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¹Scottsdale Center for Dentistry, Scottsdale, Arizona, USA. drpuri@spocialsmiles.com

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Summary

For large composite resin restorations, indirect protocols are recommended to avoid complications. Both laboratory and chairside CAD/CAM systems offer solutions, with chairside options enabling same-visit restorations.

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Area of Science:

Restorative Dentistry
Dental Materials Science
Digital Dentistry

Background:

Direct composite resin restorations are effective but can lead to complications when large quantities are needed.
Indirect dental restorative protocols are necessary for managing extensive composite resin requirements.
Advancements in dental technology have introduced various computer-aided design/computer-aided manufacturing (CAD/CAM) systems.

Purpose of the Study:

To outline the necessity of indirect protocols for large composite resin restorations.
To differentiate between laboratory-based and chairside CAD/CAM systems for dental restorations.
To highlight the efficiency of chairside CAD/CAM in single-visit restorative procedures.

Main Methods:

Review of direct vs. indirect composite resin restorative techniques.

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Comparison of laboratory CAD/CAM systems requiring traditional impressions.

Analysis of chairside CAD/CAM systems utilizing digital impressions for same-visit milling and cementation.

Main Results:

Direct composite resin use is limited by quantity, increasing complication risks.
Indirect protocols are essential for large-scale composite resin restorations.
Chairside CAD/CAM enables same-visit fabrication and cementation of restorations.

Conclusions:

Indirect restorative protocols are crucial for managing large composite resin needs.
Chairside CAD/CAM systems offer significant advantages in efficiency and patient convenience.
Digital impressions and in-office milling are key components of modern chairside CAD/CAM workflows.