Restoring a tooth with a direct composite resin restoration frequently results in an outcome that does not meet the expectations of the patient, even when care is exercised in the preparation of the tooth, selection of materials and shade(s), and the tooth restoration procedures. The artistic demands of creating an esthetic result can lead to frustration, but with one additional restorative step, a restora- tion of marginal esthetic quality can be made into a restoration of natural harmony. Several authors have discussed bonding techniques, strength of materials, handling characteristics, and shrinkage of direct posterior composite resin restorations. This article describes how to increase the esthetic quality of direct posterior composite resin restorations by developing anatomical fossae and grooves using commonly available materials and instruments.
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