Journal articles on the topic 'Dental ceramics Dental veneers. Dental materials. Dental Porcelain Dental Veneers'

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1

Agrawal, Hema, RK Singh, P. Suwal, P. Parajuli, IK Limbu, and BB Basnet. "Management of Spacing in Mandibular Anterior Teeth by Minimally Invasive Technique Using Laminates: A Case Report." Journal of Nepalese Prosthodontic Society 2, no. 2 (December 31, 2019): 92–96. http://dx.doi.org/10.3126/jnprossoc.v2i2.31198.

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People have become increasingly concerned about esthetics as a perfect smile gives patients more confidence and make them feel comfortable in social circumstances. Esthetic dental treatment plays an important role in improving personal appearance. Advances in dental materials have led to innovations in porcelain laminate veneers and bonding materials which has improved the overall quality of the esthetic restorations. This case report describes the rehabilitation of a patient with spacing in mandibularanterior teeth, who was concerned with his facial appearance, with ceramic laminate veneers.
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Borges, Boniek, Giovanna de FA da Costa, and Isauremi V. de Assunção. "Clinical Performance of Porcelain Laminate Veneers with Minimal Preparation: A Systematic Review." International Journal of Experimental Dental Science 5, no. 1 (2016): 56–59. http://dx.doi.org/10.5005/jp-journals-10029-1124.

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ABSTRACT Aim To investigate the longevity of ceramic laminates with minimally invasive preparations. Materials and methods The research was conducted in PubMed, Web of Science, and Scopus databases, using the keywords “dental veneers” or “dental porcelain” or “dental laminates” and survival or survivorship or longevity or “follow-up studies” and Kaplan-Meier. The studies selected for analysis were clinical trials where the ceramic laminates were made with anywhere from no cavity preparation to minimum preparation with a 1 mm maximum depth. Results Of 197 citations identified, five studies were included. Conclusion The survival of the ceramic laminates with minimal preparation is satisfactory, which leads us to conclude that the technique has longevity for 10 years. How to cite this article de FA da Costa G, Borges BCD, de Assunção IV. Clinical Performance of Porcelain Laminate Veneers with Minimal Preparation: A Systematic Review. Int J Experiment Dent Sci 2016;5(1):56-59.
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Buzetto, Sofia Chane, Priscila Regis Pedreira, Janaina Emanuela Damasceno, Josué Junior Araujo Pierote, Giselle Maria Marchi, and Luiz Alexandre Maffei Sartini Paulillo. "Minimally invasive approach to diastema closure using lithium disilicate porcelain veneers: clinical report." Brazilian Dental Science 21, no. 4 (October 24, 2018): 491. http://dx.doi.org/10.14295/bds.2018.v21i4.1633.

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<p>Numerous advances in dentistry techniques and material have allowed patients to have not only a functional but also an aesthetic smile in a conservative way. This case report describes a treatment with ceramic laminates to solve the aesthetic problems of an 18-year-old male dissatisfied with his smile. Following the correct protocols, using minimally invasive abrasions, ceramic laminates, and strong adhesion between porcelain and dental enamel can provide predictable results and clinical longevity through follow-up.<strong></strong></p><p><strong>Keywords</strong></p><p>Dental veneers; Ceramic; Dental materials.</p>
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Montenegro, Gil, Ricardo Lellis Marçal, and Tarcisio Pinto. "Laminados minimamente invasivos na reabilitação estética anterior." Prosthesis and Esthetics in Science 9, no. 35 (2020): 40–46. http://dx.doi.org/10.24077/2020;935:4046.

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The search for a harmonious smile associated with minimally invasive and painless procedures, made the ceramic laminates take on a prominent role in facial aesthetics and consequently in smile aesthetics. The advances in adhesive techniques, ceramic materials and technologies associated with their manufacture, have made ceramic contact lenses a safe and predictable alternative for rehabilitation in cases of dental diastemas, restoring color, shape and position in the arch. Therefore, this case report aimed to demonstrate the application of porcelain veneers in closing diastemas in order to optimize the treatment. It was observed, with the clinical case presented, a very satisfactory result from the aesthetic and functional point of view.
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Alves, Larissa Marcia Martins, Lisseth Patricia Claudio Contreras, João Paulo Mendes Tribst, Renata Marques de Melo, and Alexandre Luiz Souto Borges. "Modified Technique of Porcelain Laminate Veneer in Premolars with Abfraction Lesions: Three-Dimensional Finite Element Analysis (FEA)." Journal of Health Sciences 22, no. 2 (August 17, 2020): 120–26. http://dx.doi.org/10.17921/2447-8938.2020v22n2p120-126.

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The incidence of non-carious cervical lesions (NCCLs) has increased as populations are aging, and teeth are increasingly retained for life. Several materials are available to treat these lesions. This study aimed to evaluate the stress distribution of maxillary premolars with NCCLs using three-dimensional (3D) finite element analysis (FEA) according to different restorative techniques. A 3D FEA mathematical model simulating a sound premolar was initially modeled and replicated in 6 more models simulating a tooth with abfraction: G.1 tooth with abfraction; G.2 tooth with abfraction + composite resin restoration; G.3 tooth with abfraction + glass-ionomer cement restoration; G.4 tooth with abfraction + resin composite restoration + porcelain laminate veneers; G.5 tooth with abfraction + glass-ionomer cement + porcelain laminate veneers; and G.6 modified porcelain laminate veneers filling the lesion. All materials and structures were considered linear, elastic, homogeneous and isotropic and the results were expressed as maximum principal stress. Lower stress concentration in dentin was calculated when the tooth was restored with composite resin and glass-ionomer cement. Regarding the veneer techniques, no difference was found to dentin stress among the groups, but the modified veneer concentrated less stress in the restoration than other the techniques. The control group had the highest concentration of stress in the lesion. All techniques decreased the stress concentration inside the NCCLs and the indirect veneer filling the lesion presented better biomechanical behavior than the veneer cemented above direct restorations. Keywords: Finite Element Analysis. Dental Veneers. Ceramics. Bicuspid. Resumo A incidência de lesões cervicais não-cariosas (LCNC) tem aumentado, uma vez que a população tem envelhecido com uma menor perda de elementos dentários. Diferentes materiais estão disponíveis para tratar dessas lesões. Este estudo objetivou avaliar a distribuição de tensão de pré-molares superiores com LCNC por meio da análise tridimensional (3D) de elementos finitos (FEA) de acordo com diferentes técnicas restauradoras. Um modelo matemático 3D FEA simulando um pré-molar íntegro foi modelado e replicado em mais 6 modelos simulando um dente com abfração: G.1 dente com abfração; G.2 dente com abfração + resina composta; G.3 dente com abfração + cimento de ionômero de vidro; G.4 dente com abfração + resina composta + faceta; G.5 dente com abfração + cimento de ionômero de vidro + faceta cerâmica e G.6 com faceta cerâmica modificada, preenchendo a lesão. Todos os materiais e estruturas foram considerados lineares, elásticos, homogêneos e isotrópicos e os resultados foram expressos como máxima tensão principal. Menor concentração de tensão na dentina foi calculada quando o dente foi restaurado com resina composta ou cimento de ionômero de vidro. Dentre os grupos com laminados, não houve diferença para a dentina, entretanto a faceta modificada apresentou menor concentração de tensão na restauração. O grupo controle apresentou a maior concentração de tensão na lesão. Todas as técnicas restauradoras diminuíram a concentração de tensão no interior das LCNCs e dentre as técnicas com laminados a faceta modificada apresentou o melhor comportamento biomecânico. Palavras-chave: Análise de Elementos Finitos. Facetas Dentárias. Cerâmica. Dente Pré-Molar.
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Scherrer, Susanne S., Janet B. Quinn, and George D. Quinn. "Fractography of Dental Restorations." Key Engineering Materials 409 (March 2009): 72–80. http://dx.doi.org/10.4028/www.scientific.net/kem.409.72.

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The dental community is using a variety of ceramic restorative materials such as porcelains (leucite or alumina based), glass-ceramics (leucite, mica, lithium disilicates), alumina-glass infiltrated, and CAD-CAM ceramics including pure alumina and zirconia (3Y-TZP) core materials. Polycrystalline ceramics such as alumina and zirconia serve as substructure materials (i.e., framework or core) upon which glassy ceramics are veneered for an improved appearance. Under masticatory loads, sudden fracture of the full-thickness restoration or of the veneering ceramic (chips) may occur. Stereomicroscope and scanning electron microscope analyses were used to perform qualitative (descriptive) fractography on clinically failed dental ceramic restorations. The most common features visible on the fracture surfaces of the glassy veneering ceramic of recovered broken parts were hackle, wake hackle, twist hackle, arrest lines, and compression curls. The observed features are indicators of the local direction of crack propagation and were used to trace the crack’s progression back to its initial starting zone (the origin). This paper presents the applicability of fractographic failure analyses for understanding fracture processes in brittle dental restorative materials and it draws conclusions as to possible design or processing inadequacies in failed restorations.
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Li, Si-Lian, Qian Zhang, Fan-Fu Wu, Jia-Yi Hu, and Qiang Wang. "Research Progress on All Ceramic Zirconia Core/Veneer Interface: A Review." Science of Advanced Materials 12, no. 1 (January 1, 2020): 5–14. http://dx.doi.org/10.1166/sam.2020.3476.

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The application of veneered zirconia system in clinical has last for few decades due to the excellent aesthetic performance. It was reported in many cases that porcelain delamination occurred in the interface between the zirconia infrastructure and veneer ceramics. There were many works have been carried out to improve the bond strength of interface. Most of the studies focused on the influence factors that affected the longevity of dental restoration. There existed different points of view both in vitro and in vivo. Hence, this review mainly focuses on veneered zirconia system and some interesting controversial findings that may lead to dental restoration failure. Furthermore, it was also found that the next generation of zirconia (such as monolithic zirconia, self-glazed zirconia) have brought the challenge to veneered zirconia system.
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Cui, Jun, Jun Ou, Yong Lie Chao, Q. P. Gao, Guang Fu Yin, H. Wang, J. F. Shen, and Yang Xi Chen. "A New Method for Evaluating Thermal Compatibility of Multi-Layer Dental Ceramic Composites." Key Engineering Materials 330-332 (February 2007): 1401–4. http://dx.doi.org/10.4028/www.scientific.net/kem.330-332.1401.

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Dental ceramic materials do not always show linear expansion behavior. In general, thermal contraction behavior of dental porcelain can be described with the polynomial function: L/L= C+α1 T+α2 T2. In addition, a new method for taking into consideration of nonlinear contraction behavior of dental ceramics is proposed for calculating thermal mismatch value (α) between substrate and veneering materials. Discs of eight substrate/veneer combinations (n=10) were fabricated for thermal shock testing. In this study, a stepwise multiple regression analysis was performed to determine the relationship between thermal shock test results and thermal mismatch value (α) on these combinations. A high degree of correlation was found between αs-b and T. The new method proves to be a reliable one to predict thermal compatibility of multi-layer dental ceramic composites.
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Miculescu, Florin, Lucian Toma Ciocan, Daniela Meghea, and Marian Miculescu. "Morphologic Characterization of Ceramic-Ceramic Dental Systems Failure." Key Engineering Materials 614 (June 2014): 140–43. http://dx.doi.org/10.4028/www.scientific.net/kem.614.140.

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Sintered ceramics and ceramic glasses are frequently used as biomaterials for dental restorations, usually for inlays, onlays, veneers, crowns or bridges. In this study we analyzed several types of ceramic-ceramic type prosthetic restorations in order to assess the types of defects that can lead to their failure. The research aim is to morphologically identify by scanning electron microscopy the main types of defects that lead to failure over time of ceramic-ceramic prostheses type. The type of failure registered were fracture of plating material (feldspatic porcelain) and fracture of entire structure (zirconia and feldspatic porcelain).
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Fan, Cheng. "Fracture Mechanics Analysis of GI All-Ceramic Crowns." Advanced Materials Research 750-752 (August 2013): 529–32. http://dx.doi.org/10.4028/www.scientific.net/amr.750-752.529.

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Dental ceramic materials have approximate color and translucency with natural tooth, which is unmatched by other restorative materials. Because of its beautiful appearance, good physical and chemical properties, all-ceramic crown restorations are more widely used., However, due to the brittleness of ceramics and the stress mismatch between different materials, dropping or fracture phenomenon of porcelain veneer is often occurred in clinical application during the service period of all-ceramic crowns. The porcelain veneer failure mechanism is still not very clear, in this paper, the force performance of all-ceramic crowns is analyzed using the RFPA (realistic failure process analysis) system. The crack initiation, propagation and failure process of all-ceramic crown can be clearly observed and the research results provide guidance for clinical application
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Zhu, Lin Jia, Yi Hong Liu, Hai Lan Feng, Hui Juan Chen, Qing Hui Zhang, Yan Qiu, and Yi Wang Bao. "Fatigue Damage Modes of Bilayered Zirconia and Alumina Dental Composites." Key Engineering Materials 492 (September 2011): 35–38. http://dx.doi.org/10.4028/www.scientific.net/kem.492.35.

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Bi-layer all-ceramic dental crowns comprise an inner core made of alumina or zirconia and an outer porcelain shell. The veneer safe from damage is mainly depended on the properties of core materials due to the poor strength and toughness of porcelain. The fracture modes and crack transformation of zirconia/porcelain and alumina/porcelain bi-layer composites reveal the potential feasibilities of improving the fatigue life of all-ceramic restorations. The failure modes of bi-layer composites were confirmed under cyclic spherical fatigue loading by dynamic microcosmic observation. Crack modes and evolvement of bi-layered composites were explored inflecting with fatigue load, cycles, frequency and water environment. Microcosmic morphology of the samples was observed by high depth of field stereomicroscope to determine degree and modes of fatigue damage. The appearance of cone cracks of porcelain surface was almost consistent in both of zirconia and alumina bi-layer composites. However, the pattern and process of the damage are different under cycle fatigue load. Furthermore, process of fatigue damage of bi-layer composites were observed to failure rapidly under water environment in both of zirconia and alumina bi-layer composites.
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Hill, Mark A., FJ Trevor Burke, Sau-Wan Cheung, Alison JE Qualtrough, and Nairn HF Wilson. "Techniques Used by a Group of United Kingdom-based Dental Practitioners during." Primary Dental Care os7, no. 2 (April 2000): 77–82. http://dx.doi.org/10.1308/135576100322732229.

