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Restoring Teeth with an Advanced Lithium Disilicate Ceramic: A Case Report and 1-Year Follow-Up
Felicitas Hölken1, Helmut Dietrich1
1Department of Prosthodontics and Materials Science, University Medical Center of University of Mainz, Augustusplatz 2, 55131 Mainz, Germany.
Case Reports in Dentistry
|September 26, 2022
Summary
A new advanced lithium disilicate ceramic offers fast, aesthetic, and strong dental restorations. This material enhances chairside workflow and patient satisfaction in fixed prosthodontics.
Area of Science:
- Materials Science
- Biocompatible Ceramics
- Dental Prosthodontics
Background:
- Increasing demands for aesthetic, biocompatible, and durable restorations in fixed prosthodontics.
- Development of novel ceramic materials and manufacturing methods.
- Importance of time efficiency, predictability, and cost-effectiveness in modern dentistry.
Observation:
- A case report on minimally invasive rehabilitation using a new advanced lithium disilicate (ALD) ceramic block.
- ALD ceramic is reinforced with virgilite crystals, offering high flexural strength (>700 MPa) and improved optical properties.
- Rapid sintering time of approximately 4.5 minutes facilitates fast processing.
Findings:
- The ALD ceramic, integrated with the CEREC (Chairside Economical Restoration of Esthetic Ceramics) system, produced aesthetically pleasing and clinically excellent monolithic restorations.
- Adhesive placement of restorations on seven posterior teeth.
- One-year follow-up demonstrated stable, aesthetically pleasing, and functional outcomes, improving treatment time and patient/practitioner satisfaction.
Implications:
- The ALD ceramic optimizes chairside workflow through shorter processing times and high flexural strength.
- Potential to expand treatment indications for lithium disilicate ceramics.
- Further long-term clinical studies are needed, and strict adherence to manufacturer guidelines is crucial.

