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Finishing and polishing of direct posterior resin restorations.

UNLABELLED: Direct composite resin materials have revolutionized the delivery of minimally invasive treatment in the posterior region. Contemporary resin formulations provide improved strength, wear resistance, and aesthetics. Microhybrid formulations have also been associated with enhanced polishability. Development of an optimal surface polish in turn reduces stain and plaque accumulation, minimizes wear, and enhances the appearance of the definitive restoration. This article presents a simplified technique and protocol for finishing and polishing composite resin materials following restoration of the posterior region. LEARNING OBJECTIVES: This article discusses techniques and a protocol for finishing and polishing posterior direct resin restorations. Upon reading this article, the reader should: Understand the clinical protocol necessary to create direct posterior resin restorations that require minimal finishing. Be able to select appropriate instrumentation for direct posterior resin finishing and polishing procedures. Understand the importance of correct finishing and polishing on plaque accumulation, stain resistance, and wear resistance.

Bicuspid↗

Simplified ceramic restorations using CAD/CAM technologies.

The advent of CAD/CAM systems that enable computerized, in-office fabrication of porcelain restorations has revolutionized the delivery of precise, durable, and aesthetic restorations. Using specialized software programs that facilitate visualization of the desired restoration on the model prior to actual fabrication and scanning devices that can be applied to the intraoral structures have further improved the clinician's ability to determine the necessary restorative parameters that will ensure an accurate fit. This article presents the fabrication and delivery protocol used for CAD/CAM-fabricated restorations.

Ceramics↗

Predictable provisionalization: achieving psychological satisfaction, form, and function.

UNLABELLED: The dentition is the foundation of the human face and is far more than just a masticatory apparatus. The smile, which is the definition of humankind, crosses all gender, age, cultural, and religious boundaries to express emotion. When enhancing or restoring a smile with aesthetic dentistry, the provisionalization phase is critical in conveying information regarding function, occlusion, phonetics, and the patient's expectations among the members of the restorative team. This presentation details a predictable process for rapidly fabricating provisional restorations with optimal fit and performance. LEARNING OBJECTIVES: This article describes the role of provisionalization and a protocol for fabrication of temporary prostheses for optimal results. Upon reading this article, the reader should: Understand the role of provisionalization on the surrounding soft and hard tissue structures. Recognize the role provisionalization plays in patient education and communication.

Dental Restoration, Temporary↗

The diagnostic tracing analysis--visualization by the numbers.

Aesthetic treatment planning for dentistry often involves nontraditional methods of extracting information from clinical data. Being able to visualize the final treatment solution accurately in the initial diagnostic stages of treatment planning benefits both the clinician and patient. For the dentist it helps define the final treatment plan, allows for identification of unique nuances of the particular case, and contributes to the ease of fabrication of three dimensional treatment aids. It is also important for the dentist to verify that the patient's expectations of treatment are consistent with clinical reality. This article will describe the diagnostic tracing analysis, a tool that can help the visualization process.

Dental Restoration, Permanent↗

Direct applications of a nanocomposite resin system: Part 2--Procedures for anterior restorations.

Nanocomposite resins allow clinicians to create restorations with improved biocompatibility function, and aesthetics. By ensuring that the patient's condition is clearly and thoroughly evaluated preoperatively, the clinician can develope natural, harmonious integration of the restorative material with the patient's natural tooth structures. The critical information captured during the initial visit can also be used to ensure development of natural contours, light refraction, and characterization . This article describes two anterior applications of a contemporary restorative material for optimal results.

Composite Resins↗

[Gold partial restorations - quo vadis?].

In the light of the question if there is still an indication for cast gold partial restorations, it is concluded that adhesive dentistry with composite and porcelain has superseded the gold inlay. However, gold onlays with their periodontium friendly characteristics and longevity are still indicated for patients who do not object to gold visible in the oral cavity.

Composite Resins↗