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A number of techniques involving the use of various instruments, brushes and devices have been described for the removal of excess luting material and subsequent finishing around the margins of indirect tooth-coloured restorations. There is little information available on the clinical techniques employed by UK dental practitioners in the placement of these restorations, or on the effectiveness of these techniques. A questionnaire was designed to elicit such information. This was distributed to 500 UK-based dental practitioners. A total of 301 practitioners returned completed questionnaires, giving a response rate of 60%. The results indicated that 88% of the respondents routinely provided porcelain veneers for their patients, with 94% of these respondents indicating that they routinely prepared teeth during the provision of such restorations. A light-cured resin composite luting material was used by 29% of the respondents in placement of veneers, while 69% used a dual cured composite. Excess uncured luting material was removed by a number of methods and a variety of methods were used by respondents to finish the margins of the veneers after placement. Of the respondents 68% indicated that they routinely provided tooth-coloured inlays and onlays, with 89% indicating that they routinely used a dentine bonding system when luting their indirect tooth-coloured restorations. It is concluded that a high proportion of the practitioners surveyed were providing porcelain veneers and tooth-coloured inlays and that a wide variety of materials and finishing techniques were being used.
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Gómez, Juliana, Astrid Rueda, and Edgar Alexader Ossa Henao. "Improving the mechanical properties of commercial feldspathic dental porcelain by addition of Alumina-Zirconia." Revista Facultad de Ingeniería Universidad de Antioquia, no. 94 (October 17, 2019): 67–76. http://dx.doi.org/10.17533/udea.redin.n91a11.

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Dental ceramics made from Yttria stabilized tetragonal Zirconia polycrystalline (Y-TZP) with feldspathic porcelain veneers have similar mechanical and aesthetic response to natural tooth. However, cases of early failure, such as chipping or fracture in the veneering have been reported after short periods of use. The present study evaluated the feldspathic porcelain (VITA-VM9) with addition of 0.5 and 2.5 wt% Alumina-Zirconia as reinforcing agents. Hardness, fracture toughness, contact resistance and color variations were evaluated finding better mechanical performance on the new formulations.
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Gallina Menta, Andréa, Raísse Da Oliveira Bueno Soares, Bruno Emmanuelli, Camila Rodrigues, and Liliana Gressler May. "Dentists’ Attitudes towards the Dental Ceramic Choice for Metal-Free Restorations: a Questionnaire Survey." Journal of Health Sciences 23, no. 2 (June 21, 2021): 99–105. http://dx.doi.org/10.17921/2447-8938.2021v23n2p99-105.

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AbstractA wide variety of dental ceramics is launched every year. Therefore, clinicians should constantly study and update themselves to correctly indicate these materials. This cross-sectional study aimed to assess the association of dentists’ academic aspects with their knowledge and the indication of dental ceramics for metal-free restorations. All the dentists from private clinics who affirmed to perform prosthetic treatments on their patients in a Southern Brazilian city were personally invited to this research to avoid dropouts. Participants answered questions related to their knowledge of different dental materials, their information sources and usage frequency of ceramic materials, and related to their academic training/education. Chi-square tests were performed to evaluate the association among the outcomes (knowledge of different materials, information sources considered for material selection and their frequencies of use) and exposure variables (time since graduation and post-graduation degree). Significant associations were also submitted to Chi-square residual analysis. A response rate of 73.3% was reached. The most known and used materials were Y-TZP and porcelain veneered zirconia, respectively, whereas the least known was leucite-based ceramic. The majority of the professionals with at least 25 years since graduation claimed not to know lithium disilicate or leucite-based ceramics, and a significant number of these professionals allow the laboratory prostheses technician to choose the restorative material. In addition, most of dentists with no post-graduation said they did not have knowledge about leucite and lithium disilicate. It was evidenced that continuing education plays an important role in the dentists’ attitudes regarding ceramic materials. Keywords: Surveys and Questionnaires. Ceramics. Prosthodontics. ResumoUma grande variedade de cerâmicas é lançada no mercado a cada ano. Portanto, os clínicos devem se manter em constante estudo e atualização para indicar corretamente o uso desses materiais. Assim, este estudo transversal teve por objetivo avaliar a associação entre aspectos acadêmicos de dentistas com seus conhecimentos e as indicações de cerâmicas dentárias para uso em restaurações livres de metal. Para isso, todos os dentistas de clínicas privadas que afirmaram realizar tratamentos protéticos em seus pacientes em uma cidade do sul do Brasil foram pessoalmente convidados a participar desta pesquisa para evitar desistências. Os participantes responderam a questões relacionadas ao seu conhecimento sobre diferentes materiais dentários, suas fontes de informação, a frequência de uso de materiais cerâmicos, e, também, sobre sua formação acadêmica. Testes qui-quadrado foram realizados para avaliar a associação entre os desfechos (conhecimento de diferentes materiais, fontes de informação consideradas para a seleção do material e sua frequência de uso) e as variáveis de exposição (tempo desde a graduação e grau de pós-graduação). As associações significativas foram submetidas à análise de resíduos do qui-quadrado. A taxa de resposta obtida foi de 73,3%. O material mais conhecido e usado foi a Y-TZP e zircônia recoberta por porcelana, respectivamente, enquanto que o material menos conhecido foi a cerâmica a base de leucita. A maioria dos profissionais com pelo menos 25 desde a graduação afirmaram não conhecer as cerâmicas a base de dissilicato de lítio ou leucita, e um significativo número desses profissionais permitem que o técnico em prótese dentária escolha o material restaurador. Ainda, a maioria dos dentistas sem pós-graduação disseram não conhecer as cerâmicas a base de dissilicato de lítio ou leucita. Concluiu-se que a educação continuada é um fator determinante nas atitudes de dentistas em relação aos materiais cerâmicos. Palavras-chave: Pesquisas e Questionários. Cerâmicas, Prótese Dentária
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Carpena DDS, MS, PhD, Guilherme, Andressa Balaron DDS, and José Aguiar. "A new ceramics approach for contact lens." Odovtos - International Journal of Dental Sciences 17, no. 1 (November 29, 2015): 14. http://dx.doi.org/10.15517/ijds.v0i0.22040.

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Nowadays the field of dentistry is focusing into a new aesthetic area in the light of an minimal invasive dentistry approach. Aesthetic treatments with dental porcelain veneers without any preparation (ceramic contact lenses) have gained popularity in recent years. Thus, the need for constant improvement and knowledge of innovative techniques and ceramics is fundamental. This article point out about the essential criteria to promote a clinical succeed of the technique over the years.
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Tarek, Yasmine, Nawar AlDeghaishem, Raghad AlNassar, Alaa AlKhamsan, and Khames T. Alzahrani. "Indirect Restorative Materials and Techniques Selection and Used by General Dentists in Riyadh, Kingdom of Saudi Arabia." International Journal of Innovative Research in Medical Science 5, no. 12 (December 4, 2020): 579–84. http://dx.doi.org/10.23958/ijirms/vol05-i12/1006.

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Introduction: Dentistry is a highly commercialized profession, constantly changing with many new technologies, techniques, and dental materials. Patients suffering from dental decay and missing teeth would like to have their teeth replaced with the most aesthetically appealing and long-lasting material and technique possible and general dental practitioners provide a significant number of indirect restorations and fixed prostheses and the following are the most commonly used categories of indirect restorations in dental practice Inlays, Onlays, Veneers and Single crowns. Objectives: The purpose of this study is to investigate the use and selection of dental material used in indirect restorations by general dental practitioners in Riyadh, Kingdom of Saudi Arabia. Methods: This is an observational cross-sectional study based on a survey, validated questionnaires by Brunton Paul in the United Kingdom. The sample size was estimated using the Qualtrics calculator with a confidence level of 95% and a margin of error of 5%; a sample size of 226 collected from March 2020 to May. Data was entered on the computer using the “Microsoft Office Excel Software” program (2016) for Mac. Data was transferred to the Statistical Package of Statistical Science Software (SPSS) program, version 20 (IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp.) Pearson Chi-Square and Fisher’s Exact test we used to statistically analyzed. Results: A total of 226 participants, over half the participants, were females (53.3%). The majority were Saudi nationals (91.2%) and had 1-10 years of practice since graduation (62.2%, n=140). Just under half work in private sector (47.6%) and most of the participants reported material of choice for tooth-colored Inlays and Onlays and a case with anterior veneers is laboratory fabricated porcelain (56.2%) and (45.6%) respectively. The material of choice for core build-ups in vital teeth is a light-cured composite resin in 77.4% of cases and impression materials used are addition-cured silicones in 61.9% of cases. Conclusion: Our community needs more education about oral health and indications of esthetic dental treatments and their side effects. Also, we need to increase patients’ awareness of the importance of proper treatment planning and more conservative treatment options.
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Wang, Yinghui, Honglan Huang, Honglei Lin, Lei Jiang, Yu Pan, Xiurong Li, and Hui Cheng. "The Influence of Recycling on the Properties of Interface between Ceramic and Dental Alloys." BioMed Research International 2020 (April 8, 2020): 1–9. http://dx.doi.org/10.1155/2020/3529781.

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Statement of Problem. Results are discrepant regarding the metal-ceramic interface of dental alloys affected by recycling. Purpose. The purpose of this study was to evaluate the effect of recycling on the properties of interface between 2 dental alloys and their corresponding porcelains. Materials and Methods. Noble alloy (Pd-Cu-Ga) and high-noble alloy (Au-Pt) were used in this study. Metal matrices (cylinders Φ4 mm×4 mm with pedestal Φ5 mm×1 mm) were prepared by arc melting in argon after recasting 1-3 times. Corresponding porcelain with overall dimensions of Φ4 mm×2 mm was veneered on each metal cylinder. There were 22 specimens in each alloy group. Specifically, two specimens of each group were chosen randomly for interfacial morphology and diffusion analyses by scanning electron microscopy (SEM) equipped with energy-dispersive X-ray spectroscopy (EDS). The remaining 20 specimens were divided into 2 groups with or without thermal cycling. The bond strength was evaluated by shear test, and the data were analyzed by two-way analysis of variance (ANOVA). The failure mode of shear test specimen was observed with a stereoscopic microscopy and subjected to the exact probability test (α=0.05). Results. According to the results from SEM, no obvious difference was observed in the interfacial morphology of both Pd-Cu-Ga and Au-Pt alloys among different recasting specimens. EDS analysis revealed that no significant difference was found in the width of elemental diffusion among 2 test alloys after recycling 1-3 times. Notably, in Pd-Cu-Ga alloy groups, the peak of Ga in thrice recasting was lower than those in first and second recastings. And there was no significant difference (P>0.05) in the metal-ceramic shear bond strength of Pd-Cu-Ga and Au-Pt alloys after recycling 1-3 times, with or without thermal cycling. The results of failure modes observed on specimens were not affected by the recycling and thermal cycling in the 2 tested alloys. Conclusions. Within the limitations of this study, the Pd-Cu-Ga and Au-Pt alloys can be recycled 2 times without significant changes on the properties of metal-ceramic interface, with or without thermal cycling.
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Okida, Ricardo Coelho, Daniela Micheline dos Santos, Aljomar José Vechiato Filho, Agda Marobo Andreotti, Rodrigo Antonio de Medeiros, and Marcelo Coelho Goiato. "Prosthetic Rehabilitation of a Patient with Gastroesophageal Reflux Disease: 4-Year Followup." Case Reports in Dentistry 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/270365.

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The gastroesophageal reflux disease (GERD) is one of the main causes of dental erosion. The aim of this case presented is to describe the prosthetic rehabilitation of a patient with GERD after 4 years of followup. A 33-year-old male patient complained about tooth sensitivity. The lingual surface of the maxillary anterior teeth and the cusps of the upper and lower posterior teeth presented wear. It was suspected that the feeling of heartburn reported by the patient associated with the intake of sports supplements (isotonics) was causing gastroesophageal changes. The patient was referred to a gastroenterologist and was diagnosed with GERD. Dental treatment was performed with metal-free crowns and porcelain veneers after medical treatment of the disease. With the change in eating habits, the treatment of GERD and lithium disilicate ceramics provided excellent cosmetic results after 4 years and the patient reported satisfaction with the treatment.
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Jang, J.-H., S.-H. Lee, J. Paek, and S.-Y. Kim. "Splinted Porcelain Laminate Veneers With a Natural Tooth Pontic: A Provisional Approach for Conservative and Esthetic Treatment of a Challenging Case." Operative Dentistry 40, no. 6 (November 1, 2015): E257—E265. http://dx.doi.org/10.2341/15-020-s.

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SUMMARY Esthetic rehabilitation of discolored anterior teeth is always a great challenge, especially in the presence of pathology. Fortunately, conservative management in the esthetic zone has become more feasible in compromised cases because of the development of restorative materials and advances in dental adhesives. This report presents a complicated case of a patient with tetracycline-related discoloration, multiple root resorption, and a periapical lesion. Treatment was conservative and used a natural tooth pontic and splinted porcelain laminate veneers.
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Radev, D. D. "Nickel-Containing Alloys for Medical Application Obtained by Methods of Mechanochemistry and Powder Metallurgy." ISRN Metallurgy 2012 (November 14, 2012): 1–6. http://dx.doi.org/10.5402/2012/464089.

