By Pascal Magne
This ebook introduces a special method of esthetic recovery of the anterior dentition. Guided by means of the philosophy of biomimetics, the authors mix sound biologic ideas with an overriding recognize for the traditional intact enamel to accomplish esthetic pride with bonded porcelain restorations. in contrast to conventional veneers, the process defined the following attracts upon the appropriate colorings, the delicate colors, and particularly the intracoronal anatomy of the intact teeth to function a advisor to reconstruction and as a size of luck. From this angle, a record of primary esthetic standards is gifted, and remedy making plans, diagnostics, the teeth education, laboratory approaches, adhesive luting strategies, and upkeep protocols are conscientiously targeted. The reader will locate all of the details and step by step guideline had to receive the authors more advantageous effects, that are showcased in the course of the e-book.
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Extra resources for Bonded Porcelain Restorations in the Anterior Dentition: A Biomimetic Approach
A s mentioned before, the ena mel shell p roves to be instru- attentio n o n the b io mec ha nica l side effects of am al gam restoratio ns (ie, cuspa l fractures a nd mental in the w ay stresses are d istrib uted w ithin the crown. " >" In respon se, a number of stud ies2i-24 analyzing biophysica l When a more flexible materia l rep laces the stress a nd stra in have shown the fol lOWing : • Resto ra tive pro cedure s ca n ma ke the tooth crow n more deformable. • The tooth ca n be streng thened by inc reasing its resistance to cro wn deformation .
It is appropri that present a higher strength in compression ate to analyze stresses in a direction for which than in tension. the x and y components of stresses will display their maximum values. The resulting analysis The ratio between compressive strength and (upper right of Figs 1-5a and 1-5b) outlines the tensile strength has been incorporated in an principal stresses in the form of areas of com adapted failure criterion for brittle materials: the pression and tension. lO Figures incisor is separated into two distinct areas 1-5a and 1-5b illustrate the stress distribution when subjected to maximum [using the mVM criterion] throughout the central palatal half of the tooth exhibits positive values, incisor during protrusive movements.
Incisa l too th w ear, it is d ifficult to provide "mag ic numbe rs " to define ad eq uate tooth dimension . Relative propor tio nali ty of teeth ha s lo ng been co mpar ed w ith cla ssic elements of art and archi tecture . 19 an d the "g olden perce ntage"20 have been proposed in the determinati on of so-ca lled idea l mesiod istal spaces (Fig 2-3b) . These rules w ere a pplied to the "apparent" size, as view ed di rectly from the anterior. FIG URE 2-2 (CO NTIN UED). The average horizontal level of the g ingiva is low er for lateral incisors co mpared to ca nines and centra l inc isors, de fining the C loss 1 g ing ival height (2-2e) Var iatio ns in this criterion are co mmon, as illustrated in this prosthetic ca se (2-2 f] view ed before a nd after replace ment of preexisting full ce ramic crow ns in the maxillary arch .