Onlays
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Onlays
In dentistry, inlays and onlays are used to fill cavities, and then cemented in place in the tooth. This is an alternative to a direct restoration, made out of composite, amalgam or glass ionomer, that is built up within the mouth.Inlays and onlays are used in molars or premolars, when the tooth has experienced too much damage to support a basic filling, but not so much damage that a crown is necessary. The key comparison between them is the amount and part of the tooth that they cover. An inlay will incorporate the pits and fissures of a tooth, mainly encompassing the chewing surface between the cusps. An onlay will involve one or more cusps being covered. If all cusps and the entire surface of the tooth is covered this is then known as a crown. Historically inlays and onlays will have been made from gold and this material is still commonly used today. Alternative materials such as porcelain were first described being used for inlays back in 1857. Due to its tooth like colour, ...
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Direct Restoration
Dental restoration, dental fillings, or simply fillings are treatments used to restore the function, integrity, and morphology of missing tooth structure resulting from caries or external trauma as well as the replacement of such structure supported by dental implants. They are of two broad types—''direct'' and ''indirect''—and are further classified by location and size. Root canal therapy, for example, is a restorative technique used to fill the space where the dental pulp normally resides and are more hectic than a normal filling. History In Italy evidence dated to the Paleolithic, around 13,000 years ago, points to bitumen used to fill a tooth and in Neolithic Slovenia, 6500 years ago, beeswax was used to close a fracture in a tooth. Graeco-Roman literature, such as Pliny the Elder's Naturalis Historia (AD 23–79), contains references to filling materials for hollow teeth. Tooth preparation Restoring a tooth to good form and function requires two steps: # preparin ...
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Indirect Restorations
Fixed prosthodontics is the branch of prosthodontics that focuses on dental prostheses that are permanently affixed (fixed). Crowns, bridges (fixed dentures), inlays, onlays, and veneers are some examples of indirect dental restorations. Prosthodontists are dentists who have completed training in this specialty that has been recognized by academic institutes. Fixed prosthodontics can be used to reconstruct single or many teeth, spanning tooth loss areas. The main advantages of fixed prosthodontics over direct restorations are improved strength in big restorations and the possibility to build an aesthetic-looking tooth. The concepts utilised to select the suitable repair, as with any dental restoration, include consideration of the materials to be used, the level of tooth destruction, the orientation and placement of the tooth, and the condition of neighboring teeth. Preparation techniques A large amount of tooth structure is removed irreversibly during crown preparation. All r ...
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CAD/CAM Dentistry
CAD/CAM dentistry is a field of dentistry and prosthodontics using CAD/CAM ( computer-aided-design and computer-aided-manufacturing) to improve the design and creation of dental restorations, especially dental prostheses, including crowns, crown lays, veneers, inlays and onlays, fixed dental prostheses (bridges), dental implant supported restorations, dentures ( removable or fixed), and orthodontic appliances. CAD/CAM technology allows the delivery of a well-fitting, aesthetic, and a durable prostheses for the patient. CAD/CAM complements earlier technologies used for these purposes by any combination of increasing the speed of design and creation; increasing the convenience or simplicity of the design, creation, and insertion processes; and making possible restorations and appliances that otherwise would have been infeasible. Other goals include reducing unit cost and making affordable restorations and appliances that otherwise would have been prohibitively expensive. However, ...
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Dental Composite
Dental composite resins (better referred to as "resin-based composites" or simply "filled resins") are dental cements made of synthetic resins. Synthetic resins evolved as restorative materials since they were insoluble, of good tooth-like appearance, insensitive to dehydration, easy to manipulate and inexpensive. Composite resins are most commonly composed of Bis-GMA and other dimethacrylate monomers (TEGMA, UDMA, HDDMA), a filler material such as silica and in most applications, a photoinitiator. Dimethylglyoxime is also commonly added to achieve certain physical properties such as flow-ability. Further tailoring of physical properties is achieved by formulating unique concentrations of each constituent. Many studies have compared the lesser longevity of resin-based composite restorations to the longevity of silver-Mercury (element), mercury Amalgam (dentistry), amalgam restorations. Depending on the skill of the dentist, patient characteristics and the type and location of dam ...
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Crown And Bridge
In dentistry, a crown or a dental cap is a type of dental restoration that completely caps or encircles a tooth or dental implant. A crown may be needed when a large dental cavity threatens the health of a tooth. Some dentists will also finish root canal treatment by covering the exposed tooth with a crown. A crown is typically bonded to the tooth by dental cement. They can be made from various materials, which are usually fabricated using ''indirect methods''. Crowns are used to improve the strength or appearance of teeth and to halt deterioration. While beneficial to dental health, the procedure and materials can be costly. The most common method of crowning a tooth involves taking a dental impression of a tooth prepared by a dentist, then fabricating the crown outside of the mouth. The crown can then be inserted at a subsequent dental appointment. This ''indirect method'' of tooth restoration allows use of strong restorative material requiring time-consuming fabrication unde ...
