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Inlays and onlays
J F Roulet1, G M Lösche, M Noack
1Freie Universität Berlin, Germany.
Summary
Esthetic inlays offer a suitable alternative for patients seeking cosmetic dental restorations. While effective, adhesive techniques require careful application, and long-term data is pending before routine use.
Area of Science:
- Dentistry
- Materials Science
Background:
- Increasing patient demand for esthetic dentistry.
- Limitations of direct composite restorations as amalgam substitutes.
- Esthetic inlays as a viable alternative for cosmetic dental restorations.
Purpose of the Study:
- To review and describe available esthetic inlay systems.
- To detail the performance and challenges of adhesive techniques for inlay insertion.
- To assess the clinical success factors and behavior of esthetic inlays.
Main Methods:
- Review of current esthetic inlay systems.
- Description of adhesive insertion techniques and associated challenges.
- Analysis of in vitro and in vivo study findings on esthetic inlays.
Main Results:
- Esthetic inlays are a suitable method for cosmetic dental restorations.
- Adhesive techniques are crucial for inlay insertion, with margin quality being essential for success.
- In vitro and in vivo studies indicate good clinical performance of esthetic inlays.
Conclusions:
- Esthetic inlays, when placed with adhesive techniques, show promising clinical behavior.
- Improvements in luting techniques, such as ultrasonic energy, may simplify application.
- Routine use as an amalgam substitute requires further long-term clinical study validation.