Severely damaged vital teeth: the input of ceramic overlay
Year: 2024
Type: article
Study design: Case Report
Abstract: The restoration of vital teeth is a frequent task treated by dentists. When the lost dental tissue is important, an intra radicular anchoring is needed to ensure the retention of the coronal filling. In these situations, the overlay seems to be a suitable solution which allow respecting the pulp vitality avoiding, thus, the root canal treatment. This case report presents a 52 years-old female patient who consulted for the esthetic rehabilitation of her upper premolar. The Clinical examination revealed that the concerned tooth was severely damaged. It was filled by glass ionomer material. Peri apical radiograph showed the absence of a canal filling. The tooth exhibited proper responses to vitality testing. After the elimination of the coronal filling, the margins were supra gingival and a sufficient rounding enamel tissue was noted. Taking into consideration the pulp vitality, it was decided to restore the tooth with a Lithium disilicate overlay. Respecting the pulp vitality preserves undoubtedly its integrity. The overlay is a mini invasive prosthetic solution which respects both the tooth vitality and the therapeutic gradient. Its success depends on the bonding quality and the quantity of the enamel tissue. It could be indicated also for pulpless teeth. Otherwise, the respect of pulp vitality, the esthetic outcome is grantured. Moreover, high survival rates up to 10 years were reported by studies for this approach. The overlay is an innovative approach to restore severely damaged vital teeth. Its longevity and success, depends on its adequate indication and the appropriate occlusal context.
Source: International Dental Journal
Institution: University of Monastir
Language: English
Subfield: Orthodontics
Field: Dentistry
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,550
OpenAlex ID: W4403543325