Bonded Restoration in the Posterior Dentition

This presentation will focus on bonded porcelain restorations and explain why they constitute the ideal solution to the functional and esthetic needs of the posterior dentition. Patients' requests and clinicians' interest in esthetic restorations are not limited to anterior teeth. As a result, posterior “tooth-colored” adhesive restorative techniques considerably grew over the last decade and a plethora of materials and methods are available to the clinician today. The survival rates of adhesive restorations in posterior teeth appears to be quite satisfying, even placed by dental students, to the point that some countries today have abandoned the teaching of amalgam restorations and other traditional metallic restorations. Apart from their cosmetic advantage, the new adhesive techniques offer many other benefits such as tissue conservation and natural strengthening of remaining tooth substance. These emerging concepts, which are following the so-called “biomimetic approach”, provide the ability to restore not only the esthetic but also the biomechanical and structural integrity of teeth. This presentation will show that dental composites and ceramics constitute striking elements of this nascent approach to tooth restoration. Indications for bonded restorations in the posterior dentition will be presented, including the biomimetic approach to severe loss of coronal substance and nonvital teeth. Attendants should benefit from these considerable improvements that should influence both the medicobiological and socioeconomic approaches of their practice: more sound tissue preservation, maintenance of tooth vitality, less expensive procedures compared to traditional and more invasive “prosthodontics”.

 

 

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