pg # 105
Composite resin is CONTRAINDICATED as a
posterior restorative material in cases of
1. cusp replacement.
---confused as one of the dds did cusp replacement wth cmposite ie. distolingual cusp built🙁
2. bruxism.
3. lack of enamel at the gingival cavosurface
margin.
4. inability to maintain a dry operating field.
A. (1) (2) (3)
B. (1) and (3)
C. (2) and (4)

D. (4) only
E. All of the above. 👍
I agree with Sarna all the above
"The major indication for the use of posterior composites is the demand for esthetics by the dentist
and patient. Other criteria are non-involvement of cusps, minimal occlusal contact, no excessive wear, and
the isthmus must be no wider than one-third of the intercuspal distance. Remember: Composite is the
material of choice if the patient has a documented allergy to mercury.
Important: In the past, posterior composite restorations were contraindicated in a patient with a cariesactive
mouth. New concepts stress that you should manage the disease (i.e., dental caries) before or at
the same time as you are treating the consequence of the disease (i.e., by placing restorations). Therefore,
the current literature does not see a special problem for these restorations in caries-active patients. They
have as bad a prognosis as any other restorative treatment if the disease is not managed Simultaneously"