ABSTRACT

Jorge Perdigão a,∗, Sillas Duarte, Jr. b and George Gomes c a University of Minnesota School of Dentistry, Division of Operative Dentistry, 515 SE Delaware St,

8-450 Moos Tower, Minneapolis, MN 55455, USA b Case Western Reserve University, School of Dental Medicine, Department of Comprehensive Care,

10900 Euclid Avenue, Cleveland, OH 44106, USA c University of Santiago de Compostela, School of Medicine and Dentistry,

Entreríos s/n Campus Universitario Sur, 15782 Santiago de Compostela, Spain

Abstract With the increase in esthetic awareness and the widespread use of adhesive techniques, a resin composite has become the material of choice for anterior and posterior restorations. In spite of its advantages, polymerization shrinkage and the resulting stress are still a concern for clinicians. The shrinkage stress may cause cusp deflection, interfacial debonding or enamel cracks, leading to microleakage, post-operative sensitivity and secondary caries.