Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations

Description:

Supra-Gingival Minimally Invasive Dentistry: A Healthier Approach to Esthetic Restorations provides a real-world approach to healthier supra-gingival minimally invasive restorations, as an alternative to more invasive mechanically retained restorations, such as full crowns.  

Provides practical, step-by-step coverage of the key elements in diagnosis, case planning, preparation, restorations, and cementation of bonded restorations

Offers excellent and simple explanations of the latest in adhesive dentistry and the proper selection of restorative materials

Covers both anterior and posterior direct and indirect bonded restorations, offering a better, healthier approach

Presents hundreds of beautiful images showing planning, preparation, and restoration principles and treatment

Features the contributions of Dr. Ray Bertolotti, Contributing Editor, and a foreword written by Gordon J. Christensen, DDS, MSD, PhD, CEO of Clinicians Report Foundation and Practical Clinical Reports 

Table of Contents:

Part I: Rationale

1: The Traditional Mechanically Retained Restoration Paradigm: Subgingival Margins are Normal and a Necessary Byproduct of Restorative Needs

Introduction

Subgingival Restorative Margin Placement

Mechanically Retained Dentistry with Subgingival Margins is More Difficult

Mechanically Retained Dentistry with Subgingival Margins is Less Healthy

Mechanically Retained Dentistry with Subgingival Margins is Less Beautiful

Mechanically Retained Dentistry with Subgingival Margins is Less Predictable and Less Durable

References

2: The Healthier Paradigm: Supragingival Minimally Invasive Adhesive Dentistry – The Benefits

Introduction

Supragingival Minimally Invasive Adhesive Dentistry is Easier

Supragingival Minimally Invasive Adhesive Dentistry is Healthier

Supragingival Minimally Invasive Adhesive Dentistry is More Esthetic

Supragingival Minimally Invasive Adhesive Dentistry is More Predictable and Long Lasting

References

3: The Supragingival Protocol and Indications: Preventing Subgingival Margins

Introduction

The Five Principles of Supragingival Dentistry

The First Principle: Careful Removal of Caries and Old Restorative Material Removal Close to the Gingival Margin

The Second Principle: Avoid Boxes, Axial Reduction or Counterproductive Mechanical Retention (Trust In Adhesion)

The Third Principle: Enamel Margin Preservation Technique

The Fourth Principle: Technique for Margin Elevation

The Fifth Principle: Proper Use of Translucency for Ideal Restorative Margin Blending and Esthetics

References

4: Should We Trust in Dental Adhesives and Adhesive Dentistry?

Introduction

Trusting in Adhesion is Key To Success

Adhesion to Enamel

Etch and Rinse Systems (Fourth and Fifth Generations)

Self-Etch Systems (Sixth and Seventh Generations)

Isolation and Adhesive Dentistry

The Importance of Technique

Conclusion

References

Part II: Supragingival Minimally Invasive Indirect Posterior Restorations: A Replacement for Full Crowns

5: Supragingival Minimally Invasive Bonded Onlays: The Replacement for Full Crowns

Indications For Bonded Onlays

Restorative Material Options Specific to Bonded Onlays

Longevity of Onlays Compared with Crowns

References

6: Supragingival Simple and Complex Onlay Preparation

Introduction

Purpose of Tooth Preparation and Universal Principles

Three Variations Based on Tooth Damage

Impression

Materials and Techniques for Temporary Restorations

References

Part III: Supragingival Minimally Invasive Porcelain Veneers: A Replacement for Full Crowns

7: Indication, Preparation and Restorative Material for Supragingival Minimally Invasive Porcelain Veneers

Introduction

Consequences of Unnecessary Tooth Removal

Tooth Preparation for Supragingival Minimally Invasive Porcelain Veneers

Restorative Material for Supragingival Minimally Invasive Porcelain Veneers

Simple Preparations

Special Considerations

The V-Shaped Veneer

References

8: Esthetic Co-Diagnosis Using the Dentofacial Esthetic Diagnosis System

Introduction

The Psychology of the Smile

Parameters, Not Rules

Smile Design Step By Step

Communication

Making Provisional Restorations (Prototypes)

Esthetic and Bite Check

References

Part IV: Bonded Cementation of Indirect Restorations

9: Bonded Cementation of Veneers and Onlays

Cementing Bonded Restorations

Postoperative Sensitivity

Isolation

Bonded Cementation has Multiple Layers

Choosing the Correct Resin Cement

The Ideal Cement for Bonded Onlays

The Ideal Cements for Porcelain Veneers

Bonding Systems

Preparing the Tooth for Adhesion

Preparing the Buildups for Bonded Cementation

Preparation of the Porcelain Intaglio Surface

Step by Step Onlay Bonded Cementation

Step By Step Veneer Bonded Cementation

References

Part V: Supragingival Dentistry and Direct Composite Restorations

10: Practical and Predictable Class II and III Direct Composite Restorations

Introduction

A Complicated and Unprofitable Technique

Universal Principles for Supragingival Minimally Invasive Preparation

Step by Step Preparation for Class II Caries

Step by Step Preparation for Class III Caries

Margins on Dentin and the Acid–Base Resistant Zone (or Super Dentin)

Isolation

Matrices and Wedges

Bonding

The Effects of Polymerization Shrinkage and Stress

Managing the Effects of Polymerization Shrinkage by the Use of Materials with Low Modulus of Elasticity

Managing the Effects of Polymerization Shrinkage by Layering and Curing: The Filling Procedure

Developing Occlusal Morphology

Finishing

Postoperative Sensitivity

Step by Step Filling and Finishing Class II Direct Composite Restorations

Step by Step Filling and Finishing Class III Direct Composite Restorations

References

Part VI: Crown Replacement

11: Full Crowns: Are They Still Necessary?

Indications for Full Non-Metal Crowns

The Options in Non-Metal Restorative Materials for Full Crowns

Layered Zirconia, Full Zirconia or Lithium Disilicate?

Preparation for a Full-Coverage All-Ceramic Crown

Cementation of Full Crowns

References

Part VII: The Occlusal Disease Management System: A Key to Success

12: The Importance of Occlusion and Occlusal Diagnosis in Restorative Dentistry

The Occlusal Connection to Restorative Dentistry Success

Occlusion: The Untreated Enemy

Occlusal Disease Defined

Diagnosis Using the Seven Signs and Symptoms of Occlusal Disease

Course of Action

References

13: A Healthy Occlusion and the Occlusal Analysis

Introduction

When Should the Three Golden Rules be Implemented?

Vertical Dimension of Occlusion and Minimally Invasive Rehabilitation

Data Gathering and Developing a Treatment Plan

References

Index

EULA