Esthetic rehabilitation of a worn dentition with a minimally invasive prosthetic procedure (MIPP).

A minimally invasive prosthetic procedure (MIPP) for the esthetic rehabilitation of the complete arch advocates the preservation of enamel to optimize the adhesive bond of the luting agent to both the tooth surface and the etchable ceramic restoration. When esthetic rehabilitation of a worn dentition is required, a MIPP can be selected to reduce the biological cost of removing additional enamel tooth structure. The fundamental steps to achieve this goal are to: (1) increase the vertical dimension of occlusion (VDO); (2) reduce the thickness of the monolithic ceramic material; (3) preserve the enamel during tooth preparation; and (4) adhesively bond the etchable ceramic restorations. This article presents a comprehensive, minimally invasive prosthetic treatment approach for the esthetic rehabilitation of a severely worn dentition using a lithium disilicate all-ceramic material with partial and complete coverage restorations.

[1]  H. Sicher.  The biology of attrition. , 1953, Oral surgery, oral medicine, and oral pathology.

[2]  Daniel Edelhoff,et al.  Tooth structure removal associated with various preparation designs for anterior teeth. , 2002, The Journal of prosthetic dentistry.

[3]  Pascal Magne,et al.  In vitro fatigue resistance of CAD/CAM composite resin and ceramic posterior occlusal veneers. , 2010, The Journal of prosthetic dentistry.

[4]  Zeev Ormianer,et al.  Altered vertical dimension of occlusion: a comparative retrospective pilot study of tooth- and implant-supported restorations. , 2009, The International journal of oral & maxillofacial implants.

[5]  H. Maia,et al.  Novel-design ultra-thin CAD/CAM composite resin and ceramic occlusal veneers for the treatment of severe dental erosion. , 2011, The Journal of prosthetic dentistry.

[6]  H Denissen,et al.  Marginal fit and short-term clinical performance of porcelain-veneered CICERO, CEREC, and Procera onlays. , 2000, The Journal of prosthetic dentistry.

[7]  M. Molin,et al.  Clinical evaluation of all-ceramic onlays: a 4-year retrospective study. , 2008, The International journal of prosthodontics.

[8]  Stefan Wolfart,et al.  Ten-year outcome of three-unit fixed dental prostheses made from monolithic lithium disilicate ceramic. , 2012, Journal of the American Dental Association.

[9]  M. M. Silverman.  Accurate measurement of vertical dimension by phonetics and the speaking centric space. Part I. , 1951, Dental digest.

[10]  J. Abduo.  Safety of increasing vertical dimension of occlusion: a systematic review. , 2012, Quintessence international.

[11]  A McDonald,et al.  Preparation guidelines for full and partial coverage ceramic restorations. , 2001, Dental update.

[12]  K. Hiller,et al.  Partial ceramic crowns: influence of ceramic thickness, preparation design and luting material on fracture resistance and marginal integrity in vitro. , 2007, Operative dentistry.

[13]  R. Frankenberger,et al.  Crack formation of all-ceramic crowns dependent on different core build-up and luting materials. , 1999, Journal of dentistry.

[14]  Pascal Magne,et al.  Composite resins and bonded porcelain: the postamalgam era? , 2006, Journal of the California Dental Association.

[15]  N. R. Silva,et al.  Effect of mouth-motion fatigue and thermal cycling on the marginal accuracy of partial coverage restorations made of various dental materials. , 2008, Dental materials : official publication of the Academy of Dental Materials.

[16]  K. Hiller,et al.  Three-year clinical performance of cast gold vs ceramic partial crowns , 2006, Clinical Oral Investigations.

[17]  K. A. Turner,et al.  Restoration of the extremely worn dentition. , 1984, The Journal of prosthetic dentistry.

[18]  J. Kois,et al.  Occlusal vertical dimension: alteration concerns. , 1997, Compendium of continuing education in dentistry.

[19]  J. Sorensen,et al.  Relative gap formation of resin-cemented ceramic inlays and dentin bonding agents. , 1996, The Journal of prosthetic dentistry.

[20]  Irena Sailer,et al.  Five-year clinical results of zirconia frameworks for posterior fixed partial dentures. , 2007, The International journal of prosthodontics.

[21]  Z. Li,et al.  Mechanical properties of dental luting cements. , 1999, The Journal of prosthetic dentistry.

[22]  A. Olofsson,et al.  Restorations with extensive dentin/enamel-bonded ceramic coverage. A 5-year follow-up. , 2001, European journal of oral sciences.

[23]  W. C. Rivera-Morales,et al.  Relationship of occlusal vertical dimension to the health of the masticatory system. , 1991, The Journal of prosthetic dentistry.

[24]  L. Correr-Sobrinho,et al.  The influence of cavity preparation design on fracture strength and mode of fracture of laboratory-processed composite resin restorations. , 2007, The Journal of prosthetic dentistry.

[25]  A Schulman,et al.  A review of all-ceramic restorations. , 1997, Journal of the American Dental Association.

[26]  R. Hickel,et al.  Buonocore Memorial Lecture. Review of the clinical survival of direct and indirect restorations in posterior teeth of the permanent dentition. , 2004, Operative dentistry.