{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Protrusive Dental Podcast","title":"Posterior Composites Done Right – PDP266","html":"","width":"100%","height":180,"duration":2933,"description":"Are we overcomplicating posterior composites?\nAre those beautiful fissures and stains actually helping the patient… or just us?\nWhy does that “perfect” restoration suddenly need 20 minutes of occlusal adjustment after rubber dam removal?\nAnd how can we make functional, predictable composites without burning time or stress?\nIn this episode, Dr. Vishaal Shah shares a refreshingly practical approach to posterior composites. From understanding the basics, to simplifying anatomy and improving efficiency, this is a grounded, clinically focused conversation on how to deliver restorations that actually serve the patient.\n https://youtu.be/tdkTxzcloN0 \nWatch PDP266 on YouTube\nProtrusive Dental Pearl\nMatch your composite anatomy to the patient’s dental age and opposing dentition before you start building.\n⚠️ Overbuilding cusps in a worn dentition will create occlusal interferences and wasted adjustment time\n✅ Assess space, wear, and occlusion first—then design the restoration accordingly\nKey Takeaways\nFunction, efficiency, and occlusal compatibility should guide every restoration\nDental age (wear) is more important than chronological age when planning anatomy\nAlways assess the opposing tooth before designing cusps and fissures\nUse the whole arch—not just the contralateral tooth—as your anatomical guide\nFollow the central fissure line across the quadrant to orient your restoration\nAvoid textbook anatomy in worn dentitions—adapt to what’s present\nLarge MOD composites often act as interim restorations before crowns\nBuild proximal walls first to establish contact and control final contour\nUse composite slump (with a microbrush) to naturally form proximal curvature\nBase layer height should match the deepest fissure level of adjacent teeth\nMap out fissures and cusps before building to improve accuracy and speed\nStart with the most difficult cusp first to reduce fatigue-related errors\nProper planning before drilling reduces occlusal errors and remakes\nHighlights of the Episode:...","thumbnail_url":"https://img.transistorcdn.com/hLSIeRiYSp0oTfIk0BzEukFutShD18hH3f6fq4QHsWw/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9lZmM0/ZTNjYzdiZDJhNGFj/MzBiYmU2NTUwNmM2/NzQ2My5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}