The goal of biomimetic adhesive restorations is to return all of the prepared dental tissues to full function by the creation of a hard tissue bond that allows functional stresses to pass through the tooth, drawing the entire crown into the final functional biologic and esthetic result.
Preparation guidelines in combination with advanced CAD/CAM ceramics and innovative adhesive bonding are considered the main factors influencing the survival of posterior partial coverage restorations. This lecture will illustrate the shortcomings of invasive full coverage preparation and focus on different approaches that provide maximum conservation of tooth tissue and comply with biomimetic principles. A state-of-art posterior partial coverage design will be discussed along with the full adhesive protocol to ensure long-term survival and higher fracture resistance of endodontically treated teeth.
Objectives
1. Recognize the difference between mechanical and adhesive retention and understand how to gain the balance between the two concepts.
2. Review the latest scientific discoveries about no-post, no-crown, ultraconservative restorations for endodontically treated teeth.
3. Understand the novel preparation designs for posterior ceramic partial coverage restorations.
4. Implement preparation and adhesive protocols along with proper material selection to maximize the longevity of posterior ceramic restorations.