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The methods of mechanochemistry, in combination with cold pressing and pressureless sintering, were used to obtain the most popular nickel-based and nickel-containing alloys used in dentistry and implantology. It was shown that the intense mechanical treatment of Ni, Ti, and Cr powders used as reagents, and the application of the above-mentioned simple powder metallurgical technique for densification allows obtaining NiCr and NiTi alloys with controlled structural properties. The nickel-based dental alloys obtained by mechanically activated sintering possess excellent mechanical, technological, and aesthetic properties. These alloys are suitable as dental restorative materials and for production of porcelain veneered constructions like crowns and bridges using the so-called metal-to-ceramic dental technique. It was shown that the method of mechanically assisted synthesis allows obtaining nanosized NiTi alloy at significantly lower temperature in comparison with the traditional high-temperature alloying. It was also shown that after 40 hours intense mechanical treatment of reagents, a direct synthesis of NiTi alloy proceeds. The product has excellent sinterability which enables to produce bodies with controlled porosity appropriate for application in implantology.
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Zandinejad, A., WS Lin, M. Atarodi, T. Abdel-Azim, MJ Metz, and D. Morton. "Digital Workflow for Virtually Designing and Milling Ceramic Lithium Disilicate Veneers: A Clinical Report." Operative Dentistry 40, no. 3 (May 1, 2015): 241–46. http://dx.doi.org/10.2341/13-291-s.

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SUMMARY Laminate veneers have been routinely used to restore and enhance the appearance of natural dentition. The traditional pathway for fabricating veneers consisted of making conventional polyvinyl siloxane impressions, producing stone casts, and fabricating final porcelain prostheses on stone dies. Pressed ceramics have successfully been used for laminate veneer fabrication for several years. Recently, digital computer-aided design/computer-aided manufacturing scanning has become commercially available to make a digital impression that is sent electronically to a dental laboratory or a chairside milling machine. However, technology has been developed to allow digital data acquisition in conjunction with electronically transmitted data that enables virtual design of restorations and milling at a remote production center. Following the aforementioned workflow will provide the opportunity to fabricate a physical cast-free restoration. This new technique has been reported recently for all-ceramic IPS e.max full-coverage pressed-ceramic restorations. However, laminate veneers are very delicate and technique-sensitive restorations when compared with all-ceramic full-coverage ones made from the same material. Complete digital design and fabrication of multiple consecutive laminate veneers seems to be very challenging. This clinical report presents the digital workflow for the virtual design and fabrication of multiple laminate veneers in a patient for enhancing the esthetics of his maxillary anterior teeth. A step-by-step process is presented with a discussion of the advantages and disadvantages of this novel technique. Additionally, the use of lithium disilicate ceramic as the material of choice and the rationale for such a decision is discussed.
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Katoch, Sumit, Manjit Kumar, Amrit Khosla, Ritu Batra, and Navjot Kaur. "An In Vitro Study to Investigate the Effect of Various Surface Treatments on the Core–Veneer Shear Bond Strength of Zirconia Restorations: A Scanning Electron Microscope Study." Dental Journal of Advance Studies 06, no. 01 (April 2018): 014–19. http://dx.doi.org/10.1055/s-0038-1673497.

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AbstractVeneering ceramic to the core is considered to be the weakest part of all-ceramic restorations. Zirconium dioxide, owing to its favorable properties such as high strength, chemical stability, and superior aesthetics, is the material of choice for fabrication of a core. The adhesion between the core and veneering porcelain is based on the same manner in which the connection occurs in metal–ceramic structures. However, the standard procedures for connecting zirconia to hard dental tissues and veneering materials do not achieve the required strength of bonding.The aim of this study was to investigate different surface treatments of the zirconium dioxide ceramic core for achieving highest adhesive bonding values to veneering porcelain. The study was primarily designed to investigate the bonding strength of the veneering porcelain to zirconia with in vitro macro shear bond strength test. The samples of zirconia were divided into four groups of 10 specimens, each according to the treatment of zirconium surface, and the results showed the highest bonding values for samples that were treated with the sandblasted group.
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Blatz, M. B., M. Vonderheide, and J. Conejo. "The Effect of Resin Bonding on Long-Term Success of High-Strength Ceramics." Journal of Dental Research 97, no. 2 (September 6, 2017): 132–39. http://dx.doi.org/10.1177/0022034517729134.

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Digital manufacturing, all-ceramics, and adhesive dentistry are currently the trendiest topics in clinical restorative dentistry. Tooth- and implant-supported fixed restorations from computer-aided design (CAD)/computer-aided manufacturing (CAM)–fabricated high-strength ceramics—namely, alumina and zirconia—are widely accepted as reliable alternatives to traditional metal-ceramic restorations. Most recent developments have focused on high-translucent monolithic full-contour zirconia restorations, which have become extremely popular in a short period of time, due to physical strength, CAD/CAM fabrication, and low cost. However, questions about proper resin bonding protocols have emerged, as they are critical for clinical success of brittle ceramics and treatment options that rely on adhesive bonds, specifically resin-bonded fixed dental prostheses or partial-coverage restorations such as inlays/onlays and veneers. Resin bonding has long been the gold standard for retention and reinforcement of low- to medium-strength silica-based ceramics but requires multiple pretreatment steps of the bonding surfaces, increasing complexity, and technique sensitivity compared to conventional cementation. Here, we critically review and discuss the evidence on resin bonding related to long-term clinical outcomes of tooth- and implant-supported high-strength ceramic restorations. Based on a targeted literature search, clinical long-term studies indicate that porcelain-veneered alumina or zirconia full-coverage crowns and fixed dental prostheses have high long-term survival rates when inserted with conventional cements. However, most of the selected studies recommend resin bonding and suggest even greater success with composite resins or self-adhesive resin cements, especially for implant-supported restorations. High-strength ceramic resin-bonded fixed dental prostheses have high long-term clinical success rates, especially when designed as a cantilever with only 1 retainer. Proper pretreatment of the bonding surfaces and application of primers or composite resins that contain special adhesive monomers are necessary. To date, there are no clinical long-term data on resin bonding of partial-coverage high-strength ceramic or monolithic zirconia restorations.
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Porojan, Liliana, Mihaela Bîrdeanu, Cristina Savencu, and Sorin Porojan. "Characterization of Dental Metal-Ceramic Interfaces of Heat Pressed Ceramics on Co-Cr Frameworks Obtained with Different Technologies." Applied Mechanics and Materials 876 (February 2018): 25–30. http://dx.doi.org/10.4028/www.scientific.net/amm.876.25.

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It is known that the quality of metal-ceramic restorations mainly depends on the interface strength. The aim of the study was to evaluate metal–ceramic interfaces of heat pressed ceramic on Co-Cr frameworks obtained with different technologies: melting-casting (CST), computerized milling (MIL), selective laser sintering (SLS) and selective laser melting (SLM). The microstructure of metal–ceramic interfaces and framework topography were characterized by scanning electron microscope (SEM). Sandblasted, polished surfaces and the cross section on the interfaces were observed. Sandblasted surfaces presented a uniform rough aspect and pronounced porous surface compared to that of polished surfaces and were better visible in SLS and SLM samples. The thickness of the veneer layer had a noticeable effect on the interface, because in the case of thicker veneers, cracks at the interfaces were visible for CST and MIL specimens. Considering the findings reported herein, some suggestions can be considered in practice, such as adaptation of the restorations morphology to the characteristics of the processed materials.
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Shetty, Karunakar, Othman Wali, Abrar Bakri Koosa, Anan Abdullah Alhazmi, Nouran Omar Jamal, Sara Faiz Jambi, and Kamrunissa Hussain Sheikh. "Dental Prosthetic Status and Treatment Needs of Adult Population in Makkah Region of Saudi Arabia: A Survey Report." International Healthcare Research Journal 3, no. 7 (October 24, 2019): 240–47. http://dx.doi.org/10.26440/ihrj/0307.10296.

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Background: The aim of the study was to evaluate the dental prosthetic status and treatment needs among the 20–70 year old adults of Makkah region of Saudi Arabia. Materials and methods: A cross-sectional study was conducted among the Adult population of Makkah region of Saudi Arabia aged 20-70 years. 226 subjects who were above 20 years and who was reporting to Dental OPD of Ibn Sina National College for Medical studies, Jeddah for prosthesis of missing teeth was target of cross-sectional study and these patients were randomly selected. A questionnaire was developed and patient’s consent was taken and examination of the patient was done and data collected. The data was compiled and subjected to descriptive and inferential analysis using the SPSS software version 21. Univariate analysis was performed using Chi-square test at 5% level of significance. Results: Among the participants, 29.6% of them had crown and 27.4% of them had brides and only 6.2% of them had porcelain veneers. 31.9% of them desired fixed partial denture and 6.2% of them wanted Implant supported prosthesis. 22.6% of them were suitable for removable partial denture, 29.6% of them were suitable for fixed partial denture and only 3.1% of them suitable for Implant supported prosthesis. 38.9% of them opted for removable partial denture, 38.1% of them opted for fixed partial denture and only 13.3% of them opted for Implant supported prosthesis. Conclusion: Prosthodontists should to be able to understand a patient’s motive in seeking Prosthodontic care and identify these before starting the treatment. This study provides data for an oral health‑care provider program for Makkah region. The study confirms the relationship between increasing age and prosthetic status and treatment needs.
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Zhyvotovskyi, I. V., Yu I. Sylenko, and M. V. Khrebor. "COMPARATIVE CHARACTERISTICS OF THE EFFECTIVENESS OF DIRECT AND INDIRECT RESTORATIONS ON TEETH WITH DISCOLORATION." Ukrainian Dental Almanac, no. 3 (September 6, 2019): 27–33. http://dx.doi.org/10.31718/2409-0255.3.2019.05.

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The rapid development of dental industry and constant improvement of technologies in production of basic dental materials contribute to the increase of the quality of rendering dental care with the obligatory consideration not only of functional but also aesthetic parameters during a patient's rehabilitation. However, there is still no precise indication for the use of metal-free structures for the qualitative and durable aesthetic restoration of the frontal group of teeth, white-pink aesthetics and prosthetic rehabilitation, taking into account changes in the parameter of biological width of the tooth and aesthetic criteria. The aim of the research is to improve the effectiveness of treatment of frontal group teeth with discoloration using direct and indirect restorations by evaluating and comparing the quality of restorations. Research materials and methods. For clinical substantiation and comparison of direct and indirect ceramic restorations with classical fixation and the proposed method of fixation on the heated composite, 90 patients with discoloration and defects of the crown of the front teeth, aged 18 to 65 years, were examined and treated. A comparative evaluation was carried out one year after the restoration was completed. The distribution of patients into clinical groups was as follows: the first group – patients who were treated by direct restorations, performed with light- polymer restorative material Estet X HD (Dentsply) (50 patients, 125 restorations); the second group embraced patients, treated with indirect ceramic restorations manufactured by the method of pressing high temperature ceramics (IPS Emax). The latter group was in turn divided into two subgroups, depending on the treatment method: 2A – patients with indirect fixation by conventional methods on the Dentsply dual-cure composite of Calibra production (20 patients, 70 veneers) and 2B - patients with fixation treated on the heated composite Gradia Direct by GC production (20 patients, 55 veneers). In order to evaluate the quality of prosthetics in patients with direct and indirect ceramic restorations (veneers) it has been determined the status of these restorations using the modified USPHS (United States Public Health Service; Ryge, G., 1980, 1981) criteria for the frontal teeth group. The obtained results were processed by the method of variational statistics using Student's test. Research results. During the clinical evaluation of direct restorations using the modified USPHS criteria for the frontal teeth group, the following complications were identified: tooth sensitivity was present in 5.6% of teeth, fractures, cracks, chips – in 20 restorations (16%); discrepancy between the color of restoration and the color of natural teeth – in 30 restorations (24%); the presence of defects in the texture of the surface – 30 teeth (24%). Impaired marginal adaptation was in 32 restorations, which amounted to 25.6%; loss of restoration gloss – in 66,4%, the presence of secondary caries – in 17 teeth (13,6%); deficiency of occlusal contact –in 13 restorations (10.4%), of approximate contact – in 17 restorations (3.6%). A detailed analysis of the condition of indirect restorations and clinical complications in the second group showed that the most common defects are impairment of marginal adaptation – 16 veneers (12.8%), impairment of the integrity of veneers due to fractures, cracks, chips – 6 (4.8%), inconsistency of color – 13 veneers (10.4%), the presence of surface texture defects – 0, secondary caries – 3 teeth (2.4%), the position of fixing cement – 4 veneers (3.2%). Impaired occlusal contact was observed in 1 tooth (8.8%). No changes in approximate contacts were detected. The total number of complications was 17%, which indicates the need to find the optimization approaches to treatment with these structures. Comparison of the status of indirect restorations, depending on the method of fixation by subgroups showed that the impaired integrity of veneers due to fractures, cracks, chips in subgroup 2A was detected in 4 teeth (5.7%), and in the subgroup 2B – in 2 teeth (3.6%). Color change in group 2A was observed in 12 teeth (17.1%), in group 2B – in 3 teeth (5.5%). Disorders of marginal adaptation in group 2A were observed in 12 teeth (17.1%), in group 2B – in 4 teeth (6.6%). Secondary caries was observed on 2 teeth (2.9%) in group 2A and in one patient in group 2B (1.8%). According to the criteria for evaluating the state of indirect ceramic restorations and recommended follow-up professional actions, the following estimates were established: 28% of restorations in the first group, 55.7% of restorations in group 2A, 85.5% of restorations in group 2B received an “excellent” rating; 33.6% of restorations in the first group, 25.7% in group 2A, 5.5% in group 2B received a “good” rating; a “satisfactory” rating was obtained by 11.2% of restorations in the first group, 11.7% in group 2A, 5.4% in group 2B. In the first group, 27.2% of restorations needed immediate replacement, 11.4% – in the second and 3.6% – in the third group. The total score for the first group was 3.87±0.07, for 2A – 4.26±0.12, p.05, for group 2B – 4.73±0,1, p1˂p,05, p2˂0,05. Conclusion. Thus, our studies of direct and indirect restorations after one year of use showed that the highest level of quality was observed in the group where indirect restorations (veneers) were manufactured, which were fixed on the heated Gradia Direct composite by GC production. The obtained results are confirmed by the statistical analysis. To evaluate the quality and duration of using direct and indirect structures with different types of fixation, it is advisable to carry out a long-term monitoring for up to 10 years.
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Wilk, M., and L. Klimek. "Oxide layers on titanium obtained by anodizing in orthophosphoric acid." Archives of Materials Science and Engineering 1, no. 94 (November 1, 2018): 11–17. http://dx.doi.org/10.5604/01.3001.0012.7803.

