Low shrinkage composite resins and occlusal matrix technique: association for direct extensive resin restoration

INTRODUCTION: Ensuring adequate occlusal contacts and anatomy shape and form is always a challenge when placing extensive direct posterior composite resin restorations. The use of a correct technique, such as, an occlusal matrix can reproduce occlusal morphology more precisely. Additionally, recently, silorane-based or bulk fill composite resin present low shrinkage and were specifically designed for restoring posterior teeth.CASE REPORT: This report presents the clinical application of a low shrinkage composite resin system with a preoperative occlusal matrix in extensive composite resin restoration of a molar with hypomineralization. Acrylic resin was applied over the waxed tooth to copy the anatomic details. Cavity was prepared and bonding system was applied. Definitive layer in the occlusal matrix was applied and stabilized in position. Once curing was complete, occlusal matrix and resin excess were removed using a surgical blade.CONCLUSION: The application of these materials with occlusal matrix can provide a simpler technical approach, saving time and improving esthetic results.