Chieti, 21-23 Aprile 2010 - Malchiodi · Esthetic outcome of bonded porcelain restorations (BPR) in...
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Esthetic outcome of bonded porcelain restorations (BPR) in the anterior dentition: a biomimetic approach. Sezione di Chirurgia Maxillo-Facciale e Odontoiatria - Università di Verona. Direttore: Prof. Pier Francesco Nocini. Relatore: Paolo Ghensi – e-mail: [email protected] Ghensi P*, Cucchi A, Malchiodi L. New concepts in the context of biomimetic provide the ability to restore the structural integrity and esthetics of the teeth in an optimal way, in particular, bonded ceramic restorations (BPR) offer a new solution capable of compensating both esthetic and functional characteristics of anterior teeth. 1 This study aims to evaluate the esthetic result obtained by the application of ceramic veneers according to the criteria of objective and subjective esthetic control after 1 year of follow-up. 25 patients with cosmetic defects of anterior teeth were treated consecutively between October 2008 and February 2009 by BPR in order to improve esthetics. The treatment of each patient was divided into 5 stages: stage approach (photographs, radiographs, models, beauty status, definition of the objective), initial phase (orthodontic set-up, whitening, periodontal surgery, direct composites), diagnostic phase (diagnostic waxing and masks, color detection), restorative phase (tooth preparation, provisional prostheses, definitive impression and master model, ceramization, adhesive cementation), maintenance phase (professional oral hygiene, polishing and fluoridation). The result was assessed in accordance with the fundamental objective and subjective criteria (esthetic integration) of esthetic control brought by Magne et al. 2 BPR allowed to achieve excellent esthetics, a high degree of patient satisfaction, and no fractures, chips, or cracks post-adhesion. According to above criteria, the esthetics of the anterior teeth was found to be excellent in 23 patients, good in 1 patient, and moderate in another patient. Clinical success of BPR is undoubtedly linked to the maximum preservation of enamel and dentin that could mimic the biomechanics of the intact tooth; and to the full preservation of periodontal tissues, since the ceramic is less susceptible to the accumulation of bacterial plaque. 3,4 The esthetical and structural integration of BPR can be obtained easily by following the guidelines described in literature, allowing to obtain successful esthetic restorations in cosmetic dentistry with high predictability. Congresso Nazionale dei Docenti di Discipline Odontostomatologiche e Chirurgia Maxillo-Facciale Chieti, 21-23 Aprile 2010
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Transcript of Chieti, 21-23 Aprile 2010 - Malchiodi · Esthetic outcome of bonded porcelain restorations (BPR) in...
Esthetic outcome of bonded porcelain restorations (BPR) in the anterior dentition: a biomimetic approach.
Sezione di Chirurgia Maxillo-Facciale e Odontoiatria - Università di Verona. Direttore: Prof. Pier Francesco Nocini.Relatore: Paolo Ghensi – e-mail: [email protected]
Ghensi P*, Cucchi A, Malchiodi L.
New concepts in the context of biomimetic provide the ability to restore the structural integrity and esthetics of the teeth in an optimal way, inparticular, bonded ceramic restorations (BPR) offer a new solution capable of compensating both esthetic and functional characteristics of anteriorteeth.1 This study aims to evaluate the esthetic result obtained by the application of ceramic veneers according to the criteria of objective and subjectiveesthetic control after 1 year of follow-up.
25 patients with cosmetic defects of anterior teeth were treated consecutively between October 2008 and February 2009 by BPR in order to improveesthetics. The treatment of each patient was divided into 5 stages: stage approach (photographs, radiographs, models, beauty status, definition of theobjective), initial phase (orthodontic set-up, whitening, periodontal surgery, direct composites), diagnostic phase (diagnostic waxing and masks, colordetection), restorative phase (tooth preparation, provisional prostheses, definitive impression and master model, ceramization, adhesive cementation),maintenance phase (professional oral hygiene, polishing and fluoridation). The result was assessed in accordance with the fundamental objective andsubjective criteria (esthetic integration) of esthetic control brought by Magne et al.2
BPR allowed to achieve excellent esthetics, ahigh degree of patient satisfaction, and nofractures, chips, or cracks post-adhesion.According to above criteria, the esthetics ofthe anterior teeth was found to be excellentin 23 patients, good in 1 patient, and moderatein another patient.
Clinical success of BPR is undoubtedly linked to the maximum preservation of enamel and dentin that could mimic the biomechanics of the intact tooth; and to the full preservation of periodontal tissues, since the ceramic is less susceptible to the accumulation of bacterial plaque.3,4 The esthetical and structural integration of BPR can be obtained easily by following the guidelines described in literature, allowing to obtain successful esthetic restorations in cosmetic dentistry with high predictability.
Congresso Nazionale dei Docenti di Discipline Odontostomatologiche e
Chirurgia Maxillo-Facciale
Chieti, 21-23 Aprile 2010
