Innovations in Indirect Restorations
Inside Dentistry provides the latest in endodontics, implantology, periodontics, and more, with in-depth articles, expert videos, and top industry insights.
November 1, 2022
Volume 18, Issue 11, November 2022
Page(s): p. 44
The Roundtable video series is a forum for discussion and debate on key topics, trends, and techniques in dentistry. For each edition, Inside Dentistry's editor-in-chief, Robert C. Margeas, DDS, and a panel of experts examine a subject to help expand your knowledge and improve your practice. This month, our panel explores some of the latest innovations in indirect restorations.
The conversation begins with a discussion about how the panel members choose materials when approaching a case involving indirect restorations. Clint Stevens, DDS, looks for a material that has a similar fracture toughness and wear resistance to enamel. He notes that he has a high preference for glass-ceramics, especially for single-unit restorations. Chad C. Duplantis, DDS, agrees and adds that he also takes into consideration the patient's occlusion, bite force, and existing wear patterns as well as the esthetics.
The discourse then turns to the challenges and limitations that are faced when preparing a patient for indirect as opposed to direct restorations. Duplantis notes that the preparation design can be the biggest challenge. "You have to account for the material and also the longevity of the material," he says.
Miles Reed Cone, DMD, MS, CDT, feels similarly about preparation. "Time is the biggest challenge for me," he says. "Oftentimes, when we're doing indirect restorations, it requires a protracted treatment time with multiple appointments."
After discussing how the type of substrate and retention of the preparation influence their choice of cement, the panel members share their thoughts on the recent advances in cements and material technology. Stevens and Duplantis both agree that 3D printing, especially during the provisional stage, is going to be a boon to the profession. Cone concludes that any product that can streamline his inventory and his indirect restoration protocol is exciting. "The chemistry that is out there in new materials right now is incredible," he says.
Watch the full video on AEGIS TV at aegistv.com.
What You'll Learn
The criteria for materials selection when planning an indirect restoration
The challenges faced when preparing teeth for indirect restorations
How the substrate and retention of the preparation influence cement choice
Meet the Panel
Miles Reed Cone, DMD, MS, CDT, is a fellow of the American College of Prosthodontists and maintains a private practice in Portland, Maine.
Chad C. Duplantis, DDS, is a fellow of the Academy of General Dentistry and maintains a private practice in Fort Worth, Texas.
Clint Stevens, DDS, is a fellow of the Academy of General Dentistry and the International Congress of Oral Implantologists. He maintains a private practice in Tulsa, Oklahoma.
