Patients want a pleasing smile. Esthetics is an essential part of restorative practice and therefore attention must be given to color, shape, surface texture and proportion. Tooth colored restorations have evolved and currently, metal ceramic restorations are widely accepted and commonly used extracoronal restoration.
It’s often difficult to make a choice when confronted with a heavily compromised tooth. We are bombarded with information about the wonders of new composite resin, ceramic materials and techniques which suggest we can restore just about any type of defects. Conversely, we are also led to believe that implants can solve any problem, hence no need for restoration.
Here are some of the most vexing questions:
- Does the tooth need a root canal therapy and if RCT was done before?
- What should we look out for?
- Is there science behind claims of a dental material being more protective than another?
- Is crowning a tooth always benefecial?
- When is composite restoration an ideal treatment modality?
- How do I ensure success and longevity for the crowns I place for patients?
- How does occlusion play a role in the success of the treatment that I provide?
- How do I know if this tooth is even worth saving.
The comprehensive concept of minimally invasive cosmetic dentistry (MICD) and its treatment protocol were introduced with the basic aim to optimize clinical therapeutic improvements in smile enhancement, while performing corrective procedures that require as little clinical intervention as possible.
Dental caries is still one of the most common chronic diseases affecting the health of individuals. It is a disease caused by the complex interaction over time between the dental plaque biofilm and diet as well as host factors including teeth and saliva. The restorative treatment of the carious lesion often proves a challenge to dentists as ideally it should be minimally invasive and tissue preserving.
Advances in esthetic dentistry have led to the development of a variety of reliable adhesive systems that assure a strong bond and superior clinical performance. However the search continues for bioactive restorative systems that simulate the aesthetics and biomechanics of the natural tooth while offering an innovative edge over the conventional systems. As more clinicians adopt the growing trend of minimally invasive cosmetic dentistry in their practice, direct cosmetic restorations are being preferred over more invasive options whenever suitable. The demand for biomimetic materials that mimic the complexities of the natural teeth is escalating to meet the aesthetic requirements of today’s discerning clinicians and patients alike.