THE QUEST FOR AN ESTHETIC POSTERIOR RESTORATION THAT IS BOTH CONSERVATIVE AND PREDICTABLE HAS PLAGUED THE DENTAL

PROFESSION FOR MANY YEARS. RECENTLY THE COMBINATION OF SEVERAL DIFFERENT FACETS OF OPERATIVE DENTISTRY HAS RESULTED IN A MOST EFFECTIVE SOLUTION :
ETCHED PORCELAIN INLAYS & ONLAYS

INDICATIONS

Small to moderate carious lesions

Large carious or traumatic lesions with undermined enamel to the extent that a cast-metal restoration or a full crown normally becomes necessary. Endodontically compromised tooth.

Where metal allergy is a factor

The restoration of teeth in an arch opposed by already present porcelain restorations.

Teeth where it is difficult to develop retention form.

CONTRAINDICATIONS
Heavy occlusal forces

Inability to maintain a dry field. Deep sub gingival preparations.

ADVANTAGES
Improved physical properties.

Improved wear resistance.

Radiodensity

Ability to strengthen remaining tooth structure.

More precise control of contours & contacts. Biocompatibility & good tissue response.

DISADVANTAGES

INCREASED COST & TIME TECHNIQUE-SENSITIVITY BRITTLENESS OF CERAMICS WEAR OF OPPOSING DENTITION & RESTORATIONS RESIN TO RESIN BONDING DIFFICULTIES LOW POTENTIAL FOR REPAIR DIFFICULT INTRAORAL POLISHING

PRINCIPLES OF CAVITY PREPARATION FOR INLAY

TWO ALTERNATE FORMS FOR PULPAL FLOOR OF CAVITY PREPARATION;FORM IS DEPENDENT ON CAVITY DEPTH

CLASS 3 INLAY

Class iv inlay

PRINCIPLES OF CAVITY PREPARATION FOR ONLAY

ARMAMENTARIUM

C.I.P two-grit diamond Round micro-fine diamond

C.I.P no.4

PROCEDURE FOR PORCELAIN INLAY

Ceramics can be designed by CAD-CAM technology.The restorations can be made to fit the teeth accurately with excellent esthetics for better function. Cerec 1 -1987 Cerec 2-1994 Cerec 3-2000 Cerec in lab-2001

THE STEPS REQUIRED FOR MAKING A CAD-CAM RESTORATION ARE-OPTICAL IMPRESSION WITH AN INTRA ORAL SENSOR MILLING PROCESS

CEMENTATION OF THE RESTORATION

ADVANTAGES OF CAD/ CAM TECHNIQUE

COMPLETE CONTROL

SINGLE APPOINTMENT
NO IMPRESSION

NO PROVISIONAL RESTORATION REQUIRED

COST CONTROL

HIGH BONDABLE QUALITY RESTORATION

BETTER FIT

REDUCED MARGINAL GAP.

LESS FRACTURE OF THE INLAY, BECAUSE IT IS MILLED FROM A SOLID,HOMOGENEOUS BLOCK. IMPROVED ESTHETICS. EXCELLENT POLISHING CHARACTERISTICS. LESS REDUCTION OF TOOTH STRUCTURE, HENCE BETTER PERIODONTAL HEALTH.

THE FUTURE OF ESTHETIC RESTORATIVE DENTISTRY WILL NO DOUBT SEE CONSIDERABLE IMPROVEMENT IN LONGER-LASTING CEMENTING MATERIALS, EASE OF CONSTRUCTION, AND IN THE PORCELAIN MATERIALS THEMSELVES. FINALLY, FUTURE DEVELOPMENTS IN CAD-CAM CAPABILITY WILL NO DOUBT HAVE A POSITIVE EFFECT ON ALL ASPECTS OF BOTH ANTERIOR AND POSTERIOR RESTORATIONS

Thank you.