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CLINICAL PROTOCOLS: PREPARATION, IMPRESSION AND BONDING OF ALL-CERAMIC GLASS-BASED DISILICATE LITHIUM CROWNS: REVIEW
D Vadachkoria1, O Vadachkoria1
1UniDent - Dental Clinic, Training and Research center, Tbilisi, Georgia; Dr. Thomas Lehmann's Dental Clinic, Neumunster, Germany.
Georgian Medical News
|June 3, 2017
Summary
Modern dentistry offers advanced ceramic crowns for aesthetic smile restorations. Proper tooth preparation and bonding protocols are crucial for durable, reliable results with lithium disilicate ceramic crowns.
Area of Science:
- Restorative Dentistry
- Dental Materials Science
Background:
- Maxillary incisors are critical for smile aesthetics.
- Contemporary dental materials offer improved esthetics and function.
- Lithium disilicate ceramic crowns with resin cements present an aesthetic alternative to porcelain-fused-to-metal (PFM) crowns.
Observation:
- Achieving desired aesthetics in dental restorations requires precise size, contour, vitality, translucency, and soft tissue integration.
- Modern dentistry benefits from advancements in dentine bonding and all-ceramic crown systems.
- Glass-based lithium disilicate ceramic crowns combined with resin cements offer superior esthetics.
Findings:
- Lithium disilicate ceramic crowns are highly technique-sensitive, demanding meticulous marginal tooth preparation and precise resin cement bonding.
- Established protocols for tooth preparation and bonding are essential for the long-term clinical success of these restorations.
- Following specific guidelines for preparation, impression, and bonding enhances durability and reliability.
Implications:
- Dentists can achieve superior esthetics and long-lasting restorations by adhering to precise preparation and bonding protocols.
- The adoption of contemporary materials and techniques, like lithium disilicate crowns, can significantly improve patient satisfaction.
- Understanding and implementing technique-sensitive procedures ensures optimal outcomes in advanced dental restorations.

