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Ideal Protocols for Restorations of Posterior Teeth

Published on Jun 23rd 2025

  • Blog

  • Composites

Composite materials are a popular choice for posterior restorations, but with so many options on the market, selecting the right one can be overwhelming. At BISCO, we believe in simplifying the process. Here are some tips and tricks that can help you rock your posterior restorations!

Choose the Right Composite

For long-lasting, durable restorations, choose a composite that is indicated for posterior restorations. For example, BISCO’s Quantium™ is a universal composite that is indicated for use in all classes in both the anterior and posterior. This means that it has been designed to have the necessary strength and esthetics to be used in all classes for long lasting restorations.

Ideal Bonding

Using a quality bonding agent ensures optimal bond strength and longevity of the restoration. BISCO’s All-Bond Universal®; is a single-bottle universal adhesive that eliminates the need for an additional activator and is compatible with all bonding techniques. BISCO recommends the selective etch technique, using Select HV Etch w/BAC® to etch only the enamel to help reduce post-op sensitivity.

Pulp Exposure

If there is pulp exposure, choose a material that is indicated for direct pulp capping. BISCO’s TheraCal LC® is a calcium-releasing material that is indicated for direct and indirect pulp capping. Its calcium-releasing properties stimulate1 hydroxyapatite and secondary dentin bridge formation2,3, while protecting and insulating the pulp4,5.

Use a Base

For deep cavity preps where a pulp capping agent is used, consider using a base material prior to placing a composite. While the liner will protect the pulp, the base material will act as a thermal insulator and protective barrier against occlusal forces. BISCO’s TheraBase® is a self-adhesive, calcium-releasing base that can be either light-cured or self-cured, that will generate an alkaline pH which promotes pulp vitality6. TheraBase is also designed to be stronger and more durable than other base materials, glass ionomers and resin-modified glass ionomers.

These tips and tricks will help you create esthetic, long-lasting restorations that will leave you and your patients smiling!

We’re here for you! If you have any questions about any of the product mentioned, give us a call at 1-800-247-3368.

1. Gandolfi MG, Siboni F, Prati C. Chemical-physical properties of TheraCal, a novel light-curable MTA-like material for pulp capping . International Endodontic Journal. 2012 Jun;45(6):571-9.
2. ADA definitions for direct and indirect pulp capping at: www.ada.org/en/publications/cdt/glossary-of-dental-clinical-and-administrative-ter
3. Apatite-forming Ability of TheraCal Pulp-Capping Material, M.G. GANDOLFI, F. SIBONI, P. TADDEI, E. MODENA, and C. PRATI J Dent Res 90 (Spec Iss A):abstract number 2520, 2011 (www.dentalresearch.org)
4. Sangwan P; Sangwan A; Duhan J; Rohilla A. Tertiary dentinogenesis with calcium hydroxide: a review of proposed mechanisms. Int Endod J. 2013; 46(1):3-19
5. Selcuk SAVAS, Murat S. BOTSALI, Ebru KUCUKYILMAZ, Tugrul SARI. Evaluation of temperature changes in the pulp chamber during polymerization of light-cured pulp-capping materials by using a VALO LED light curing unit at different curing distances. Dent Mater J. 2014;33(6):764-9.
6. T. Okabe, M. Sakamoto, H. Takeuchi, K. Matsushima. Effects of pH on Mineralization Ability of Human Dental Pulp Cells. Journal of Endodontics. Volume 32, Number 3, March 2006.
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