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Purpose: Titanium is an essential material used in modern dentistry, mostly due to its tissue compatibility. However, there are another physicochemical assets, which can be harnessed. One of these is enhancing the bonding strength of titanium with another materials. In view of the advantageous effect of oxide layers on the bond with the ceramics, an attempt was made at creating oxide layers on samples of commercially pure titanium applied as the material for metal frameworks of prosthetic restorations. Design/methodology/approach: As the research material cylindrical wet grinded commercially pure titanium, Grade II samples were used. The samples were divided into three groups and underwent anodic oxidation in 1 M orthophosphoric acid, with the voltages: 120 V, 160 V, 200 V. After the anodizing process, the samples were subjected to the X-ray diffraction, analysis of the element distribution from the surface towards the inside of the materials using an optical spectrometer, finishing with the tests performed with a scanning microscope to determine the morphology of the obtained layers. Findings: Layers of 0.26 μm to 0.65 μm thick were achieved. The performed studies demonstrated that increasing reaction voltage contributes not only to thickening of the oxide layers but also influences to porosity. The layers obtained in the electrolyte which contained monomolar orthophosphoric acid consist of only one allotropic type of titanium oxide – anatase. The spectrometric tests showed that the content of titanium and oxygen in the layer is not constant, which proves that the formed layer does not have a strictly stoichiometric composition TiO2, but rather TiO2-x. Research limitations/implications: It is necessary to provide the optimal voltage directly related to the employed acid solution to preserve the usable thickness of oxide layers. Too thick (over 1 μm) coating may lead to exfoliating. Contrary, distinctly thin layers present fractures and decrements, accordingly do not veneer entire surface of titanium sample. Originality/value: Usually oxide layers obtained by anodic oxidation are examined paying special attention to tissue integration and usability in implantology. Following paper is focused on bonding titanium with dental ceramics to facilitate process of designing porcelain-fused-to-metal fixed dentures.
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Kermanshah, Hamid, and Sara V. Valizadeh. "A 7-Year Follow-Up of a Fractured Endodontically Treated Incisor Restored with a One-Piece Post and Core Laminate Veneer." Frontiers in Dentistry, October 15, 2019. http://dx.doi.org/10.18502/fid.v16i3.1594.

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To achieve natural-appearing aesthetic results and for the conservation of tooth structure, it is important for practitioners to be aware of technological advances in materials science as well as the proper use of aesthetic dental techniques. This clinical report describes the restoration of a left maxillary lateral incisor using a one-piece post and core laminate veneer. This proposed restoration technique represents an alternative to traditional restoration procedures, such as metal-ceramic restorations, all-ceramic crowns, and conventional porcelain laminate veneers. It also conserves the remaining tooth structure, reestablishes function, and offers satisfactory aesthetics with the use of adhesive bonding techniques.
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Oliveira, Danila, Mariana Tassinari Caixeta, Fernando Isquierdo de Souza, and Eduardo Passos Rocha. "Restaurações cerâmicas delgadas sobre dentes sem preparo em diferentes regiões dos arcos dentais. Relato de 2 casos clínicos." ARCHIVES OF HEALTH INVESTIGATION 8, no. 1 (April 22, 2019). http://dx.doi.org/10.21270/archi.v8i1.3140.

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As reforçadas propriedades intrínsecas dos materiais cerâmicos, associados à adesão resinosa fundamentam a desenvoltura de técnicas restauradoras mais simplificadas, conservadoras e sem a necessidade de preparo dental prévio seja em dentição anterior ou posterior. Assim sendo, o trabalho tem como objetivo apresentar dois casos clínicos os quais abordaram a confecção de restaurações delgadas em dissilicato de lítio cimentadas sobre diferentes áreas dos arcos dentários, enfatizando o mesmo protocolo clínico, ou seja, ausência de preparos dentais e consequentemente a cimentação resinosa adesiva das restaurações. Caso Clínico 1: laminados cerâmicos nos elementos 13, 12, 11, 21, 22 e 23; Caso Clínico 2: facetas delgadas sobre os elementos 34, 35, 36 e 37. Ambos os casos clínicos com 1 ano de acompanhamento após a cimentação das restaurações. Conclui-se que houve a recuperação da estética e da função em ambos os casos apresentados e a confiabilidade e o sucesso em longo prazo do protocolo clínico descrito estão diretamente relacionados ao substrato dentário, aos fatores de adesividade dos materiais e as propriedades intrínsecas das cerâmicas.Descritores: Cerâmica; Estética Dentária; Facetas Dentárias; Cimentos de Resina.ReferênciasMurdoch-Kinch CA, McLean ME. Minimally invasive dentistry. J Am Dent Assoc. 2003;134(1):87-95.Ericson D. The concept of minimally invasive dentistry. Dent Update. 2007;34(1):9-10,12-4,17-8.Beier US, Kapferer I, Burtscher D, Dumfahrt H. Clinical performance of porcelain laminate veneers for up to 20 years. Int J Prosthodont. 2012;25(1):79-85.D'Arcangelo C, Vadini M, D'Amario M, Chiavaroli Z, De Angelis F. Protocol for a new concept of no-prep ultrathin ceramic veneers. J Esthet Restor Dent. 2018;30(3):173-79.Vadini M, D'Amario M, De Angelis F, Falco A, D'Arcangelo C. No-prep rehabilitation of fractured maxillary incisors with partial veneers. J Esthet Restor Dent. 2016;28(6):351-58.Molina IC, Molina GC, Stanley K, Lago C, Xavier CF, Volpato CA. Partial-prep bonded restorations in the anterior dentition: long-term gingival health and predictability. A case report. Quintessence Int. 2016;47(1):9-16.Kelly JR, Benetti P. Ceramic materials in dentistry: historical evolution and current practice. Aust Dent J. 2011;56(Suppl 1):84-96.Edelhoff D, Brix O. All-ceramic restorations in different indications: a case series. J Am Dent Assoc. 2011;142(Suppl 2):14S-9S.Miranda ME, Olivieri KA, Rigolin FJ, Basting RT. Ceramic fragments and metal-free full crowns: a conservative esthetic option for closing diastemas and rehabilitating smiles. Oper Dent. 2013;38(6):567-71.Cortellini D, Canale A. Bonding lithium disilicate ceramic to feather-edge tooth preparations: a minimally invasive treatment concept. J Adhes Dent. 2012;14(1):7-10.Wolfart S, Eschbach S, Scherrer S, Kern M. Clinical outcome of three-unit lithium-disilicate glass-ceramic fixed dental prostheses: up to 8 years results. Dent Mater. 2009;25(9):e63-71.Benetti P, Della Bona A, Kelly JR. Evaluation of thermal compatibility between core and veneer dental ceramics using shear bond strength test and contact angle measurement. Dent Mater. 2010;26(8):743-50.Beier US, Kapferer I, Dumfahrt H. Clinical long-term evaluation and failure characteristics of 1,335 all-ceramic restorations. Int J Prosthodont. 2012;25(1):70-8.Veneziani M. Ceramic laminate veneers: clinical procedures with a multidisciplinary approach. Int J Esthet Dent. 2017;12(4):426-48.Anchieta RB, Rocha EP, de Almeida EO, Junior AC, Martini AP. Bonding all-ceramic restorations with two resins cement techniques: a clinical report of three-year follow-up. Eur J Dent. 2011;5(4):478-85.Peumans M, Van Meerbeek B, Lambrechts P, Vanherle G. Porcelain veneers: a review of the literature. J Dent. 2000;28(3):163-77.Barkmeier WW, Erickson RL, Kimmes NS, Latta MA, Wilwerding TM. Effect of enamel etching time on roughness and bond strength. Oper Dent. 2009;34(2):217-22.Esquivel-Upshaw J, Rose W, Oliveira E, Yang M, Clark AE, Anusavice K. Randomized, controlled clinical trial of bilayer ceramic and metal-ceramic crown performance. J Prosthodont. 2013;22(3):166-73.Martin AJ, Buschang PH, Boley JC, Taylor RW, McKinney TW. The impact of buccal corridors on smile attractiveness. Eur J Orthod. 2007;29(5):530-7.Fradeani M. Evaluation of dentolabial parameters as part of a comprehensive esthetic analysis. Eur J Esthet Dent. 2006;1(1):62-9.Borges GA, Sophr AM, de Goes MF, Sobrinho LC, Chan DC. Effect of etching and airborne particle abrasion on the microstructure of different dental ceramics. J Prosthet Dent. 2003;89(5):479-88.Fabianelli A, Goracci C, Bertelli E, Davidson CL, Ferrari M. A clinical trial of Empress II porcelain inlays luted to vital teeth with a dual-curing adhesive system and a self-curing resin cement. J Adhes Dent. 2006;8(6):427-31.Aykor A, Ozel E. Five-year clinical evaluation of 300 teeth restored with porcelain laminate veneers using total-etch and a modified self-etch adhesive system. Oper Dent. 2009;34(5):516-23.Oztürk E, Hickel R, Bolay S, Ilie N. Micromechanical properties of veneer luting resins after curing through ceramics. Clin Oral Investig. 2012;16(1):139-46.Scherrer SS, de Rijk WG, Belser UC, Meyer JM. Effect of cement film thickness on the fracture resistance of a machinable glass-ceramic. Dent Mater. 1994;10(3):172-77.Gresnigt M, Ozcan M. Esthetic rehabilitation of anterior teeth with porcelain laminates and sectional veneers. J Can Dent Assoc. 2011;77:b143.Friedman MJ. A 15-year review of porcelain veneer failure--a clinician's observations. Compend Contin Educ Dent. 1998;19(6):625-8,630,632 passim;quiz 638.Peumans M, De Munck J, Fieuws S, Lambrechts P, Vanherle G, Van Meerbeek B. A prospective ten-year clinical trial of porcelain veneers. J Adhes Dent. 2004;6(1):65-76.Fradeani M, Redemagni M, Corrado M. Porcelain laminate veneers: 6- to 12-year clinical evaluation--a retrospective study. Int J Periodontics Restorative Dent. 2005;25(1):9-17.De Munck J, Van Landuyt K, Peumans M, Poitevin A, Lambrechts P, Braem M et al. A critical review of the durability of adhesion to tooth tissue:methods and results. J Dent Res. 2005;84(2):118-32.
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"Effect of newly Developed Resin Cements and Thermocycling on the Strength of Porcelain Laminate Veneers." Journal of Contemporary Dental Practice 18, no. 3 (2017): 209–13. http://dx.doi.org/10.5005/jp-journals-10024-2018.

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ABSTRACT Aim The aim of this study was to determine the effect of different luting cements and accelerated artificial aging (AAA) in the fracture resistance of porcelain laminate veneers (PLVs). Materials and methods A total of 80 disc-shaped specimens were prepared using computer-aided design/computer-aided milling technology from lithium disilicate glass-ceramic blocks. Specimens (0.5 mm thick, 10 mm diameter) were divided into eight groups of 10 specimens per group. The control groups consisted of specimens without cement and not subjected to AAA (CN group) and specimens prepared without cement but subjected to AAA (CW group). The experimental groups were subjected to AAA and cemented with Variolink Veneer, Variolink Esthetic LC, Variolink Esthetic DC, RelyX Unicem, RelyX Veneer, or RelyX Ultimate. Specimens were individually tested for biaxial flexure on a universal testing machine. One-way analysis of variance and the Tukey's post hoc test were used to compare the groups’ significance statistically (α = 0.05). Results The loads to fracture (LTF) values in the CN group were higher than those in the CW and experimental groups. The lowest LTF value was in the CW group (31.5 ± 9.5 N) and the highest LTF value in the CN group (56.7 ± 10.6 N). Tukey's post hoc test demonstrated a statistically significant (p < 0.01) difference between the CN group and the other groups. Conclusion Artificial aging had a significant effect on the LTF value of the tested specimens compared with the resin cements used. Cohesive failure within the PLVs was the most common mode of failure. Clinical significance Fatigue strength of dental ceramics and moisture was shown to affect the mechanical properties of allceramic restorations. All-ceramic material is extremely sensitive to humidity and thermocycling. How to cite this article Alqahtani FI. Effect of newly Developed Resin Cements and Thermocycling on the Strength of Porcelain Laminate Veneers. J Contemp Dent Pract 2017;18(3):209-213.
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Siqueira, Paula Mayumi, Fábio Eduardo de Siqueira, Edson Suguiama, Gabriel Marcondes Castanheira, Fernanda Midori Tsuzuki, Silvia Sbenghen Bicudo Sábio, and Carina Gisele Costa Bispo. "Proporção áurea na reabilitação de múltiplos diastemas com laminados vitrocerâmicos reforçados com dissilicato de lítio." ARCHIVES OF HEALTH INVESTIGATION 8, no. 10 (April 7, 2020). http://dx.doi.org/10.21270/archi.v8i10.3813.

