After the removal of dental caries, direct composite fillings can be applied to teeth where tissue loss is relatively low, where restorations such as inlays/onlays or crowns are not required, and where the strength has not been weakened too much. Following the removal of caries on the chewing surfaces of the teeth, their interfaces, and in some cases in the cervical regions close to the gums, after applying rubber dams and matrix systems the lost tissue is replaced ensuring proper contact and functional continuity of the tooth with neighboring and opposing teeth.
If the treatments is delayed in deep caries, the caries can affect both the nerve tissue and cause significant loss of dental tissue. With current fiber-reinforced composite materials, composite fillings can be applied even in teeth with advanced damage without the need for indirect restorations. These fillings are checked with regular examinations and radiographic follow-ups; it is necessary to make sure that secondary caries do not develop and that the filling continues to bond to the dental tissues. Therefore, it is of great importance for long-term success that patients with many composite fillings in the mouth, especially the interface, visit their dentists without skipping their check-up sessions.
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