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Double Monolithic Protocol: The Solution to Fluorescence Limitations.

Jacobo Somoza-Román1, Javier Tapia Guadix1, Esther Muñoz-Soto2

  • 1Private Practice, Madrid, Spain.

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Summary

The double monolithic protocol (DMP) integrates into chairside digital workflows for esthetic ceramic restorations. This method enhances fluorescence properties and mechanical resistance in dental restorations.

Keywords:
chairside restorationsdental materialsdigital dentistryfluorescencemilled dental materials

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Area of Science:

  • Dental Materials Science
  • Digital Dentistry
  • Restorative Dentistry

Background:

  • Aesthetic dissatisfaction with natural teeth is a common patient concern.
  • Digital workflows offer potential for efficient chairside dental restorations.
  • Reproducing natural tooth fluorescence in restorations remains a challenge.

Purpose of the Study:

  • To evaluate the incorporation of the double monolithic protocol (DMP) into a chairside digital workflow.
  • To assess the fluorescence properties of chairside monolithic restorations compared to natural teeth under varying light sources.
  • To demonstrate the clinical applicability of DMP for esthetic and mechanically resistant restorations.

Main Methods:

  • A patient received seven veneers and a three-element bridge for upper anterior teeth rehabilitation.
  • The DMP was applied to the bridge, featuring a lithium disilicate framework with leucite-reinforced glass ceramic veneers.
  • Fluorescence of substrates and restorations was measured under 365 nm and 405 nm light.

Main Results:

  • The double monolithic protocol (DMP) was successfully integrated into a chairside digital workflow.
  • The study demonstrated the potential for DMP to achieve predictable fluorescence properties in monolithic restorations.
  • The protocol facilitated the creation of mechanically resistant and esthetic ceramic restorations.

Conclusions:

  • The DMP optimizes chairside procedures for predictable, mechanically resistant, and esthetic restorations.
  • DMP offers a novel chairside solution for ceramic restorations with excellent esthetics and mechanical properties.
  • This protocol eliminates the need for traditional sintering or glazing procedures in chairside fabrication.