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Introdução: O restabelecimento de um sorriso harmônico constitui um grande desafio para a odontologia restauradora. A sincronia entre diversas especialidades se faz necessária para diagnosticar e tratar alterações estéticas, buscando a excelência do resultado e a satisfação do paciente. Um método bastante citado na literatura e aplicado por muitos clínicos é baseado na teoria da regra de proporção áurea. Quando adotada para situações complexas a proporção áurea pode ser um ponto de referência para a reabilitação. Deste modo, o trabalho tem como objetivo demonstrar uma reabilitação estética de diastemas múltiplos após tratamento ortodôntico, por meio de laminados vitrocerâmicos reforçados com dissilicato de lítio, onde o conceito de proporção áurea é aplicado. Descrição do caso clínico: Primeiramente, o plano de tratamento consistiu na distribuição uniforme dos diastemas, sendo posicionados da maneira mais harmônica e favorável para a oclusão na reabilitação com laminados vitrocerâmicos. A segunda fase consistiu na cimentação dos laminados, a fim de obter um resultado estético agradável. Discussão: A associação de ortodontia prévia a instalação dos laminados, permite uma melhor harmonia estética e oclusal, garantindo uma longevidade do tratamento. Opções restauradoras como laminados vitrocerâmicos reforçados com dissilicato de lítio permitem reabilitações extensas minimamente invasivas. Para casos complexos a proporção áurea, quando alinhada com os conceitos de macro e microestética, pode levar ao sucesso estético.Descritores: Estética Dentária; Facetas Dentárias; Diastema.ReferênciasSoares GP, Silva FAP, Lima DANL, Paulillo LAMS, Lovadino JR. Prevalência da proporção áurea em indivíduos adultos-jovens. Rev odonto ciênc. 2006;21:346-50.Higashi C, Amaral RC, Hilgenberg SP, Gomes JC, Hirata R, Loguercio R, et al. Finalização estética em dentes anteriores pós tratamento ortodôntico: relato de caso clínico. Int J Bras Dent. 2007;3:388-98.Kalia A, Mirdehghan N, Khandekar S, Patil W. Multi-disciplinary approach for enhancing orthodontic esthetics - case report. Clin Cosmet Investig Dent. 2015;13:83-9.Otani T, Raigrodski AJ, Mancl L, Kanuma I, Rosen J. In vitro evaluation of accuracy and precision of automated robotic tooth preparation system for porcelain laminate veneers. J Prosthet Dent. 2015;114:229-35.BaratierI LN. Estética: restaurações adesivas diretas em dentes anteriores fraturados. São Paulo: Santos Editora; 1998.Levin, EI. Dental esthetics and the golden proportion. J Prosthet Dent. 1978;3:244-52.Siqueira PM, Nahsan FPS, Naufel FS, Formighieri LA, Schmitt VL. Incidência da proporção áurea regressiva após tratamento ortodôntico. Rev Odontol Bras Central. 2012;21:515-18.Melo GFB, Menezes Filho PFM. Proporção áurea e sua relevância para a odontologia estética. Int J Dent. 2008;7:234-238.Oliveira VLR. Estudo da proporção áurea entre incisivos centrais. SOTAU R. Virtual Odontol. 2008;5:2-6.Proffit W, Fields HW, Sarver DM. Contemporary orthodontics Fourth edition. Oxford: Elsevier Health Sciences; 2006.Moon JE. Esthetic restorations of maxillary anterior teeth with orthodontic treatment and porcelain laminate veneers: a case report. J Adv Prosthodont. 2010;2:61-63.Keene HJ. Distribution of diastemas in the dentition of man. Am J Phys Anthropol. 1963;21:437-41.Nagalakshmi S, Sathish R, Priya K, Dhayanithi D. Changes in quality of life during orthodontic correction of midline diastema. J Pharm Bioallied Sci. 2014;6:162-64.Jacobson N, Frank CA. The myth of instant orthodontics: an ethical quandary. J Am Dent Assoc. 2008;139:224-34.Bona AD. Bonding to ceramics: scientific evidences for clinical dentistry. São Paulo: Artes Médicas; 2009. p. 91-132.Griggs JA. Recent advances in materials for all-ceramic restorations. Dent Clin North Am. 2007;51:713-27.Gurel G, Sesma N, Calamita MA, Coachman C, Morimoto S. Influence of enamel preservation on failure rates of porcelain laminate veneers. Int J Periodontics Restorative Dent 2013;33:31-9.Vargas MA, Bergeron C, Diaz-Arnold A. Cementing all-ceramic restorations: recommendations for success. J Am Dent Assoc. 2011;142:20-24.Runnacles P, Correr GM, Baratto Filho F, Gonzaga CC, Furuse AY. Degree of conversion of a resin cement light-cured through ceramic veneers of different thicknesses and types. Braz Dent J. 2014; 25:38-42.Almeida JR, Schmitt GU, Kaizer MR, Boscato N, Moraes RR. Resin-based luting agents and color stability of bonded ceramic veneers. J Prosthet Dent. 2015;114:272-77.Marubayashi AMW, Shinike, AY, Terada, HH, Kurihara, E, Terada RSS. Avaliação da proporção áurea em pacientes submetidos ou não a tratamento ortodôntico. Rev Dental Press Estét. 2010;7:72-80.Morley J1, Eubank J. Macroesthetic elements of smile design. J Am Dent Assoc. 2001;132:39-45.Johnston CD, Burden DJ, Stevenson MR. The influence of dental to facial midline discrepancies on dental attractiveness ratings. Eur J Orthod. 1999;21:517-22.Kokich VO Jr, Kiyak HA, Shapiro PA. Comparing the perception of dentists and lay people to altered dental esthetics. J Esthet Dent. 1999;11:311-24.
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Andrade, Allany Oliveira, Ana Vitória Leite Luna, Isabela Alcântara Farias, Marcelo Gadelha Vasconcelos, and Rodrigo Gadelha Vasconcelos. "Passo a passo clínico dos laminados estéticos: uma alternativa restauradora em dentes anteriores." ARCHIVES OF HEALTH INVESTIGATION 8, no. 9 (February 20, 2020). http://dx.doi.org/10.21270/archi.v8i9.3231.

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A Odontologia restauradora deve ser praticada da forma mais conservadora possível. Os laminados cerâmicos, usualmente conhecidos como lentes de contato, são considerados uma boa opção para os procedimentos estéticos, pois o seu preparo é limitado ao esmalte, o que os tornam uma abordagem conservadora. Este trabalho objetiva sintetizar informações de bases científicas que corroborem sobre os laminados cerâmicos com ênfase no seu passo a passo clínico. Em reabilitações com laminados estéticos devem ser selecionadas corretamente os casos clínicos e o tipo de cerâmica mais indicada, pois estas se diferem entre si em suas propriedades mecânicas e estéticas. Além disso, o preparo dentário, quando houver, deve ser de até 0,5mm de espessura. Para a moldagem, o material de escolha deve ser de qualidade, onde o mais indicado é a silicona de adição devido a suas propriedades superiores. No que concerne à etapa de cimentação a técnica que associa o ácido hidrofluorídrico, silano e cimento resinoso promove excelente desempenho clínico em longo prazo, podendo chegar a 90% de sucesso clínico após 13 anos de acompanhamento.Descritores: Prótese Dentária; Estética Dentária; Cerâmica; Facetas Dentárias.ReferênciasTurgut S, Bagis B. Effect of resin cement and ceramic thickness on final color of laminate veneers: An in vitro study. J Prosthet Dent. 2013;109(3):179–86.Andrade AO, Silva IVS, Vasconcelos MG, Vasconcelos RG. Cerâmicas odontológicas: classificação, propriedades e considerações clínicas. SALUSVITA. 2017;36(4):1129-52.Souza ROA, Miyashita E. Lentes de contato cerâmicas como alternativa para correção de giroversões e diastemas em área estética. Prótesenews.2014;1(1):38-50.Alhekeir DF, Al-Sarhan RA, Al Mashaan AF. Porcelain laminate veneers: Clinical survey for evaluation of failure. Saudi Dent J. 2014;26(2):63-7.Kumar GV, Poduval TS, Reddy B, Reddy S. A study on provisional cements, cementation techniques, and their effects on bonding of porcelain laminate veneers. J Indian Prosthodont Soc. 2014;14(1):42-9.Soares PV, Spini PH, Carvalho VF, Souza PG, Gonzaga RC, Tolentino AB et al. Esthetic rehabilitation with laminated ceramic veneers reinforced by lithium disilicate. Quintessence Int. 2014;45(2):129-33.Giray EF, Duzdar L, Oksuz M, Tanboga I. Evaluation of the bond strength of resin cements used to lute ceramics on laser-etched dentin. Photomed Laser Surg. 2014;32(7):413-21.Miyashita E, Oliveira GG. Odontologia estética: os desafios da clínica diária. São Paulo: Napoleão; 2014.Vieira D, Monsores VV. Metal Free - Lentes de contato e coroas totais. São Paulo: Santos; 2013.Anusavice JK, Shen C, Rawls HR. Phillips Materiais Dentários. São Paulo: Saunders Elservier; 2013.Bottino MA. Percepção: estética em próteses livres de metal em dentes naturais e Implantes. São Paulo: Artes Médicas; 2009.Greco DG, Carvalho RAC, Silva MD. Odontologia de alta performance: laminados cerâmicos ultra conservadores. São Paulo: Napoleão; 2015.Monteiro J, Polo GG. Effect of ceramic thickness and cement shade on the final shade after bonding using the 3D master system: a laboratory study. Clin Exp Dent Res. 2016;2(1):57-64.Sapata A, Costa JA, Lenza VJ, Francci CE, Witzel MF, Lodovici E. Lentes de contato: harmonização do sorriso sem desgaste dental. clin int j braz dent. 2013;9(2):154-63.Calixto LR, Bandeca MC, Andrade MF. Enceramento diagnóstico: previsibilidade no tratamento estético indireto. R dental press estét. 2011;8(4):26-37.Baratieri LN, Chain MC. Odontologia restauradora: fundamentos e possibilidades. 2.ed. São Paulo: Santos; 2015.Farias Neto A, Gomes EMCF, Sánchez Ayala A, Sánchez Ayala A, Vilanova LSR. Esthetic rehabilitation of the smile with no-prep porcelain laminates and partial veneers. Case Rep Dent. 2015; 2015: 452765Vanlıoğlu BA, Kulak-Özkan Y. Minimally invasive veneers: current state of the art. Clin Cosmet Investig dent. Cosmetic and Investigational Dentistry. 2014;6:101-7.Alves RH, Venâncio GN, Meira JF, Toda C, Conde NCO, Bandeira MFCL. Aesthetic and functional rehabilitation with Alumina: a case report. Reabilitação estética e funcional com Alumina. Braz Dent Sci. 2016;19(4):119-24.Higashi C, Silva MJ, Gomes JC. Preservação da normalidade do periodonto após procedimentos restauradores. Rev Dicas. 2012;1:20-3.Korkut B, Yanikoğlu F, Günday M. Direct Composite Laminate Veneers. J Dent Res Dent Clin Dent Prospects. 2013;7(2):105-11.Pini NP, Aguiar FHB, Lima DANL, Lovadino JR, Terada RSS, Pascotto RC. Advances in dental veneers: materials, applications, and techniques. Clin Cosmet Investig Dent. 2012; 4:9–16Van Noort R. Introdução aos materiais dentários. São Paulo: Mosby elservier 3º ed; 2010.Cardoso PC, Decurcio RA, Lopes LG, Souza JB. Importância da Pasta de Prova (Try-In) na cimentação de facetas cerâmicas – relato de caso. ROBRAC 2011;20(53):166-71.Amoroso AP, Ferreira MB, Torcato LB, Pellizzer EP, Mazaro JVQ, Gennari Filho H. Cerâmicas odontológicas: propriedades, indicações e considerações clínicas. Rev Odontol Araçatuba. 2012;33(2):19-25.Ferracane JL, Stansbury JW, Burke FJ. Self-adhesive resin cements - chemistry, properties and clinical considerations. J Oral Rehabil. 2011;38(4):295-314.Alavi AA, Behroozi Z, Nik Eghbal F. The shear bond strength of porcelain laminate to prepared and unprepared anterior teeth. J Dent (Shiraz). 2017;18(1):50-5.
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Sampaio Andrade, Lia Beatrice, Cristiano Pires e. Silva, and Sybilla Torres Dias. "Fechamento de diastema e reanatomização com cerâmica odontológica: relato de caso." ARCHIVES OF HEALTH INVESTIGATION 8, no. 10 (April 7, 2020). http://dx.doi.org/10.21270/archi.v8i10.3695.

