After pain treatment and management, the aesthetic restoration of teeth is second in terms of services demanded. The aesthetic restoration of all aspects of beauty is a significant concern for many in the contemporary times. For this reason, dentists search for material that will help them achieve aesthetic beauty and whiteness that will not be affected by discoloration. Currently, the most preferred restorative material is composite, amalgam, and gold, although the most preferred is the use of ceramics with high strength and whiteness quality (Salama et al., 2019). The preference for ceramics is mainly because it is the closest material that helps in the faithful recreation of teeth in terms of color, shape and the texture of the teeth' surface.
The use of indirect restoration for aesthetic reasons using adhesives, that is, ceramic inlays and the use of partial ceramic parts in cosmetic restoration, that is, partial ceramic crowns, have been the recently most accepted methods of repair for the posterior teeth that have been affected by coronal destruction (Ozkan et al., 2019). The use of ceramics has been embraced as an alternative to the use of dental alloys in the therapeutic process. This is due to their ability to be almost similar to teeth in color, texture, and ability to be shaped to look identical to real teeth.
The success of the dental restoration process depends on the fulfillment of the three fundamental requirements of tooth restoration. First, the restoration process must follow the required mechanical preparation process so that the final product will achieve the needed retention and resistance aspects and help achieve the longevity and durability of the tooth replacement is prepared. Secondly, the preparation of tooth replacements must make the aesthetic qualities, since a proper tooth replacement should have the minimum appearance of margins between the original tooth and the replaced tooth (Becker et al., 2019). The aesthetic properties must also cover the fact that the metal added and used in the aesthetic replacement of teeth have not been displayed, therefore giving an image of a real tooth. Furthermore, the process of dental restoration must meet the biological requirements of the process. The health and durability of the replaced tooth must be considered, and proper attention is given to the periodontium of the process.
The growing demand by patients for tooth-like replacement materials, coupled with the harmful effects of the use of metals in tooth replacement, has led the practitioners in the dentistry industry to consider the use of ceramics. The use of ceramics in tooth restoration is biomimetic, that is, mimics the exact biological properties of teeth, and therefore reduces the adverse effects that came with the use of metals and glasses in the restoration process, but also increasing the possibility of the tooth replacement methods used to look more similar to real teeth (Waldecker et al., 2019). The use of ceramics changed the aesthetic factors and brought a change to the techniques previously used in the process, as well as the philosophy of treatment used in the procedure. The main goal of restorative practices in dentistry also changed from merely the restoration of teeth. Still, it also changed its focus to the need for reinforcement and restoration of the teeth, as well as ensuring that the process is long-term. Therefore, the use of ceramics in restorative practices in dentistry can be considered to have covered all the interests of the process, that is, the biological needs and the beauty needs as well.
It is an essential requirement in dentistry that for a successful tooth replacement process that does not involve the use of removable prosthetics or implants in the process, the process of attaching the pontic to the adjacent teeth is necessary. However, the dentist undertaking the procedure must consider the possibility of disrupting the healthy tooth structure. The loss of the typical tooth structure may result in the possibility of teeth fractures. The use of abutments also means that the use of ceramics in tooth replacement relies heavily on adhesive technology. Therefore, the dentists in the procedures must ensure that they use strong and durable adhesives, as well as those that do not affect the health of the patients (Kern et al., 2017). The use of adhesives provides the possibility of the teeth structure being preserved. Also, it reduces the possibility of the patient developing pulpal or periodontal diseases due to the procedures. The process of teeth replacement must, therefore, seek to strike a perfect balance between the aesthetic value and preserving the health of the patient in question.
The topic of preparation design is essential in tooth replacement since it is at this stage that the possibility of addressing the issues mentioned above can be discussed. There have therefore been various preparation designs suggested by researchers in the field and the effect that the design of the cavity has on the strength of the inlay. Among the most critical factors to be considered in the preparation process is the depth of the patient’s cavity, the width of the cavity, the preparation taper, and the consideration of the morphology of the angles in the internal parts of the tooth to be restored. The preparation designs in practice were suggested by GV Black, who suggested the use of cast metal and amalgam, which had considerable effects on the tooth structure of the people concerned (Rippe et al., 2018). Preservation of tooth structure has several benefits, the most important one being the preservation of the oral health of the patients when the procedures were finished.
Conclusion
In conclusion, the minimal use of an invasive bonded restoration process results in reduced trauma for the patients. It increases the possibility of getting a superior prognosis in the period after the procedure has been completed. Therefore, the operating dentist must at all times consider the potential of the process they choose helping in the process of preserving the tooth structure and periodontal complex of the patient, while also ensuring that the process undertaken strengthens the restoration’s original goals of addressing the prosthetic and aesthetic needs of the patient. The preparation of the inlays must also send the properties of the ceramic in question, thereby providing the possibility of achieving the best results through the use of superior ceramic material for the procedure (Salamoni Sinhori et al., 2019). When the base material is used in the procedure, then the possibility of the unsuccessful process increases. The use of weak materials in the therapeutic process will result in the used equipment being ineffective in terms of the material's longevity, the possibility of discoloration, and the ceramic material being a health hazard to the patient when the breakage and discoloration process starts.
References
Becker, M., Chaar, M. S., Garling, A., & Kern, M. (2019). The fifteen-year outcome of posterior all-ceramic inlay-retained fixed dental prostheses. Journal of dentistry, 89, 103174.
Kern, M., Thompson, V. P., Beuer, F., Frankenberger, R., Kohal, R. J., Kunzelmann, K. H., ... & Reiss, B. (2017). All-ceramics at a glance. The Journal of Prosthetic Dentistry, 118(5), 573-574.
Ozkan, Y., Aslan, Y. U., Coskun, E., & Dard, M. (2019). Clinical performance of new CAD-CAM materials for inlay Onlay restorations–Threeyear results. Clinical Oral Implants Research, 30(1), 339-339.
Rippe, M. P., Guerra, E., Coelho, A. V. P., Anami, L. C., de Melo Marinho, R. M., Bottino, M. A., & Valandro, L. F. (2018). Effect of different impression methods and ceramic materials on the adaptation of inlays. Brazilian Dental Science, 21(3), 296-301.
Salama, A. A., Nabil, O., Mokhtar, M. A., & Radwan, M. M. (2019). Ceramic Inlay Effectiveness Versus other Restorative Treatments: A Literature Review. Dental, 1(1), 3.
Salamoni Sinhori, B., Vieira, L. C. C., & Baratieri, L. N. (2019). Influence of Preparation Reconstruction on the Compressive Strength of CAD/CAM Ceramic Inlays. International journal of biomaterials, 2019.
Waldecker, M., Rues, S., Rammelsberg, P., & Bömicke, W. (2019). Validation of in-vitro tests of zirconia-ceramic inlay-retained fixed partial dentures: a finite element analysis. Dental Materials, 35(3), e53-e62.
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