Composite inlays and onlays
The choice of composite inlays and onlays as restorative procedures is quite often a cause of doubt, perplexity, and indecision for the dentist. There’s a lot of confusion among colleagues about what to do and when. We, as Style Italiano, strongly believe that, whenever possible, a direct approach must be taken, when talking about restorative procedures in posteriors; but in all those clinical situations in which there’s the need of a cusp coverage and when there are a lot of cavities to restore, such as a quadrant or more, an indirect approach can avoid spending a lot of chair-side time for modeling and creating good shapes, as all the contact areas can be perfectly managed on a plaster model too, thus helping the clinician with one of the big challenges in restoring multiple cavities.
This clinical case shows how to treat a quadrant with composite inlays and onlays, in a modern and easy way.
Modern materials can be of course used in old techniques, such as partial indirect aesthethic posterior restorations. Nowadays we can afford these workflows as faster and precise at the same time, keeping in mind the health of our patients as supreme and most important goal.
Thanks to DT Sebastiano Nardo for the lab work.
Marginal fit of indirect composite inlays using a new system for manual fabrication. Pott P, Rzasa A, Stiesch M, Eisenburger M. Eur J Paediatr Dent. 2016 Sep;17(3):223-226.
Direct versus indirect inlay/onlay composite restorations in posterior teeth.A systematic review and meta-analysis. Angeletaki F, Gkogkos A, Papazoglou E, Kloukos D. J Dent. 2016 Oct;53:12-21.
The application of indirect composite onlays in the restoration of severely broken down posterior teeth.McCarthy R. J Ir Dent Assoc. 2015 Dec;61(6):309-12.
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