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Uma das problemáticas da ortodontia é finalizar o tratamento com a presença de diastemas, no entanto, é possível solucionar de várias maneiras, uma delas é a confecção de restaurações indiretas, como os laminados cerâmicos. O crescente desenvolvimento tecnológico dos materiais odontológicos reabilitadores, em especial os cimentos e sistemas adesivos, vem melhorando adesividade ao esmalte/dentina fazendo união química e mecânica e aumentandotambém a resistência estrutural, conferindo características mais estéticas, duradouras e confiáveis dessas restaurações. O presente trabalho relata um caso clínico de fechamento de diastemas múltiplos, pós tratamento ortodôntico, utilizando lentes de contato dental em dissilicato de lítio. O resultado foi satisfatório esteticamente além de solucionar os problemas como: fechamentodos diastemas resultantes da ortodontia, pontos de contatos, fonética e satisfação pessoal do paciente.Descritores: Diastema; Estética Dentária; Facetas Dentárias.ReferênciasSoares PV, Zeola LF, Souza PG, Pereira FA, Milito GA, Machado AC. Reabilitação Estética do Sorriso com Facetas Cerâmicas Reforçadas por Dissilicato de Lítio. Rev Odontol Bras Central. 2012;21(58):538-43.Pena CE, Ortega LF, Soares RD, Coelho AS, Falchi F. A importância do planejamento multidisciplinar em casos de uso de cerâmicas com pouco ou nenhum desgaste em área estética: relato de caso clínico. J Clin Dent Res. 2017;14(1):60-7.Angrisani Neto S, Pereira MA, Cunha LF, Garcia PP. Tratamentos estéticos conservadores para o fechamento de diastemas: resinas compostas e cerâmicas odontológicas. Rev Dental Press Estét. 2013;10(4):94-106.Nishimori LE, Yokoyama AK, Marson FC, Silva CO, Corrêa GO. Lentes de contato: solução para diastemas anteriores. Rev Dental Press Estét. 2014;11(1):94-101.Araújo LG, Bolognese MA. Diastema interincisal x freio labial anormal. Rev Bras Odontol. 1983;5:20-8.Okida RC, Filho AJ, Barao VA, dos Santos DM, Goiato MC. The use of fragments of thin veneers as a restorative therapy for anterior teeth disharmony: a case report with 3 years of follow-up. J Contemp Dent Pract. 2012;13(3):416-20.Kina S. Cerâmicas dentárias. Rev Dental Press Estét. 2005;2(2):111-28.Amoroso AP, Ferreira MB, Torcato LB, Pellizzer EP, Mazaro JVQ, Filho GH. Cerâmicas odontológicas: propriedades, indicações e considerações clínicas. Rev Odontol Araçatuba. 2012;33(2):19-25.Savaris DI, Vermudt A, Ghizoni JS, Pamato S, Pereira JR. Lentes de contato harmonização e estética com preparos conservadores. J Res Dent. 2018;6(4):91-7.Cardoso PC, Cardoso LC, Decurcio RA, Monteiro LJE. Restabelecimento Estético Funcional com Laminados Cerâmicos. Rev Odontol Bras Central 2011;20(52):88-93.Moraes AB, Webber MBF, Marson FC, Progiante PS, Silva CO, Lolli LF. Reanatomização estética multidisciplinar em dente lateral conoide. Rev Dental Press Estét. 2013;10(4):50-7.Mehotra KK, Saimbi CS, Jha T. Microdontic maxillary lateral incisor: case report. J Clin Ped Dent. 1992;16(2):119-28.Mazioli CG, Peçanha MM, Daroz LGD, Siqueira CA, Fraga MAA. Resistência de união de diferentes cimentos resinosos a cerâmica à base de dissilicato de lítio. Rev Odontol UNESP. 2017;46(3):174-78.Fabianelli A, Goracci C, Bertelli E, Davidson CL, Ferrari M. A clinical trial of Empress II porcelain inlays luted to vital teeth with a dual-curing adhesive system and a self- curing resin cement. J Adhes Dent. 2006;8(6):427-31.Lopes MWF, Farias ABL, Cabral BLAL, Guerra CMF. Cimentação em prótese: procedimentos convencionais e adesivos. Int J Dent. 2007; 6(2):58-62.Figueiredo AR, Castro Filho AA, Matuda FS. Cimentação provisória e definitiva. In: Cardoso RJA, Gonçalves EAN (COORD). Oclusão/ATM, Prótese, Prótese sobre implantes e Prótese Bucomaxilofacial. São Paulo: Artes Médicas; 2002. cap. 15.Bottino MA. Estética em Reabilitação Oral Metal Free. São Paulo: Artes Médicas; 2001.Sensi L, Baratieri LN, Monteiro Junior S. Cimentos Resinosos. In:Kina S, Brugrera A. Invisível: Restaurações estéticas cerâmicas. Maringá: Dental Press; 2007. p. 303-19. 36.Karaagaclioglu L, Yilmaz B. Influence of cement shade andwater storage on the final color of leucite-reinforced ceramics. Oper Dent. 2008;22(4):286-91.Aquino APT, Cardoso PC, Rodrigues MB, Takano AE, Porfírio W. Facetas de Porcelana: Solução Estética e Funcional. International J Braz Dent. 2009;5(2):142-52.Zavanelli AC, Zavanelli RA, Quinellimazaro JV, de Paula WN, Borges MA, Bagio DM. Associação de preparos minimamente invasivos e plástica gengival: relato de caso clínico. Arch Health Invest. 2015;4(3):1-9.Sene F. Plástica gengival e microlaminados cerâmicos para reabilitação estética do sorriso. Rev Dental Press Estét. 2015;12(4):79-90.Wang X, Fan D, Swain MV, Zhao K. A systematic review of all-ceramic crowns: clinical fracture rates in relation to restored tooth type. Int J Prosthodont. 2012;25(5):441-50.Layton DM, Clarke M. A systematic review and metaanalysis of the survival of non-feldspathic porcelain veneers over 5 and 10 years. Int J Prosthodont. 2013;26(2):111-24. Lee YK, Cha HS, Yu B. Illuminating light-dependent color shifts in core and veneer layers of dental allceramics. J Biomed Opt. 2014;19(9):95002.
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Bernal, Christian Giancarlo, Ester Mi Ryoung Lee, Carlos De Paula Eduardo, Ana Maria Aparecida Souza, and Luciane Hiramatsu Azevedo. "Retreatment of 6 Ceramic Restorations In A Single Session - The Application of Er:YAG Laser And CAD/CAM Technology: An 1 Year Follow Up Clinical Evaluation." Brazilian Dental Science 24, no. 2 (March 31, 2021). http://dx.doi.org/10.14295/bds.2021.v24i2.2234.

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Background: To present the benefits of high power lasers (Er: YAG and Nd: YAG) over the use of the high speed turbine for the extraction of ceramics restorations, without damaging the surfaces of the teeth; being a relatively easier and faster procedure without the use of anesthetic agents, and the preparation of the ceramic restorations and cementing in the single session; with a follow-up of 1 year. Objective: The benefits of lasers over high-speed turbine mechanical instrumentation for crown removal encompass efficient restoration recovery without damage to tooth surfaces; and a relatively easier and faster procedure without the use of anesthetic agents. Methods: The Er: YAG laser (no contact; 3.2-4.0 W, 20 Hz) was used to extract the porcelain prosthesis, followed by a gingivectomy with the Nd: YAG laser on tooth 12 to improve the gingival contour. The dental surfaces where the ceramic prosthesis will be cemented were scanned. Then, CAD / CAM technology was used to make the ceramic veneers that were cemented in the same session. Results: The efficacy the Er:YAG laser energy was observed by the decreased of the time to remove all-ceramic materials through ablation of bonding cements, reducing working time by 75% compared to a high-speed turbine. Conclusions: An Er: YAG laser can safely remove lithium disilicate crowns with the settings used in this study. Laser-assisted removal of all ceramic PDFs is a promising treatment protocol. The use of the Nd: YAG (2.0 W power, short 20Hz, 320 µm optical fiber, in contact) laser allowed gingivoplasty to be performed, automatically cauterizing avoiding post-operative bleeding, and facilitating the preparation of ceramic restorations the same day. The use of high-power lasers and the use of accompanying CAD / CAM technology allowed this clinical case to be completed in a single visit without the use of temporary restorations, achieving absolute patient satisfaction. Keywords Er:YAG; Nd:YAG; Lithium disilicate ceramic; CAD/CAM.
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Brunetto, Juliana Lujan, Marcio Campaner, Caroline de Freitas Jorge, Letícia Cerri Mazza, Sandro Basso Bitencourt, Adriane Boaventura Chiorlin, Ricardo Shibayama, and Aldiéris Alves Pesqueira. "Reabilitação estética anterior associando prótese metalocerâmica e prótese fixa metal-free: relato de caso." ARCHIVES OF HEALTH INVESTIGATION 8, no. 1 (April 22, 2019). http://dx.doi.org/10.21270/archi.v8i1.3249.

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Devido a evolução dos sistemas cerâmicos, atualmente, são permitidas inúmeras associações de materiais restauradores. Entretanto, mimetizar as características visuais das próteses livres de metal com próteses metalocerâmica permanece um desafio. Assim, o objetivo deste trabalho foi relatar o caso clínico de substituição de próteses desadaptadas, homogeneizando próteses parciais fixas livres de metal e metalocerâmicas dento e implantossuportadas, após cirurgia periodontal. O paciente de 55 anos, gênero masculino, compareceu à Clínica de Prótese Parcial Fixa, da Faculdade de Odontologia de Araçatuba – FOA/UNESP em 2017 queixando-se dos seus dentes anteriores estarem “feios” e com a “raiz aparecendo”. No exame clínico foi constatada recessão gengival nos elementos 11 e 13, os quais continham uma prótese parcial fixa de três elementos metalocerâmicas desadaptada, prótese sobre implante nos elementos 21 e 22, que apresentavam-se desadaptadas e com estética desfavorável. No exame radiográfico pôde-se observar a presença de um núcleo metálico fundido nos elementos 11 e 13. Foi proposto, então, a confecção de coroas totais livres de metal nos elementos anteriores superiores (13, 12, 11, 21 e 23) e coroa metalocerâmica para o elemento 22. Para isso, foi realizado enceramento diagnóstico inicial e, após o consentimento do paciente, foi efetuada a remoção das próteses antigas. Com a remoção, visualizamos uma depressão na vestibular do rebordo na área do 12 (ausente), solucionado com um enxerto gengival subepitelial. Após a realização dos preparos dentários e moldagem com silicone de adição as peças foram confeccionadas com sistema e.max Ceram (Ivoclar Vivadent). Após a prova estética e ajustes oclusais iniciais, as peças foram preparadas para cimentação resinosa com o sistema Variolink® N (Ivoclar Vivadent). O cimento transparente foi selecionado previamente por meio de provas com o kit Try-In. Conclui-se que, apesar da disparidade dos materiais, é possível mimetizá-los e oferecer resultados reabilitadores suficientemente estéticos e satisfatórios.Descritores: Implantação Dentária; Estética Dentária; Materiais Dentários.ReferênciasCardenas AFM, Mora CAP, Siqueira FSF, Parreiras SO, Gomes JC. Restabelecimento estético de um sorriso envelhecido: Caso clínico. Revista APCD de Estética. 2015;3(1):42-52.Strasding M, Fehmer V, Pjetursson BE, Sailer I. Extending the service life of existing dental restorations with esthetic and functional limitations. J Prosthet Dent. 2018;119(6):893-96.Koidou VP, Rosenstiel SF, Rashid RG. Celebrity smile esthetics assessment: Smile angulation. J Prosthet Dent, 2017;117(5):636-41.Levin, EI. Dental esthetics and the golden proportion. J Prosthet Dent. 1978;40(3):244-52.Flores-Mir C, Silva E, Barriga MI, Lagravere MO, Major PW. Lay person's perception of smile aesthetics in dental and facial views. J Orthod. 2004;31(3):204-9.Cotrim, ER, Vasconcelos Júnior, ÁV, Haddad, ACSS, Reis SAB. Perception of adults' smile esthetics among orthodontists, clinicians and laypeople. Dental Press J. Orthod. 2015;20(1):40-4.Chaudhari A, Bagga DK, Agrawal P, Kalra H, Sirohi D. An assessment of the self-satisfying smile among different professionals. J Int Oral Health. 2018;10(3):111-14.Papaspyridakos P, Chen CJ, Singh M, Weber HP, Gallucci GO. Success criteria in implant dentistry: a systematic review. J Dent Res. 2012;91(3):242-48.Bonfante EA, Suzuki M, Lorenzoni FC, Sena LA, Hirata R, Bonfante G et al. Probability of survival of implant-supported metal ceramic and CAD/CAM resin nanoceramic crowns. Dent Mater J. 2015;31(8):e168-77.Egilmez F, Ergun G, Cekic-Nagas I, Bozkaya S. Implant-supported hybrid prosthesis: conventional treatment method for borderline cases. Eur J Dent. 2015;9(3):442-48.Schweitzer DM, Goldstein GR, Ricci JL, Silva NR, Hittelman EL. Comparison of bond strength of a pressed ceramic fused to metal versus feldspathic porcelain fused to metal. J Prosthodont. 2005;14(4):239-47.Venkatachalam B, Goldstein GR, Pines MS, Hittelman EL. Ceramic pressed to metal versus feldspathic porcelain fused to metal: a comparative study of bond strength. Int J Prosthodont. 2009;22(1):94-100.Holden JE, Goldstein GR, Hittelman EL, Clark EA. Comparison of the marginal fit of pressable ceramic to metal ceramic restorations. J Prosthodont. 2009;18: 645-48.Sinhori BS, de Andrada MAC, Lopes GC, Monteiro Junior S, Baratieri LN. Influence of Teeth Preparation Finishing on the Adaptation of Lithium Disilicate Crowns. Int J Biomater. 2017; ID 2078526.Hoppen LRC, Garbin CA, Rigo L, Schuh C, FederizzI L. Comparação estética entre coroas confeccionadas com os sistemas Cubo e metalocerâmico. Rev Sul-Bras Odontol. 2010;7(2):146-53.Mazur CE, Machado CT, Malheiros Pfau VJ, Augusto Pfau, E. Planejamento multidisciplinar na reconstrução do sorriso. JCDR. 2017; 14(2):62-70.Zuhr O, Bäumer D, Hürzeler M The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution. J Clin Periodontol. 2014;41(Suppl15):S123-42.Consolaro A. Saucerização: um mecanismo natural de adaptação peri-implantar cervical. Dental Press Implantol, 2014;8(4):8-15.Nealon FH. Acrylic restorations by the operative nonpressure procedure. J Prosthet Dent. 1952;2(4):513-27.Newman MG, Takei H, Klokkevold PR, Carranza FA. Periodontia clínica. Rio de Janeiro: Elsevier Brasil; 2007. p.926-35.Raetzke PB. Covering localized areas of root exposure employing the “envelope” technique. J Periodontol. 1985;56(7):397-402.Hannah R, Ramani P, Sherlin HJ, Ranjith G, Ramasubramanian A, Jayaraj G et al. Awareness about the use, ethics and scope of dental photography among undergraduate dental students dentist behind the lens. RJPT. 2018; 11(3):1012-16.Alberton SB, Alberton V, Carvalho RV. Providing a harmonious smile with laminate veneers for a patient with peg-shaped lateral incisors. J Conserv Dent. 2017;20(3):210-13.Vervaeke S, Matthys C, Nassar R, Christiaens V, Cosyn J, De Bruyn H. Adapting the vertical position of implants with a conical connection in relation to soft tissue thickness prevents early implant surface exposure: A 2‐year prospective intra‐subject comparison. J Clin Periodontol. 2018;45(5):605-12.Anusavice K, Shen C, Rawls HR. Dental casting and soldering alloys. In: Anusavice KJ, Phillips’ Science of Dental Material. St. Louis: Elsevier; 2003. p.563–620.Arinc H. Implant-supported fixed partial prostheses with different prosthetic materials: a three-dimensional finite element stress analysis. Implant Dent. 2018;27(3):303-10.Monnet-Corti V, Antezack A, Pignoly M. Comment parfaire l’esthétique du sourire: toujours en rose! Orthod Fr. 2018;89(1):71-80.Tonetti MS, Cortellini P, Graziani F, Cairo F, Lang NP, Abundo R et al. Immediate versus delayed implant placement after anterior single tooth extraction: the timing randomized controlled clinical trial. J Clin Periodontol. 2017;44(2):215-24.Pradeep AR, Karthikeyan BV. Peri-implant papilla reconstruction: Realities and limitations. J Periodontol. 2006; 77(3):534-44.Nariman RH, Pai UY, Soumya MK, Hegde R. A clinical assessment of the volume of interproximal papilla after definitive prosthesis around immediate and delayed loading implants placed in the maxillary esthetic zone: An in vivo study. J Indian Prosthodont Soc. 2018;18(2):168-73.Neves FDD, Silveira-Júnior CD, Coró V, Silva-Neto JP, Simamoto-Júnior PC, Prado CJD. Gingival conditioning in an implant-supported prosthesis: a clinical report. J Oral Implantol. 2013;39(4):483-85.
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Hamid Naji, Ghassan Abdul, Ros Anita Omar, and Rosiyah Yahya. "Improving Bond Strength And Thermal Behaviour Of New Sodalite Infiltrate Ceramic Core Materials." IIUM Medical Journal Malaysia 16, no. 2 (November 13, 2017). http://dx.doi.org/10.31436/imjm.v16i2.1075.

