Posterior Indirect Adhesive Restorations and Preparation Designs

Yıl 2025, Cilt: 35 Sayı: 2, 169 - 173, 20.04.2025

Zeynep Söylemez Arife Doğan

https://doi.org/10.17567/currresdentsci.1677809

Öz

The main goal of restorative dentistry is to preserve healthy dental tissues. "Posterior indirect adhesive restorations" have an important role in restoring the anatomical form, aesthetics and function of tooth tissue losses in the posterior region. These restorations aim to restore lost dental tissues as a result of caries, erosion and/or abrasion and to support healthy tissues. Posterior indirect adhesive restorations have become more effective with the development of computer-aided design/computer-aided manufacturing (CAD/CAM) systems. These methods work in line with the principles of biomimetic dentistry, aiming to return dental tissues to their full function and provide stability.
One of the important factors to consider in such restorations is to keep the amount of preparation as minimal as possible. This factor, which is of critical importance for the long-term success of restorations, is also effective in obtaining optimal results. Preserving intact enamel and dentin tissues during preparation and increasing the surface area instead of preparation in line with retention principles affects the quality of the adhesive bond and can increase the durability of the restoration. As a result, posterior indirect adhesive restorations are a much more minimally invasive treatment option compared to conventional treatments to achieve aesthetic, functional and biological results.
The purpose of this article is to give general information about posterior indirect adhesive restorations and preparation designs.

Anahtar Kelimeler

Indirect restorations , adhesive restoration , preparation design

Posterior İndirekt Adeziv Restorasyonlar ve Preparasyon Tasarımları

Öz

Restoratif diş hekimliğinin ana hedefi, sağlam diş dokularını korumaktır. Posterior bölgedeki diş dokusu kayıplarının yeniden anatomik form, estetik ve fonksiyonlarının kazandırılmasında “posterior indirekt adeziv restorasyonlar” önemli bir yer tutar. Bu restorasyonlar, çürük, erozyon ve/veya abrazyon sonucu kaybedilen diş dokularının restore edilmesini ve sağlam dokuların desteklenmesini amaçlar.
Posterior indirekt adeziv restorasyonlar, bilgisayar destekli tasarım/bilgisayar destekli üretim (CAD/CAM) sistemlerinin gelişimiyle birlikte daha etkin şekilde uygulanabilir hale gelmiştir. Bu yöntemlerle biyomimetik diş hekimliği prensipleri doğrultusunda çalışarak, diş dokularının tam fonksiyonuna döndürülmesi ve stabilite sağlanması amaçlanır.
Bu tür restorasyonlarda dikkat edilmesi gereken önemli faktörlerden biri, preparasyon miktarının mümkün olan en minimal düzeyde tutabilmektir. Restorasyonların uzun dönem başarısı için kritik bir öneme sahip olan bu faktör, optimal sonuçların elde edilmesinde de etkilidir. Preparasyon esnasında sağlam mine ve dentin dokularının korunması, retansiyon prensipleri doğrultusunda preparasyon yerine yüzey alanının arttırılması adeziv bağın kalitesini etkiler ve restorasyonun dayanıklılığını artırabilir. Sonuç olarak, posterior indirekt adeziv restorasyonlar, estetik, fonksiyonel ve biyolojik sonuçların elde edilmesi için konvansiyonel tedavilere kıyasla çok daha minimal invaziv bir tedavi seçeneğidir.
Bu makalenin amacı, posterior indirekt adeziv restorasyonlar ve preparasyon teknikleri hakkında genel bilgi vermektir.

Anahtar Kelimeler

İndirekt restorasyon , adeziv restorasyon , preparasyon tasarımı.

