Indirect restorations: an update

Author:

Mackenzie Louis1,Banerji Subir2,Bonsor Stephen J3,Parmar Dipesh4

Affiliation:

1. Head Dental Officer, Denplan; Clinical Lecturer, University of Birmingham and King’s College London

2. Private Practice, Ealing, London; Director MSc in Aesthetic Dentistry, Unit of Distance Learning, Faculty of Dentistry, Oral and Craniofacial Sciences, King’s College London; Associate Professor, Department of Prosthodontics, University of Melbourne, Australia

3. The Dental Practice, 21 Rubislaw Terrace, Aberdeen, Senior Clinical Lecturer, University of Edinburgh

4. General Dental Practitioner. Acorn Dental, Birmingham

Abstract

Indirect restorative procedures are integral to clinical dentistry. Over the past 50 years however, minimally invasive, direct adhesive restorative techniques have gradually replaced many of the indications for traditional indirect restorations. While numerous indirect procedures are still carried out every year, multiple studies have demonstrated that these restorations have limited longevity and are subject to a wide range of clinical complications, including the reduction in lifespan of the restored teeth and an increased risk of dento-legal problems. This article provides an update on the current status of indirect restorations and presents a comprehensive step-by-step guide to optimising all clinical stages, including case selection, patient assessment, diagnosis, aesthetic considerations, treatment planning, tooth preparation design, impression techniques, temporization, cementation and maintenance. CPD/Clinical Relevance: In contemporary dental practice there is a reduced need for indirect restorations. When indicated however, all clinical stages must be optimised to maximize longevity and minimise complications.

Publisher

Mark Allen Group

Subject

General Dentistry

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