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Introduction: The mismatch in coefficient of thermal expansion (CTE) between the veneered porcelain and the ceramic core has been primarily identified as the cause of core/veneer chipping in all-ceramic restorations. This study aimed to evaluate the effect of sodalite infiltration on the CTE behaviour and bond strength of different all-ceramic prostheses. Materials and Methods: The experimental groups were synthesised sodalite-infiltrated alumina (IA-SOD) and synthesised sodalite-infiltrated zirconia-toughened alumina (ZTA) (IZ-SOD), while the control groups were glassinfiltrated alumina (IA-glass) and glass-infiltrated ZTA (IZ-glass). Forty cylindrical-shaped samples (5mm diameter; 10mm height) were tested for CTE. Another forty disc-shaped samples (12mm diameter; 1.2±0.2mm thick) and veneered with cylinder-shaped low-fusing porcelain (2mm high; 2mm diameter) were prepared for shear bond strength test. SEM, stereo microscope and AFM were used to investigate the structural characteristics of samples at the fracture surface. Results: The CTE values for both IZ-SOD and IA-SOD were 8.62 x 10-6 K-1 and 8.37 x 10-6 K-1 respectively, which were statistically higher than IZ-glass and IA-glass (8.08 x 10-6 K-1 and 7.63 x 10-6 K-1 , respectively) (p0.05). Conclusion(s): The higher CTE mismatch and bond strength of the newly developed SOD-infiltrated samples than did the commercial glassinfiltrated samples could thus make them suitable for all-ceramic dental prostheses.
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Hamid Naji, Ghassan Abdul, Ros Anita Omar, and Rosiyah Yahya. "Improving Bond Strength And Thermal Behaviour Of New Sodalite Infiltrate Ceramic Core Materials." IIUM Medical Journal Malaysia 16, no. 2 (November 13, 2017). http://dx.doi.org/10.31436/imjm.v16i2.1075.

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Introduction: The mismatch in coefficient of thermal expansion (CTE) between the veneered porcelain and the ceramic core has been primarily identified as the cause of core/veneer chipping in all-ceramic restorations. This study aimed to evaluate the effect of sodalite infiltration on the CTE behaviour and bond strength of different all-ceramic prostheses. Materials and Methods: The experimental groups were synthesised sodalite-infiltrated alumina (IA-SOD) and synthesised sodalite-infiltrated zirconia-toughened alumina (ZTA) (IZ-SOD), while the control groups were glassinfiltrated alumina (IA-glass) and glass-infiltrated ZTA (IZ-glass). Forty cylindrical-shaped samples (5mm diameter; 10mm height) were tested for CTE. Another forty disc-shaped samples (12mm diameter; 1.2±0.2mm thick) and veneered with cylinder-shaped low-fusing porcelain (2mm high; 2mm diameter) were prepared for shear bond strength test. SEM, stereo microscope and AFM were used to investigate the structural characteristics of samples at the fracture surface. Results: The CTE values for both IZ-SOD and IA-SOD were 8.62 x 10-6 K-1 and 8.37 x 10-6 K-1 respectively, which were statistically higher than IZ-glass and IA-glass (8.08 x 10-6 K-1 and 7.63 x 10-6 K-1 , respectively) (p0.05). Conclusion(s): The higher CTE mismatch and bond strength of the newly developed SOD-infiltrated samples than did the commercial glassinfiltrated samples could thus make them suitable for all-ceramic dental prostheses.
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Dhanya, N. B. Berin. "CAD/CAM DENTAL CERAMICS IN RESTORATIVE DENTISTRY." PARIPEX INDIAN JOURNAL OF RESEARCH, April 15, 2021, 176–79. http://dx.doi.org/10.36106/paripex/6111843.

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Computer Aided Design and Computer Aided Manufacturing (CAD/ CAM) is a pair of often interdependent industrial computer applications that have greatly influenced the chain of processes between the initial design and the final realization of a product. It refers to the computer software that is used to both design and manufacture products.It is to improve the design and creation of dental restorations,especially dental prostheses, including crowns,crown lays,veneers,inlays and onlays, fixed bridges, dental implant restorations, dentures (removable or fixed), and orthodontic appliances. These are systems that can design and produce restoration out of blocks or blanks of ceramics. CAD/CAM is one of the highly competent dental lab technologies. Without this technology we wouldn't have the range and quality of products available.Hand-building and manual techniques still very much have their place and design education needs to treasure and foster these skills so that future generations will have the 'hands-on' skills to understand the man-made world and provide the next generation of engineers,designers and technicians. CAD/CAM was first introduced to dentistry in the mid-1980s. Both chair side and chair side-laboratory integrated procedures are available for this restoration fabrication.In selecting which procedure to follow,consideration should be given to aesthetic demands, chair side time, laboratory costs, number of visits and convenience and return on investment associated with CAD/CAM equipment. Depending on the method selected, CAD/CAM ceramic blocks available for restoration fabrication include leucite-reinforced ceramics, lithium di silicate, zirconia, and composite resin.In order to determine which type of ceramic to use,the practitioner must take into account aesthetics,strength,and ease of customizing milled restorations. It gives both the dentist and the laboratory technician an opportunity to automate fixed restoration fabrication and to offer patients highly aesthetic restorations in just one or two visits.These technologies are responsible for massive gains in both productivity and quality,particularly since the 1980s.This article is to provide information on restorative procedures and ceramic materials using CAD/CAM technology.
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OROZCO-RODRIGUEZ, Rubén, Graciella ROSADO-VILA, Rafael ZAPATA-MAY, and Patricia PINZON-SIERRA. "Predictibility and aesthetics in the anterior sector." ECORFAN Journal Bolivia, December 31, 2019, 30–34. http://dx.doi.org/10.35429/ejb.2019.11.6.30.34.

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Introduction: Today the aesthetic demand in dentistry occupies the first places in terms of consultation needs in the dental office, that is why, as providers of dental health services, we are obliged to offer treatment options that meet standards of quality, functionality, aesthetics, predictability among other things and that are available to different social levels4. There are techniques that supported by elements such as Digital Smile Design (DSD) 9, wax up and mockup5 offer excellent, predictable aesthetic results, with the option of choosing different materials that are available to all our patients from composite resin to better than we find today; the porcelain clinical case: A 25-year-old female patient who goes to a dental office for teeth whitening, when diagnosing the case, the presence of diastema was observed in the upper centers, as well as anomalies regarding aesthetic smile parameters such as pigmentation, proportions , incisal edge line, among other things. Diagnostic waxing, mockup and photographs were performed to evaluate the result. The treatment plan consisted of 6 resin veneers made with the fluid resin injection technique through a transparent silicone matrix (Flow injection technique). RESULTS: The prognosis of the case is considered favorable, taking into account that the treatment with Resins is not definitive, however functional and aesthetic results were achieved properly. Conclusions: There are several treatment alternatives for the solution of aesthetic problems, which adapt to the possibilities of each patient, the mockup is a necessary tool for obtaining predictable treatments. The fluid resin injection technique is a good aesthetic and functional treatment, which sometimes does not require the minimum wear of the teeth to be treated.
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Vafaei, Fariborz, Alireza Izadi, Samaneh Abbasi, Maryam Farhadian, and Zahra Bagheri. "Comparison of Optical Properties of Laminate Veneers Made of Zolid FX and Katana UTML Zirconia and Lithium Disilicate Ceramics." Frontiers in Dentistry, January 22, 2020. http://dx.doi.org/10.18502/fid.v16i5.2284.

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Objectives: This study aimed to compare the optical properties of Zolid FX, Katana UTML, and lithium disilicate laminate veneers. Materials and Methods: In this in-vitro experimental study, the maxillary left lateral incisor of a phantom received a laminate veneer preparation. An impression was made, and a die was fabricated using dental stone. The die was scanned using a computer-aided design/computer-aided manufacturing scanner. Ten dies were fabricated from each of the A1, A2, and A3 shades of composite resin. Laminate veneers were fabricated using A1 shade of Katana UTML, Zolid FX, and IPS e.max CAD ceramics (n=10) and placed on composite abutments using bleach and white colors of trial insertion paste (TIP). The optical properties were measured at the incisal, middle, and cervical thirds using a spectrophotometer. Data were analyzed using three-way analysis of variance and Tukey’s test. Results: The effect of laminate material on the L*, a*, and b* parameters was significant in all areas (P<0.001), except for the L* parameter in the middle and cervical thirds. All color parameters were affected by TIP color in all three regions in most samples (P<0.05). The effect of composite abutment shade was also significant in most cases (P<0.05). The effect of laminate material, abutment shade, and TIP color on the b* parameter was significant (P<0.001). The L* parameter was almost the same in the two zirconia and lithium disilicate ceramic groups. Conclusion: The composite abutment shade, TIP color, and laminate material should be carefully selected to achieve optimal aesthetics in laminate veneers.
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Furtado, Daiany Catão, Eloiza Leonardo de Melo, Mayara Aragão de Lira Gomes, Kaíse Tavares Pontes, José Lacerda das Neves, Carlos Alberto de Souza Canto, Claudio Paulo Pereira de Assis, and Rodivan Braz. "A importância da reabilitação oral estética na alteração de forma e cor dos dentes: relato de caso clínico." ARCHIVES OF HEALTH INVESTIGATION 7, no. 12 (March 20, 2019). http://dx.doi.org/10.21270/archi.v7i12.3147.

