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Vonlays: A Conservative Esthetic Alternative to Full-Coverage Crowns
Porcelain veneers have long been a popular restorative option that have evolved into a well-accepted
treatment that can be fabricated in various ways. Onlays are another common treatment modality used in
contemporary dentistry to restore large areas of decay and to replace old restorations. With the availability of
newer high-strength materials such as lithium disilicate and processing technologies like CAD/CAM and heat
pressing, dental professionals are now able to produce highly esthetic, high-strength restorations that blend
seamlessly with the natural dentition while also withstanding posterior occlusal forces. This has resulted in
innovative methods of providing minimally invasive dentistry. One such approach is a combination restoration
the authors call a “vonlay,” which, as demonstrated in this case report, can be used as an alternative to coverage
crowns to restore damaged posterior teeth.
Subclassification and Clinical Management of Extraction Sockets with Labial Dentoalveolar Dehiscence Defects
Immediate implant therapy involving implants placed into intact Type 1 extraction sockets has become a consistent clinical technique. The classification of Type 2 extraction sockets, where the mucosal tissues are present but there is a midfacial osseous dehiscence defect, has been described according to the extent of the buccal bone plate absence. The literature has offered different techniques in the treatment of Type 2 sockets; however, the extent of the defect has never been defined or delineated.
Contemporary Options for Restoration of Anterior Teeth with Composite
The present article gives an overview of modern adhesive restoration in the anterior area, in view of the fact that modern dental therapy should be as minimally invasive as possible. Illustrated with multiple cases, the article shows possible prospective fields of indication.
Advanced Esthetic Management of Dental Implants: Surgical and Restorative Considerations to Improve Outcomes
This article demonstrates the importance of proper surgical and prosthetic principles in achieving esthetic implant
results.Successful dental implant therapy in the maxillary anterior dentition requires meticulous attention to surgical
and prosthodontic measures.
Proper diagnosis, extraction technique, implant selection, and placement significantly impact
outcomes. Respect of hard and soft tissue physiology following tooth loss and implant placement requires specific steps
be taken. Management tissue contours properly, via regenerative therapy, results in successful framing of the restoration.
Provisionalization and definitive restorative therapy also impacts the level of esthetic success.The contours of the
temporary abutment and crown develop soft tissue contours for the final restoration. Overcontouring can lead to soft
tissue recession and mucosal asymmetry. Design of the definitive crown(s) is crucial for long-term maintenance of
esthetically acceptable results.
The Socket-Shield Technique to Support the Buccofacial Tissues at Immediate Implant Placement
Tooth loss and subsequent ridge collapse continue to burden restorative implant treatment. Careful management
of the post-extraction tissues is needed to preserve the alveolar ridge. In-lieu of surgical augmentation to correct a
ridge defect, the socket-shield technique offers a promising solution. As the root submergence technique retains the
periodontal attachment and maintains the alveolar ridge for pontic site development, this case report demonstrates
the hypothesis that retention of a prepared tooth root section as a socket-shield prevents the recession of tissues
buccofacial to an immediately placed implant.
The socket-shield technique
is a highly promising addition to clinical implant dentistry and this case report is among the first to demonstrate the
procedure in clinical practice with a 1-year follow up.
Crowns and Bridges