluation of direct and
indirect composite restorations ² :
Method:

Storing in water for 24 h measuring bond strength

 Study 1: Bond strength evaluation of direct and
indirect composite restorations ² :
Results :

bond
strength

13.16 10.18 6.81

2-Lopes M B,Consani S, Sinhoreti M A, Salvio L A , Sobrinho L C. Bond strength

evaluation of direct and indirect composite restorations. Arquivos em
Odontologia.2006;42:257-336.
 Study 1: Bond strength evaluation of direct and
indirect composite restorations ² :
Conclusion:

1-

different bond strength

for indirect composite
to tooth structure.
-2

2-Lopes M B,Consani S, Sinhoreti M A, Salvio L A , Sobrinho L C. Bond strength

evaluation of direct and indirect composite restorations. Arquivos em
Odontologia.2006;42:257-336.
 study 2:Diametral tensile strength of composite resins
submitted to different activation techniques ³ :

Objective:
To compare the Diametral tensile strength (DTS)
of four types of composite,two direct and two
indirect materials, cured with different
techniques.

3-Casselli DSM,Worschech C, Paulillo L A, Dias C T. Diametral tensile strength of

composite resins submitted to different activation techniques. Braz Oral
Res.2006;20(3):214-8.
study 2:Diametral tensile strength of composite resins
submitted to different activation techniques ³ :

Method:

storing in
artif.saliva
(1 week)

measuring
DTS
 study 2:Diametral tensile strength of composite resins
submitted to different activation techniques ³ :

Results :

The range of DTS was 32-70MPa

3-Casselli DSM,Worschech C, Paulillo L A, Dias C T. Diametral tensile strength of

composite resins submitted to different activation techniques. Braz Oral
Res.2006;20(3):214-8.
 study 2:Diametral tensile strength of composite resins
submitted to different activation techniques ³ :

Conclusion:
1-

2-

3-Casselli DSM,Worschech C, Paulillo L A, Dias C T. Diametral tensile strength of

composite resins submitted to different activation techniques. Braz Oral
Res.2006;20(3):214-8.
 Conclusion
• Direct composite Polymerization shrinkage
leakage, discoloration, sensitivity failure.

• Indirect technique -Minimize polymerization shrinkage.

-Insignificant difference of properties in
comparison to direct materials.
-Affected by type and thickness of the cement.

• Direct composite that is fabricated carefully, respecting the correct

indications for this technique, will provide properties higher or equal to indirect
one.
 References:

1- Pascal Mange. Composite resin and bonded porcelain:the post

amalgam Era. CDA Journal. 2006; 34(2):135-147.

2-Lopes M B,Consani S, Sinhoreti M A, Salvio L A , Sobrinho L C. Bond

strength evaluation of direct and indirect composite restorations.
Arquivos em Odontologia.2006;42(4):257-336.

3-Casselli DSM,Worschech C, Paulillo L A, Dias C T. Diametral tensile

strength of composite resins submitted to different activation
techniques. Braz Oral Res.2006;20(3):214-8.
Thank You