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Teeth beautiful.

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Acrylic Resins↗

Fabrication of a metal-free ceramic restoration utilizing the monobloc technique.

This article presents a new technique which utilizes a porcelain core/crown unit, fabricated in the laboratory as a single component. The monobloc technique was developed by the author to replace the traditional metal post and core which prevents the transmission of light through porcelain crowns, creating a dark color effect. Between 1989 and 1992, a number of cases were successfully treated with several variations of the monobloc technique. Approximately 50 cases were completed with vitro-ceramic and followed up. The learning objective of this article is to introduce this novel technique. The article discusses the development of the technique, its advantages, disadvantages, and the potential failures. The clinical procedure is illustrated with several case presentations.

Adult↗

Treating dental disharmony with mixed media.

The art of designing a new smile often involves more than one cosmetic dental procedure. It is not uncommon to combine media such as tooth whitening with porcelain veneers and crowns to create an entirely new smile. To maintain dental harmony, it is paramount that media are indistinguishable from each other and are consistent with the existing dentition.

Crowns↗

Ceramic inlays and onlays: update 1995.

Tooth-colored inlays and onlays are increasingly sought by the public because of a growing interest in restorations that appear natural, and because of concerns about mercury in amalgam fillings. Following the introduction of bonded porcelain inlays in 1985, many of these restorations were placed. These inlays were a natural sequel to the porcelain laminate that reached North America in 1984, yet they did not enjoy the same rate of success. The advent of industrially fabricated porcelain blanks and the ability to copy-mill a positive as an inlay or onlay has resulted in a reliable and predictable dental restoration. Pressed ceramics, which are modelled by wax pattern, are also effective tooth-colored restorations.

Aluminum Oxide↗

Case selection for porcelain veneers.

The options for correction of unesthetic teeth are numerous; among these treatments, porcelain veneers have received substantial attention from the profession and patients. The increase in dental health awareness and advances in dental materials and technology, such as the acid-etching technique, improved physical properties of composite luting resin, and the use of silane coupling agents, have contributed to the success ceramic veneers enjoy today. However, no single material or technique is without its limitations. This article therefore aims to review the criteria for case selection and the limitations of porcelain veneers in restorative dentistry.

Dental Porcelain↗

Chairside veneering of composite resin to anterior stainless steel crowns: another look.

The chairside veneering of stainless steel crowns using the technique described in our original article (J Dent Child, 61: 321-326 September-December 1994) has proven to be a very dependable and successful technique for restoring severely damaged primary anterior teeth. In this article an advancement in the technique is described using new light-cured materials that simplify the veneering process and produce thinner veneers. The resulting veneers maintain the adaptability, strength, and gingival contour benefits of the stainless steel crown in conjunction with the cosmetics of composite facings. The chairside technique can be quickly mastered by a dental auxiliary and results in veneered crowns with very high shear and bond strengths.

Child, Preschool↗

Mandibular ceramic veneers: an examination of complex cases.

The indications for mandibular anterior ceramic veneers, tooth preparation design, provisionalization considerations, and placement procedures were presented in a previous article by the author. The functional utility, tissue biocompatibility, and dissimilarities of mandibular veneers, in comparison to maxillary anterior ceramic veneers, were explored, along with indications and contraindications for this form of treatment. This article demonstrates the aesthetic range of these restorations in the context of more complex cases. The learning objective of this article is to illustrate the viability of mandibular ceramic veneers in realigning teeth nonorthodontically, while sustaining the biologic health of the periodontium, stability of the occlusion, and aesthetic parameters of each case. The importance of wax mock-ups is outlined for visualization of the final result, as well as the evaluation of root proximity to avoid subgingival ledging of the teeth and subsequent periodontal disease. Orthodontics and other methods for the correction of anterior crowding are discussed.

Composite Resins↗