ilure of

Dental Restoratio

Definition :
It is Inability or inadequacy
of
a dental restoration or
prosthesis to perform as
expected.

What is Success ?
The criteria of success of a dental
restoration include :

Restoration remains integral and in place.

Absence of recurrent Caries.
Marginal accuracy and adaptation.
Perfect aesthetics.
Maintain perfect anatomy and relations
with neighboring and opposing teeth and
periodontal Structures.
Patient comfort and satisfaction.

General Causes of Failure :

Causes of failure can be listed as
either
inherent factors or induced factors :
1- Inherent Factors
Tough conditions in the oral cavity:
Different Types of Stress.
Temperature fluctuations.
PH Cycling.
Humidity.
Micro-organisms.
Shelters and stagnation areas

General Causes of Failure :

2- Induced Factors
Misjudgment in selecting the correct
restorative material.
Incorrect design of cavity preparation
Imperfect manipulation of the
restoration.

Failure of

Dental
composite

Causes of composite failures :

1. Incomplete removal of carious lesion
2. incomplete etching or incomplete removal of residual
acid from tooth surface
3. Excess or deficient application of bounding agent .
4. Lack of moisture control .
5. Contamination of composite with finger / saliva .
6. following bulk placement technique during
polymerization of composite .
7. Improper polymerization method .
8. Incomplete finishing and polishing of composite .
9. Inadequate occlusion of restored tooth .

Causes of composite failures :

Following failures are commonly seen in
composite restoration with time :
Discoloration
Accumulati
on of
plaque

Secondar
y caries

Gross
fracture of
restoration

Loss of
contact

Fracture
of
margins

Postopera
te
sensitivity

Marginal defect in composite restorations

Marginal defect in composite restorations can
be occur in the following forms :

1
2
3
4

Surface fracture of excess material

Voids in restoration because of air
entrapment during placement
Composite wear resulting in
progressive exposure of axially
directed wall

Gaps formation

Guideline to minimize composite

failure :
1. The tooth preparation should be kept as small as
possible since composite in bulk lead to failure .
2. Avoid sharp internal line angles ,which increase stress
concentration.
3. Deeper preparation should be given base of CA(OH) or
GI cement.
4. Strict isolation is to be followed.
5. Avoid inadequate curing ,since it lead hydrolytic
breakdown of composite.
6. Use small increments, holding each increment with
Teflon coated instruments.
7. Fill proximal box separately and create proper contact
areas .
8. Composite ,especially at beveled areas ,should be
finished and polished properly.

Repairing composite restorations :

Restoration is indicated for replacement
when any of following occurs :
Secondary caries which cannot be removed
during repair procedure.
Need for aesthetics.
Presence of pulpal pathology

Conclusion :
1.The criteria of success of a dental
restoration include many factor
2.Causes of failure can be listed as either
3.inherent factors or induced factors
4.Failures in amalgam restoration are not
usually because of poor material
5.During cavity preparation the failure occuar
at various step
6.The tooth preparation should be kept as
small as possible since composite in bulk
lead to failure
7.Composite ,especially at beveled areas
,should be finished and polished properly.