This study examined the effect of cavity size, hydration conditions an
d type of composite on cusp movement following placement of MOD compos
ite restorations in vitro. A microscope with a micrometer stage was us
ed to measure deflection of cusps for 14 days after initiation of curi
ng. The intercuspal width decreased for the first few minutes after th
e composites were placed, then increased toward the original dimension
s. Teeth with small cavities contracted less than those with large cav
ities, and recovery was complete or nearly complete only in teeth with
small cavities. Hydrated teeth and restorations recovered more rapidl
y and more completely than those that were dry. Differences in deflect
ion of the cusps were observed with two different restorative material
s.