How much Starflow or Accolade should be used for posterior composites?
A basic rule is to use a thin (Dycal-like thickness) as the first increment over a fully cured bond. That procedure assures that the Starflow or Accolade can shrink toward the “bonded surface”. After placement and curing of the first increment, many clinicians prefer to place more Starflow or Accolade rather than condense ordinary composite to fill the bulk of the cavity. The high mechanical properties of these flowable composites make them suitable for such use. The wear resistance of Starflow and Accolade, while reported by users to be excellent, has not been demonstrated in a controlled clinical trial. Therefore Danville does not officially recommend it as a final occlusal composite layer.
