Clinical approach to anterior adhesive restorations using resin composite veneers.
Scientific progress in adhesive dentistry has led to more conservative techniques, both direct and indirect, to solve esthetic problems in anterior teeth. This article will discuss only indirect techniques, which are clearly superior in complex cases in which it will be difficult to recreate harmonious tooth shape and color. After reviewing the literature and highlighting the properties of this technique, the indications and benefits compared to the direct technique will be assessed. This is followed by a step-by-step description of operative procedures, from treatment planning to relining and polishing of the cemented adhesive restoration. The long-term success of veneers depends mainly on the tooth preparation, which should be confined to enamel, involve proximal contact areas, maintain the cervical enamel margin, and incorporate the incisal edge to increase veneer resistance and enable correct placement. Although no clinical follow-up similar to that of ceramic materials is available, the latest-generation resin composites offer interesting features. They can withstand mechanical stress, have excellent esthetic properties, and, most importantly, can be repaired intraorally without impairing their physicochemical and mechanical properties.
Mangani
Francesco
F
Department of Esthetic Dentistry, School of Dentistry, University of Rome Tor Vergata, Italy.
Cerutti
Antonio
A
Putignano
Angelo
A
Bollero
Raffaele
R
Madini
Lorenzo
L
D003188:Composite Resins / Q000737:chemistry; D001840:Dental Bonding; D003738:Dental Cements / Q000737:chemistry; D003743:Dental Enamel / Q000033:anatomy & histology; D003744:Dental Enamel Hypoplasia / Q000628:therapy; D003764:Dental Materials / Q000737:chemistry; D003775:Dental Polishing / Q000379:methods; D017267:Dental Prosthesis Design; D003801:Dental Veneers; D004955:Esthetics, Dental; D006801:Humans; D007180:Incisor / Q000002:abnormalities; D019246:Tooth Preparation / Q000379:methods
D003188:Composite Resins; D003738:Dental Cements; D003764:Dental Materials