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Com o aumento da exigência estética dos pacientes e o desenvolvimento de materiais e técnicas odontológicas restauradoras problemas como alteração de cor e forma tem sido melhor resolvidos garantindo naturalidade e longevidade aos procedimentos restauradores. Este trabalho objetivou apresentar um relato de caso clínico de reabilitação estética do sorriso, descrevendo protocolo clínico de laminados cerâmicos e coroas totais “metal free” desde o planejamento até a cimentação definitiva. Paciente do gênero feminino, apresentou insatisfação com a estética de seu sorriso, principalmente em relação a coloração de seus dentes. Durante avaliação clínica, constatou-se comprometimento estético dos elementos dentais 11, 12 e 21 com alteração de cor e desequilíbrio dimensional. Esses dentes tinham grande restaurações resina composta, o que os tornava opacos e sem brilho. O tratamento proposto consistiu na realização de clareamento dental e posteriormente laminados cerâmicos nos dentes 12, 13, 14, 22, 23 e 24 e coroas totais “metal-free” nos elementos 11 e 21, utilizando um sistema cerâmico a base de dissilicato de lítio. Após o relato deste caso clínico, pode-se concluir que com o advento das cerâmicas ácido sensíveis e da cimentação adesiva os tratamentos reabilitadores estéticos têm proporcionado um resultado estético e funcional satisfatório.Descritores: Facetas Dentárias; Odontologia; Dentística Operatória.ReferênciasLima AF, Carvalho JFO, Cravo FL. Restaurações cerâmicas em dentes anteriores: simples realização? Rev Dental Press Estét, 2010;7(4):88-96.Carvalheira TB, Goyata FR, Rodrigues CRT, Souza MCA. Resolução estética em dentes anteriores com coroas totais livres de metal-relato de caso clínico. Int j dent. 2010;9(2):102-6.Aquino APT, Cardoso PC, Rodrigues MB, Takano AE, Porfírio W. Facetas de porcelana: solução estética e funcional. Clin int j braz dent. 2009; 5(2):142-52.Peumans, M.; Van Meerbeek, B.; Lambrechts, P.; Vanherle, G. Porcelain veneers: a review of the literature. J Dent. 2000;28(3):163-77.Busato ALS, Hernandez PAG, Macedo RP. Dentística: restaurações estéticas. 2. ed. São Paulo: Artes Médicas; 2002.Conceição EN. Dentística: saúde e estética. 2. ed. Porto Alegre: Artmed; 2007.Farias FAR, Feltrin PP, Zanetti AL, Inoue RT. Preparo dentário para coroa metalocerâmica em dentes anteriores, por meio da técnica de referência Inoue & Zanetti. RGO Rev Gaúcha Odontol. 2011;59(Suppl 0):81-8.Massing NG, Bellatoto LB, Magagnin C, Silva SBA, Busato ALS, Barbosa NA. Facetas estéticas em porcelana. Rev Ibero-Americana Odontol Estet Dent. 2006;5(18):136-41.Calixto LR, Bandeca MC, Andrade MF. Enceramento diagnóstico: previsibilidade no tratamento estético indireto. Rev Dental Press Estét. 2011;8(3):26-37.Stewart GP, Jain P, Hodges J. Shear bond strength of resin cements to both ceramic and dentin. J Prosthet Dent. 2002;88(3):277-84.Valle AL, Martin LM, Chidiak-Tawil R, Pimentel GHD, Rodrigues MGS, Ramos MB et al. Sistemas cerâmicos atuais: revisão de literatura. Rev Dental Press Estét. 2010;7(1):106-7.Rosalem C, Hirata R, Andrade OS, Borges G, Celestrino M. Pastas de prova em laminados cerâmicos: aplicação clínica para alcançar o resultado estético. Clin int j braz dent. 2010;6(2):210-21.Guedes LLS, Matto ECG, Zani SM, Prates LHM, Chain MC. Avaliação das propriedades mecânicas de cimentos resinosos convencionais e autocondicionantes. Rev Odontol Unesp.2008;37(1):85-9.
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De Mesquita, Vandré Taumaturgo, and Evamiris Landim Vasques. "MANEJO CLÍNICO MULTIDISCIPLINAR DA REABILITAÇÃO ESTÉTICA UTILIZANDO CERÂMICAS PURAS: REVISÃO DE LITERATURA." Journal of Dentistry & Public Health 7, no. 2 (July 6, 2016). http://dx.doi.org/10.17267/2596-3368dentistry.v7i2.874.

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The desire for an aesthetic and harmonious smile raises the level of demand and expectation of the patients, due to the individual being inserted in a society where the appearance is very important to their acceptance and self-esteem. Within this context, a multidisciplinary approach to the aesthetic and functional rehabilitation of the smile was added to the contemporary odontology, highlighting more conservative treatments like teeth whitening, the increase of clinical crown, crowns and ceramic veneers, using materials that mimic the dental structures. The objective of this paper is to present a literature review on the smile rehabilitation techniques using pure ceramics, which is based on diagnostic waxing and reverse planning, the use of mock-up and photographs, an increase of clinical crown, whitening, and adhesive cementation, focusing on the final aesthetic result. A good integrated planning, with the correct indication, enables a more conservative approach to the tooth structure, presenting itself as an excellent solution for aesthetic and functional modifications in the smile. Thus, it is unquestionable the importance of knowledge by the professional, about the material and the technique, to obtain a satisfactory result. It is concluded that the aesthetic rehabilitation of the smile occurs from multidisciplinary approaches within some specialties, which subsequently to an integrated planning may allow to restore the smile.
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Lima, Martha Gerusa da Silva, Fabíola Gabriellen Barros Brito, José Henrique de Araújo Cruz, Luanna Abílio Diniz Melquíades Medeiros, Elizandra Silva da Penha, Camila Helena Machado da Costa Figueiredo, and Gymenna Maria Tenório Guênes. "Reanatomização do sorriso com uso de resina composta: relato de caso." ARCHIVES OF HEALTH INVESTIGATION 8, no. 9 (February 20, 2020). http://dx.doi.org/10.21270/archi.v8i9.3233.

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Introdução: Os pacientes têm exigido cada vez mais da odontologia estética para solucionar casos de desarmonia do sorriso, como alterações de cor, forma e tamanho. Com o avanço dos materiais dentários e aperfeiçoamento das técnicas é possível tratar casos estéticos com mínimos desgastes dentários e ter resultados excelentes. Cabe ao cirurgião-dentista optar por um tratamento que devolva saúde e função além da estética. Objetivo: Realizar reanatomização do sorriso por meio de facetas diretas em resina composta, como também mostrar que é possível alcançar sucesso clínico usando um material mais barato como a resina composta. Relato do caso: Paciente sexo feminino, 22 anos, apresentou-se à Clínica Escola de Odontologia da UFCG buscando melhorar a estética do seu sorriso. O material de escolhido foi resina composto por ser mais viável financeiramente em relação às cerâmicas, ter execução mais simples, necessitar de pouco ou nenhum desgaste e também ser reversível. A técnica usada foi Facetas diretas em resina composta; para realiza-lo foram imprescindíveis etapas pré-operatórias de gengivectomia, clareamento dental, enceramento diagnóstico para posteriormente realizar-se os desgastes. Utilizou-se guia de silicone para nortear os aumentos incisais, condicionamento ácido com ácido fosfórico a 37%, aplicação do sistema adesivo e realização dos incrementos de compósitos com posterior acabamento e polimento. Conclusão: A colaboração da paciente, um bom planejamento do caso, execução adequada da técnica e controle e manutenção periódica, proporcionaram uma estética dentária dentro dos padrões tão valorizados atualmente e aumento da sua autoestima.Descritores: Estética Dentária; Facetas Dentárias; Resinas Compostas.ReferênciasMarcondes R, Pires HCS, Bocutti JH. Lâmina cerâmica unitária sobre substrato escurecido: protocolo clinicolaboratorial com estratifcação em duas camadas. Rev Dental Press Estét. 2012;9(4):28-44.Sakamoto Junior AS, Higashi C, Gomes JC. Substituição de coroas totais metalocerâmicas em incisivos laterais conoides vitais: relato de caso clínico. Rev Dental Press Estét. 2015;12(3):71-83.Pontons-Melo JC. Harmonização do sorriso por meio de procedimentos minimamente invasivos. FGM News. 2013;132-37.Mondelli J. Estética e cosmética: em clínica integrada restauradora. São Paulo: Quintessence; 2003.Baratieri LN. Soluções clínicas: fundamentos e técnicas. Florianópolis: Ponto; 2008.Silva SB. Facetas diretas de resina composta versus facetas indiretas em porcelana [monografia] Florianópolis: ABO-SC; 2005.Queiroga RB. Laminados cerâmicos minimamente invasivos: novas possibilidades. Rev Dental Press Estét. 2012;9(1):34-47.Soares PV, Faria NFB, Cardoso IO, Moura GF, Pereira AG. Multidisciplinary approach for rehabilitation of smile aesthetics with minimally invasive ceramic veneers. J Clin Dent Res. 2017;14(1):68-88.Joiner A, Luo W. Tooth colour and whiteness: A review. J Dent. 2017; 67S:S3-S10.Nash RW. Resurfacing tooth structure with ceramic laminates. Dent Today. 2014; 33(8):68-71. Dietschi D. Optimizing smile composition and esthetics with resin composites and other conservative esthetic procedures. Eur J Esthet Dent. 2008;3(1):14-29.Almeida RR, Garib D.G, Almeida-Pedrin RR, Almeida MR, Pinzan A, Junqueira MHZ. Diastemas interincisivos centrais superiores: quando e como intervir?. R Dental Press Ortodon Ortop Facial. 2004;9(3):137-56.Lima RBW, Leite JT, França RM, Brito MCT, Uchôa RC, Andrade AKM. Reabilitação estética anterior pela técnica do facetamento – relato de caso. Rev bras ciênc saúde 2013; 17(4):363-70.Frese C, Schiller P, Staehle HJ, Wolff D. Recontouring teeth and closing diastemas with direct composite buildups: A 5-year follow-up. J Dent. 2013;41(11):979-85.Souza SJB, Magalhães D, Silva GR, Soares CJ, Soares PFB, Santos-Filho PCF. Cirurgia plástica periodontal para correção de sorriso gengival associada a restaurações em resina composta: relato de caso clínico. Rev Odontol Bras Central. 2010;19(51):362-66.Ferreira CLB. Fraturas dentárias no sector anterior abordagem estética através de restaurações diretas a resina composta [dissertação]. Porto: Faculdade de Ciências da Saúde Universidade Fernando Pessoa; 2013.Okida RC, Rahal V, Okida DSS. A associação entre dentística e periodontia no tratamento estético com lentes de contato: relato de caso. Rev Odontol Araçatuba. 2015;36(1):59-64.Cruz JHA, Silva RLB, Andrade-Júnior FP, Guênes GMT, Almeida MSC, Medeiros LADM et al. A importância da anatomia e escultura dental para prática de procedimentos clínicos odontológicos. RSC online, 2018;7(1):76-85.Sousa LX, Cruz JHA, Melo WOS, Freire SCP, Ribeiro ED, Freire JCP. Abfração dentária: um enfoque sobre a etiologia e o tratamento restaurador. Arch Health Invest. 2018; 7(2):51-53.
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Meirelles, Laura Célia Fernandes, Fernanda Zapater Pierre, João Paulo Mendes Tribst, Clovis Pagani, Eduardo Bresciani, and Alexandre Luiz Souto Borges. "Influence of Preparation Design, Restorative Material and Load Direction on The Stress Distribution of Ceramic Veneer in Upper Central Incisor." Brazilian Dental Science 24, no. 3 (July 1, 2021). http://dx.doi.org/10.14295/bds.2021.v24i3.2494.

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Objective: Evaluate the effect of four preparation designs, two ceramic materials, and two occlusion contact types on the stress distribution of ceramic veneer in upper central incisor. Material and methods: 3D-models were performed in the modeling software containing enamel, dentin, pulp, periodontal ligament and a base of polyurethane resin. The designs were modeled and exported to the computer aided engineering software to perform the static structural analysis. For the mesh, a total of 155429 tetrahedron elements and 271683 nodes were used, after a 10% convergence test. Two materials, lithium disilicate and feldspathic ceramics, were simulated. A static load of 100 N on 45º was applied on the incisal and middle thirds of the palatal tooth region, guided by the occlusal plane. The base was constrained in all directions. The Maximum Principal Stress was the failure criteria chosen for the analysis. Results: The Finite Element Analysis showed that the most conservative designs presented less stress concentration on the ceramic veneer. However, the highest tensile stress concentrations were observed on lithium disilicate veneer with extend design, on the middle third. The type of occlusal contact presented different stress patterns among the preparation designs; the incisal contact showed higher stress concentration compared to middle third contact regardless the ceramic material. Conclusions: To perform a ceramic veneer in upper central incisor, the feldspathic ceramic presented promising results and should be recommended when the extended design was done. Regarding contact types, the incisal contact is more prone to failure regardless the ceramic and preparation design. Keywords Ceramics; Dental veneers; Finite element analysis.
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Reis, Bruna de Oliveira, Glívia Queiroz Lima, Ana Teresa Maluly-Proni, Henrico Badaoui Strazzi Sahyon, Thaís Yumi Umeda Suzuki, Marco Aurélio de Lima Vidotti, Erik Neiva Ribeiro de Carvalho Reis, Eduardo Passos Rocha, Wirley Gonçalves Assunção, and Paulo Henrique Dos Santos. "Desenvolvimento clínico e estágio atual da odontologia adesiva." ARCHIVES OF HEALTH INVESTIGATION 8, no. 6 (September 13, 2019). http://dx.doi.org/10.21270/archi.v8i6.3808.

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Abstract:
Introdução: O maior foco das pesquisas odontológicas nos últimos 60 anos tem sido a adesão e suas técnicas. Mais de 7000 artigos já foram publicados a este respeito. O desenvolvimento dos materiais odontológicos adesivos e as técnicas a eles relacionadas possuem uma história interessante, onde descobertas do passado ainda são usadas de alguma forma no presente. Objetivo: expor, através de uma revisão de literatura, um breve histórico sobre materiais e técnicas restauradoras, bem como o estágio atual da odontologia adesiva, com ênfase na tradução de evidências baseadas em pesquisas laboratoriais para a prática clínica. Materiais e Métodos: Foram selecionados livros de preferência do autor para a introdução de conceitos clássicos e artigos de revisão publicados nos últimos 10 anos, utilizando as cinco palavras-chave: “Dental Bonding” AND “Dental Cements” AND “Resin Cements” AND “Adhesives” AND “Ceramics”, sorteados pela melhor combinação na plataforma Pub/Med/MEDLINE. Resultados: Duzentos e um artigos, foram encontrados, sendo utilizados para análise qualitativa e quantitativa aqueles pertinentes ao direcionamento do autor, de acordo com o tema. Conclusão: Considerando as limitações do estudo, concluiu-se que a odontologia adesiva é uma área que segue em constante desenvolvimento, fundamental para a realização de restaurações minimamente invasivas e estéticas. Onde para que seja possível consequentemente longevidade clínica, os materiais utilizados e substrato dentário requerem conhecimento do profissional e fidelidade na execução de um correto pré-tratamento das superfícies, respeitando suas naturezas e composições.Descritores: Colagem Dentária; Cimentos Dentários; Cimentos de Resina; Adesivos; Cerâmica.ReferênciasVan Meerbeek B, De Munck J, Yoshida Y, Inoue S, Vargas M, Vijay P, et al. Buonocore memorial lecture. Adhesion to enamel and dentin: current status and future challenges. Oper Dent. 2003;28:215-35.Miyashita E, Fonseca AS. 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