Comparison and contrast of direct vs indirect adhesive restorations in the anterior region.
This webinar involves the selection of possible treatment protocols for anterior aesthetic adhesive restorations: direct composite or indirect ceramics. The treatment plan will be based on patient age, patient preferences and expectations, economic limitations, sound scientific principles and treatment philosophy of the operator. Example cases involve diastema closure, restoration of fractured anterior teeth, masking discolored teeth, and re-treatment of previously restored teeth.
Composite and ceramics are the materials of choice to make invisible tooth-colored restorations in the anterior region.
In recent years new nano-filled and nano-hybrid composite materials with simplified shade system, able to mimic to natural tooth, were introduced onto the dental market. Regarding ceramics, improved leucite reinforced and lithium disilicate glass ceramics in combination with CAD/CAM technology are available.
Direct composite restorations are, in general, less invasive. When changing tooth form, e.g. closing diastema, no preparation is required. These restorations are preferred in young patients when tooth position and the gingival level are not yet stable. The cost of direct restorations is lower compared to indirect restorations and -if correctly placed and regularly maintained- these restorations perform well over a period of 10 years and longer.
Indirect veneers give the most optimal more durable esthetic result. With the currently available CAD/CAM materials and precise milling machines, minimally invasive natural looking restorations can be performed in a predictable way.
The different aspects described above and the protocols to obtain durable direct composite and indirect ceramic adhesive restorations in the anterior region will be discussed in this webinar.
Learning objective 1: How to mimic natural teeth in the anterior region with an adhesive restoration.
Learning objective 2: Criteria for selection of direct or indirect adhesive restoration.
Learning objective 3: Protocol for direct composite restorations.
Learning objective 4: Protocol for indirect adhesive ceramic restorations.
Learning objective 5: Prognosis of direct composites and indirect ceramic adhesive restorations.