Kaynakça

• 1. Falahchai M, Babaee Hemmati Y, Neshandar Asli H, Rezaei E. Effect of Tooth Preparation Design on Fracture Resistance of Zirconia-Reinforced Lithium Silicate Overlays. J Prosthodont. 2020;29(7):617-622.
• 2. Smith B, Knight J. A comparison of patterns of tooth wear with aetiological factors. Br Dent J. 1984;157(1):16-19.
• 3. Magne P, Belser U. Porcelain versus composite inlays/onlays: effects of mechanical loads on stress distribution, adhesion, and crown flexure. Int J Periodontics Restorative Dent. 2003;23(6):543-555.
• 4. Magne P, Kim T, Cascione D, Donovan T. Immediate dentin sealing improves bond strength of indirect restorations. J Prosthet Dent. 2005;94(6):511-519.
• 5. Öcal F, Dayı B. Madde Kaybı Fazla Olan Dişlerin İndirekt Kompozit Restorasyon ile Restoratif Tedavisi: 5 Olgu Sunumu. ADO Klin Bil Der. 2022;11(3).
• 6. Veneziani M. Posterior indirect adhesive restorations: Updated indications and the Morphology Driven Preparation Technique. Int J Esthet Dent. 2017;12(2):204-230.
• 7. Yeung CA, Hayashi M. WITHDRAWN: Ceramic inlays for restoring posterior teeth. Cochrane Database Syst Rev. 2015;(9):CD003450. Published 2015 Sep 29.
• 8. Sadasiva K, Ramalingam S, Rajaram K, Meiyappan A. Cracked tooth syndrome: A report of three cases. J Pharm Bioallied Sci. 2015;7(Suppl 2):S700-S703.
• 9. Signore A, Benedicenti S, Covani U, Ravera G. A 4- to 6-year retrospective clinical study of cracked teeth restored with bonded indirect resin composite onlays. Int J Prosthodont. 2007;20(6):609-616.
• 10. Geurtsen W, García-Godoy F. Bonded restorations for the prevention and treatment of the cracked-tooth syndrome. Am J Dent. 1999;12(6):266-270.
• 11. Mehl A, Kunzelmann KH, Folwaczny M, Hickel R. Stabilization effects of CAD/CAM ceramic restorations in extended MOD cavities. J Adhes Dent. 2004;6(3):239-245.
• 12. Huang X, Zou L, Yao R, Wu S, Li Y. Effect of preparation design on the fracture behavior of ceramic occlusal veneers in maxillary premolars. J Dent. 2020;97:103346.
• 13. Johnson AC, Versluis A, Tantbirojn D, Ahuja S. Fracture strength of CAD/CAM composite and composite-ceramic occlusal veneers. J Prosthodont Res. 2014;58(2):107-114.
• 14. Magne P, Schlichting LH, Maia HP, Baratieri LN. In vitro fatigue resistance of CAD/CAM composite resin and ceramic posterior occlusal veneers. J Prosthet Dent. 2010;104(3):149- 157.
• 15. Gemalmaz D. Use of heat-pressed, leucite-reinforced ceramic on anterior and posterior onlays: a clinical report. J Prosthet Dent. 2002;87(2):133-135.
• 16. Lohbauer U, Pelka M, Belli R, et al. Degree of conversion of luting resins around ceramic inlays in natural deep cavities: a micro-Raman spectroscopy analysis. Oper Dent. 2010;35(5):579-586.
• 17. Maeder M, Pasic P, Ender A, Özcan M, Benic GI, Ioannidis A. Load-bearing capacities of ultra-thin occlusal veneers bonded to dentin. J Mech Behav Biomed Mater. 2019;95:165-171.
• 18. Stawarczyk B, Liebermann A, Eichberger M, Güth JF. Evaluation of mechanical and optical behavior of current esthetic dental restorative CAD/CAM composites. J Mech Behav Biomed Mater. 2015;55:1-11.
• 19. Awada A, Nathanson D. Mechanical properties of resin-ceramic CAD/CAM restorative materials. J Prosthet Dent. 2015;114(4):587-593.
• 20. Bowen RL, Cobb EN. A method for bonding to dentin and enamel. J Am Dent Assoc. 1983;107(5):734-736.
