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The future of esthetic dentistry
1University of Pennsylvania, Philadelphia.
Journal of the American Dental Association (1939)
|December 1, 1987
Summary
New esthetic dentistry materials allow for conservative cavity preparations and improved prevention. However, challenges in dentin bonding and long-term material durability, including fracture and wear, persist.
Area of Science:
- Operative dentistry
- Esthetic dentistry
Background:
- Esthetic dentistry materials and techniques are prompting a reevaluation of traditional operative dentistry principles.
- Advances allow for minimized cavity preparations, altered retention requirements, and enhanced preventive strategies.
Purpose of the Study:
- To explore the implications of modern esthetic dentistry materials on fundamental operative dentistry concepts.
- To identify persistent challenges and areas requiring further investigation in esthetic restorative procedures.
Main Methods:
- Review of current literature on esthetic dentistry materials and operative techniques.
- Analysis of the impact of new materials on cavity preparation, retention, and prevention.
- Evaluation of existing challenges related to bonding, sealing, and material durability.
Main Results:
- Cavity preparations can be significantly minimized.
- Retention demands are altered by new materials.
- Effective preventive measures can be integrated.
- Challenges persist in achieving reliable bonding and sealing to dentin.
- Long-term durability, particularly concerning fracture and wear, remains unproven for newer materials.
Conclusions:
- Esthetic dentistry necessitates a shift towards more conservative and preventive approaches in operative dentistry.
- Further research and clinical validation are crucial to address the limitations of current esthetic materials, especially regarding dentin adhesion and long-term performance.