Laminate veneers: Preplanning and treatment using digital guided tooth preparation. 2020

Bruno Pereira da Silva, and Kyle Stanley, and Jameel Gardee
Department of Periodontology of School of Dentistry, University of Seville, Sevilla, Spain.

OBJECTIVE The ability to control the reduction of tooth structure in a precise and measurable way during the preparation of ceramic veneers is a clinical challenge. The objective of this article is to introduce a new digital technology that can be used to address this challenge showing its advantages and limitations. First Fit is a digitally guided tooth preparation system that can be used to control the accurate and efficient preparation of teeth. In some cases, the system can be used to prepare the teeth for previously made restorations based on planned digital reduction. METHODS The First Fit system uses 3D-printed guides and a specially designed handpiece for guided veneer preparation using either a one-step or a two-step approach. In the one-step approach, final restorations are produced prior to preparation of the teeth using reduction guides, and veneers are cemented on the same day as preparation. The two-step approach includes a preparation phase during which the teeth are prepared using a combination of the reduction guides and free hand techniques. Cementation is then completed at a second appointment. CONCLUSIONS The First Fit system controls and guides veneer preparation with a minimally invasive approach. In some cases, it enables the production of veneers before tooth preparation, alleviating the need for provisional restorations. CONCLUSIONS The guided restorative dentistry technique described here utilizes digital CAD-CAM technology to achieve predictable and accurate results in a minimally invasive and efficient manner.

UI MeSH Term Description Entries
D002516 Ceramics Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed) Ceramic
D003776 Dental Porcelain A type of porcelain used in dental restorations, either jacket crowns or inlays, artificial teeth, or metal-ceramic crowns. It is essentially a mixture of particles of feldspar and quartz, the feldspar melting first and providing a glass matrix for the quartz. Dental porcelain is produced by mixing ceramic powder (a mixture of quartz, kaolin, pigments, opacifiers, a suitable flux, and other substances) with distilled water. (From Jablonski's Dictionary of Dentistry, 1992) Porcelain,Porcelain, Dental,Dental Porcelains,Porcelains,Porcelains, Dental
D003801 Dental Veneers The use of a layer of tooth-colored material, usually porcelain or acrylic resin, applied to the surface of natural teeth, crowns, or pontics by fusion, cementation, or mechanical retention. Dental Laminates,Dental Laminate,Dental Veneer,Laminate, Dental,Laminates, Dental,Veneer, Dental,Veneers, Dental
D017076 Computer-Aided Design The use of computers for designing and/or manufacturing of anything, including drugs, surgical procedures, orthotics, and prosthetics. CAD-CAM,Computer-Aided Manufacturing,Computer-Assisted Design,Computer-Assisted Manufacturing,Computer Aided Design,Computer Aided Manufacturing,Computer Assisted Design,Computer Assisted Manufacturing,Computer-Aided Designs,Computer-Assisted Designs,Design, Computer-Aided,Design, Computer-Assisted,Designs, Computer-Aided,Designs, Computer-Assisted,Manufacturing, Computer-Aided,Manufacturing, Computer-Assisted
D019246 Tooth Preparation Procedures carried out with regard to the teeth or tooth structures preparatory to specified dental therapeutic and surgical measures. Preparation, Tooth,Preparations, Tooth,Tooth Preparations

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