Marius Negucioiu, Mara Elena Rusnac, Rafael Dosa, Andreea Kui, Mirela Fluerașu, Smaranda Buduru

DOI : 10.62610/RJOR.2025.2.17.4

ABSTRACT

Background and aims: The appearance and function of the upper anterior teeth significantly impacts self-esteem. Managing carious and non-carious lesions is essential, and this review evaluates composite layering techniques used in restorations. It aims to elucidate selection criteria based on clinical conditions and desired outcomes. Methods: A literature search was conducted, resulting in an initial pool of 336 articles. Thirty-two relevant articles were then selected for analysis. The inclusion criteria included assessment of the causes of tooth loss, the condition of the teeth left, their original colour and the need for better oral hygiene. Results: The results showed that direct composite restorations are a feasible and cost-effective alternative to indirect veneers, providing satisfactory results. Success of restorations depends on accurate planning and effective occlusal management. Analysis revealed high survival rates of direct composite methods, showing their appropriateness under different conditions. Conclusions: Direct composite restoration techniques offer significant advantages in restoring aesthetics and function of the maxillary anterior region. Technique should be chosen based on detailed clinical assessment and patient-specific factors to optimise results. The review backs wider use of these methods, highlighting how good they are.