Anterior Ceramic Restorations

Traditional dental procedures rely on preparation designs that accommodate the restorative material or technique. This includes preparation features such as retention and resistance form, as well as tooth reduction to meet the strength requirements of the restorative material instead of prioritizing the preservation of intact tooth structure. As a result, the restored tooth has significant additional preparation and a significantly higher chance of complications such as pain, sensitivity, root canal treatment, recession, and fracture.

In contrast, the Biomimetic approach unites an understanding and appreciation of the biomechanics of natural teeth with principles and techniques which maximize adhesion. These concepts comprise the necessary components to mimic the natural tooth most faithfully. Restorative materials replicate the properties of the dental structures (enamel, dentin, dej) and healthy intact tooth structure is preserved through adhesion without additional preparation requirements. The biomimetically restored tooth mimics the strength, function, and esthetics of natural teeth. Biomimetic restorations include composite fillings, partial coverage restorations (ceramic or resin inlays and onlays), and when necessary, full-coverage ceramic restorations. However, the application technique and material selection makes a significant difference in the performance of these techniques and therefore it is important to have a sound understanding of the science.