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Crown (dentistry)
In dentistry, a crown or a dental cap is a type of dental restoration that completely caps or encircles a Human tooth, tooth or dental implant. A crown may be needed when a large dental cavity threatens the health of a tooth. Some dentists will also finish root canal treatment by covering the exposed tooth with a crown. A crown is typically bonded to the tooth by dental cement. They can be made from various materials, which are usually fabricated using ''indirect methods''. Crowns are used to improve the strength or appearance of teeth and to halt deterioration. While beneficial to dental health, the procedure and materials can be costly. The most common method of crowning a tooth involves taking a dental impression of a tooth prepared by a dentist, then fabricating the crown outside of the mouth. The crown can then be inserted at a subsequent dental appointment. This ''indirect method'' of tooth restoration allows use of strong dental restorative materials, restorative material ...
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Dental Impression
A dental impression is a negative imprint of hard and soft tissues in the mouth from which a positive reproduction, such as a cast or model, can be formed. It is made by placing an appropriate material in a dental impression tray which is designed to roughly fit over the dental arches. The impression material is liquid or semi-solid when first mixed and placed in the mouth. It then sets to become an elastic solid, which usually takes a few minutes depending upon the material. This leaves an imprint of a person's dentition and surrounding structures of the oral cavity. Digital impressions using CAD/CAM dentistry, computerized scanning are now available. Uses Impressions, and the study models, are used in several areas of dentistry including: * diagnosis and treatment planning * prosthodontics (such as making dentures) * orthodontics * restorative dentistry (e.g. to make impressions of teeth which have been prepared to receive indirect extracoronal restorations such as crowns, b ...
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Dental Cement
Dental cements have a wide range of dental and orthodontic applications. Common uses include temporary restoration of teeth, cavity linings to provide pulpal protection, sedation or insulation and cementing fixed prosthodontic appliances. Recent uses of dental cement also include two-photon calcium imaging of neuronal activity in brains of animal models in basic experimental neuroscience. Traditionally cements have separate powder and liquid components which are manually mixed. Thus working time, amount and consistency can be individually adapted to the task at hand. Some cements, such as glass ionomer cement (GIC), can come in capsules and are mechanically mixed using rotating or oscillating mixing machines. Resin cements are not cements in a narrow sense, but rather polymer based composite materials. ISO 4049: 2019 classifies these polymer-based luting materials according to curing mode as class 1 (self-cured), class 2 (light-cured), or class 3 (dual-cured). Most of the commerc ...
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Fracture Resistance
Fracture Resistance is an existing term used very widely and for many years in the dental reconstruction industry. Endodontic instrument fracture
British Dental Journal volume 214, pages341–348 (2013)
Fracture resistance and flexural strength of endodontically treated teeth
Gamal, W., Abdou, A. & Salem, G.A. Fracture resistance and flexural strength of endodontically treated teeth restored by different short fiber resin composites: a preclinical study. Bull Natl Res Cent 46, 276 (2022). https://doi.org/10.1186/s42269-022-00964-0
as applied to e.g.
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Lost-wax Casting
Lost-wax castingalso called investment casting, precision casting, or ''cire perdue'' (; borrowed from French)is the process by which a duplicate sculpture (often a metal, such as silver, gold, brass, or bronze) is cast from an original sculpture. Intricate works can be achieved by this method. The oldest known examples of this technique are approximately 6,500 years old (4550–4450 BC) and attributed to gold artefacts found at Bulgaria's Varna Necropolis. A copper amulet from Mehrgarh, Indus Valley civilization, in present-day Pakistan, is dated to circa 4,000 BC. Cast copper objects, found in the Nahal Mishmar hoard in southern Israel, which belong to the Chalcolithic period (4500–3500 BC), are estimated, from carbon-14 dating, to date to circa 3500 BC. Other examples from somewhat later periods are from Mesopotamia in the third millennium BC. Lost-wax casting was widespread in Europe until the 18th century, when a piece-moulding process came to predominate. The step ...
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Casting (metalworking)
In metalworking and jewelry making, casting is a process in which a liquid metal is delivered into a Mold (manufacturing), mold (usually by a crucible) that contains a negative impression (i.e., a three-dimensional negative image) of the intended shape. The metal is poured into the mold through a hollow channel called a Sprue (manufacturing), sprue. The metal and mold are then cooled, and the metal part (the ''casting'') is extracted. Casting is most often used for making complex shapes that would be difficult or uneconomical to make by other methods. Casting processes have been known for thousands of years, and have been widely used for sculpture (especially in bronze), jewelry in precious metals, and weapons and tools. Highly engineered castings are found in 90 percent of durable goods, including cars, trucks, aerospace, trains, mining and construction equipment, oil wells, appliances, pipes, hydrants, wind turbines, nuclear plants, medical devices, defense products, toys, an ...
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