Using of CAD-CAM In Minimal Invasive Prosthetic Treatments: Two Case Reports
Journal Title: Uluslararası Dis Hekimligi Bilimleri Dergisi - Year 2024, Vol 10, Issue 3
Abstract
The restorative treatment of coronal losses occurring in hard tissues such as decay, wear, and fractures may not always be feasible with direct restorative methods using amalgam or composite resins. In the prosthetic rehabilitation of teeth with extensive substance loss following root canal treatment, indirect restorative treatment options can be applied. In such cases, approaches such as inlays, onlays, overlays, or endocrowns, which are successful in preserving the remaining tooth structure while replacing lost tissue, are considered effective. Endocrowns are monoblock restorations that provide retention from the pulp chamber (macroretention) and achieve sufficient stability through adhesive cementation (microretention). Overlays, on the other hand, are restorations indicated for large-sized Class II cavities with unsupported axial walls and lacking both marginal edges, encompassing all cusps of the tooth. This case report describes the treatment of excessive substance loss in molars of two different patients using adhesive cemented approaches of endocrown and overlay restorations to preserve the remaining tooth structure. These restorations were manufactured using the Computer-Aided Design-Computer-Aided Manufacturing (CAD-CAM) system. The use of CAD-CAM technology aims to prevent discrepancies due to errors that may occur with conventional techniques. Conclusion: The restorations were produced monolithically using CAD-CAM technique. These restorations were made using a nanohybrid ceramic material, which offers advantages such as ease of adjustment, re-polishing, high wear resistance, and causing less wear on the antagonist tooth compared to glass ceramics.
Authors and Affiliations
Aynur Beyza Çavuşculu Güdül , Şükriye Ece Geduk , Gaye Sağlam
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