• 21. Hannig M, Weinle S, Albers HK. Der Einfluss modifizierter Präparationsformen auf die Randqualität von Kompositinlays aus SR-Isosit [The effect of modified forms of preparation on the quality of SR Isosit composite inlay margins]. Dtsch Zahnarztl Z. 1991;46(9):611-614.
• 22. Munechika T, Suzuki K, Nishiyama M, Ohashi M, Horie K. A comparison of the tensile bond strengths of composite resins to longitudinal and transverse sections of enamel prisms in human teeth. J Dent Res. 1984;63(8):1079-1082.
• 23. Dietschi D, Spreafico R. Current clinical concepts for adhesive cementation of tooth-colored posterior restorations. Pract Periodontics Aesthet Dent. 1998;10(1):47-56.
• 24. Dietschi D, Olsburgh S, Krejci I, Davidson C. In vitro evaluation of marginal and internal adaptation after occlusal stressing of indirect class II composite restorations with different resinous bases. Eur J Oral Sci. 2003;111(1):73-80.
• 25. Bayne SC, Heymann HO, Swift EJ Jr. Update on dental composite restorations. J Am Dent Assoc. 1994;125(6):687-701.
• 26. Nakabayashi N, Nakamura M, Yasuda N. Hybrid layer as a dentin-bonding mechanism. J Esthet Dent. 1991;3(4):133-138.
• 27. Magne P. IDS: Immediate Dentin Sealing (IDS) for tooth preparations. J Adhes Dent. 2014;16(6):594.
• 28. Sarr M, Mine A, De Munck J, et al. Immediate bonding effectiveness of contemporary composite cements to dentin. Clin Oral Investig. 2010;14(5):569-577.
• 29. Ozturk N, Aykent F. Dentin bond strengths of two ceramic inlay systems after cementation with three different techniques and one bonding system. J Prosthet Dent. 2003;89(3):275-281.
• 30. Dietschi D, Herzfeld D. In vitro evaluation of marginal and internal adaptation of class II resin composite restorations after thermal and occlusal stressing. Eur J Oral Sci. 1998;106(6):1033- 1042.
• 31. Paul SJ, Schärer P. The dual bonding technique: a modified method to improve adhesive luting procedures. Int J Periodontics Restorative Dent. 1997;17(6):536-545.
• 32. Cagidiaco MC, Ferrari M, Garberoglio R, Davidson CL. Dentin contamination protection after mechanical preparation for veneering. Am J Dent. 1996;9(2):57-60.
• 33. Magne P. Immediate dentin sealing: a fundamental procedure for indirect bonded restorations. J Esthet Restor Dent. 2005;17(3):144-155.
• 34. Ferraris F. Posterior indirect adhesive restorations (PIAR): preparation designs and adhesthetics clinical protocol. Int J Esthet Dent. 2017;12(4):482-502.
• 35. Sasse M, Krummel A, Klosa K, Kern M. Influence of restoration thickness and dental bonding surface on the fracture resistance of full-coverage occlusal veneers made from lithium disilicate ceramic. Dent Mater. 2015;31(8):907-915.
• 36. Falahchai M, Babaee Hemmati Y, Neshandar Asli H, Neshandar Asli M. Marginal adaptation of zirconia-reinforced lithium silicate overlays with different preparation designs. J Esthet Restor Dent. 2020;32(8):823-830.
• 37. Veneziani M. Adhesive restorations in the posterior area with subgingival cervical margins: new classification and differentiated treatment approach. Eur J Esthet Dent. 2010;5(1):50-76.
• 38. Vacek JS, Gher ME, Assad DA, Richardson AC, Giambarresi LI. The dimensions of the human dentogingival junction. Int J Periodontics Restorative Dent. 1994;14(2):154-165.