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Designs and Principles of Porcelain-Based Restorations

Porcelain-bonded restorations (PBRs) have radically changed the way that dentists diagnose and devise treatment plans for patients. The option of having a minimally invasive, yet strong and aesthetically pleasing, restoration has numerous advantages for patients in both the short- and long-term life expectancy of their restorations. The ability to make aesthetic and functional enhancments without compromising the biological health of periodontal or pulpal tissues is powerful. This video reviews the fundamental requirements of tooth preparations for porcelain veneers for predictable restoration in both the anterior and posterior regions.

*Private practice, Newport Beach, California; Executive Director, Newport Coast Oral-Facial Institute, Clinical Professor, Department of Restorative Dentistry, University of Southern California, Los Angeles, California.

 

Learning Objectives:

This video investigates the capabilities, requirements, and applications of porcelain-bonded restorations. Upon completing this video, the viewer should:

  • Develop a deeper understanding of the capabilities of PBRs.
  • Recognize each preparation objective for aesthetic restoration using ceramic materials.

 

Related Reading:

  1. Roulet JF, Degrange M. Adhesion: A silent revolution. Carol Stream, IL: Quintessence Publishing; 2000.
  2. Buonocore MG. A simple method of increasing the adhesion of acrylic filling materials to enamel surfaces. J Dent Res 1955;34(6):849-853.
  3. Rochette AL. A ceramic restoration bonded by etched enamel and resin for fractured incisors. J Prosthet Dent 1975;33(3):287-293.
  4. Simonsen RJ, Calamia JR. Tensile bond strength of etched porcelain. J Dent Res 1983;62:297 (Abstract No. 1154).
  5. Calamia JR. Etched porcelain veneers: The current state of the art. Quint Int 1985;16(1):5-12.
  6. Friedman MJ. Current state-of-the-art porcelain veneers. Curr Opin Cosmet Dent 1993:28-33.
  7. Sheets CG, Taniguchi T. Advantages and limitations in the use of porcelain veneer restorations. J Prosthet Dent 1990;64(4):406-411.
  8. Magne P, Belser U. Bonded porcelain restorations in the anterior dentition: A biomimetic approach. Carol Stream, IL: Quintessence Publishing; 2002.
  9. Seghi RR, Daher T, Caputo AA. Relative flexural strength of dental restorative ceramics. Dent Mater 1990;6(3):181-184.
  10. McLaren EA. All-ceramic alternatives to conventional metal-ceramic restorations. Compend Contin Educ Dent 1998;19(3):307-310.
  11. Wall JG, Reisbick MH, Johnston WM. Incisal-edge strength of porcelain laminate veneers restoring mandibular incisors. Int J Prosthet 1992;5(5):441-446.
  12. Sulikowski AV, Yoshida A. Clinical and laboratory protocol for porcelain laminate restorations on anterior teeth. Quint Dent Technol 2001;24:8-22.
  13. Weinberg IA. Tooth preparation for porcelain laminates. NY State Dent J 1989;55(5):25-28.
  14. Troedson M, Derand T. Effect of margin design, cement polymerization, and angle loading on stress in porcelain veneers. J Prosthet Dent 1999;82(5):518-524.
  15. Magne P, Douglas WH. Interdental design of porcelain veneers in the presence of composite fillings: Finite element analysis of composite shrinkage and thermal stresses. Int J Prosthodont 2000;13(2):117-124.
  16. Priest G. Proximal margin modifications for all-ceramic veneers. Pract Proced Aesthet Dent 2004;16(4):265-272.
  17. Rouse JS. Full veneer versus traditional veneer preparation: A discussion of interproximal extension. J Prosthet Dent 1997;78:545-549.
  18. Boyle JJ Jr, Naylor WP, Blackman RB. Marginal accuracy of metal ceramic restorations with porcelain facial margins. J Prosthet Dent 1993;69(1):19-27.
 
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